Top 30 Claims examiner Jobs in New Jersey

Claims Examiner- Voluntary Benefits
Accenture —Morristown, NJ
- $20.10 - $40.53 an hour
- Full-time
- Remote
- Writing skills
- Windows
- Math
- Paid holidays
- Disability insurance
8d
Disability Claims Examiner - LTD
Prudential —Newark, NJ
- $53,300 - $88,000 a year
- Full-time
- Remote
- Spanish
- Microsoft Excel
- Computer literacy
- Employee stock purchase plan
- Disability insurance
Senior Disability Claims Examiner (LTD)
Prudential —Newark, NJ
- $61,700 - $101,900 a year
- Full-time
- Remote
- Spanish
- Microsoft Excel
- Computer literacy
- Employee stock purchase plan
- Disability insurance
Associate Claims Examiner, Cyber Claims
Markel Service Inc. —Red Bank, NJ
- $27.84 - $38.27 an hour
- Email
- Microsoft Excel
- Customer service
- Mid-level
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Liability Claims Examiner Trainee - NJ
GREATER NEW YORK MUTUAL INSURANCE COMPANY —Edison, NJ
- $52,500 - $91,900 a year
- Full-time
- Customer service
- Writing skills
- Research
Claims Examiner, Medical Only
AmTrust Financial Services, Inc. —Princeton, NJ
- Full-time
- Mid-level
- Office
- Children
- Health insurance
- Dental insurance
Liability Claims Examiner | General Liability & Auto BI (Litigated & Non-Litigated), Premises | License Required | Dedicated Client
Sedgwick —Marlton, NJ
- Full-time
- Hybrid work
- Customer service
- 5 years
- Mid-level
- Health savings account
- Disability insurance
6d
Associate Claims Examiner
Markel Service Inc. —Red Bank, NJ
- $27.84 - $38.27 an hour
- Email
- Microsoft Excel
- Microsoft Outlook
- Office
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Workers Compensation Claims Examiner | PA, NJ, DE, & VA Jurisdictions | DE Licensing
Sedgwick —Marlton, NJ
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
1d
APD Claims Examiner
Vanguard Claims Administration —Woodbury, NJ
- Full-time
- Mid-level
Quick Apply
14d
Liability Claims Examiner
Vanguard Claims Administration —Woodbury, NJ
- Full-time
- Mid-level
Quick Apply
Associate Claim Examiner
Markel Service Inc. —Red Bank, NJ
- $27.84 - $38.27 an hour
- Email
- Microsoft Excel
- Microsoft Outlook
- Office
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Executive Claims Examiner, Miscellaneous Professional E&O
Markel Service Inc. —Red Bank, NJ
- $97,520 - $134,090 a year
- Email
- Writing skills
- Mid-level
- Travel
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Senior Claims Examiner
Markel Service Inc. —Summit, NJ
- $78,000 - $107,250 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- 5 years
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Executive Claims Examiner, Programs
Markel Service Inc. —Red Bank, NJ
- $97,520 - $134,090 a year
- Email
- Hybrid work
- Writing skills
- Team management
- Travel
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Commercial Auto Liability Claims Examiner
Berkley —Jersey City, NJ
- $85,000 - $115,000 a year
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- Organizational skills
- Profit sharing
- Continuing education credits
Claims Examiner, General Liability
Arch Capital Group Ltd. —Jersey City, NJ
- $61,900 - $124,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Bachelor's degree
- Travel
- Paid parental leave
- AD&D insurance
9d
Sr. Claims Examiner
Berkley —Jersey City, NJ
- $90,000 - $130,000 a year
- Full-time
- 7 years
- Bachelor's degree
- Travel
- Profit sharing
- Health insurance
1d
Senior Claims Examiner, General Liability
Arch Capital Group Ltd. —Jersey City, NJ
- $97,100 - $131,130 a year
- Full-time
- Hybrid work
- Microsoft Word
- Office
- Bachelor's degree
- Paid parental leave
- AD&D insurance
Claims Examiner II, Construction
Markel Service Inc. —Red Bank, NJ
- $62,400 - $85,800 a year
- Email
- Hybrid work
- Customer service
- Mid-level
- Office
- AD&D insurance
- Employee stock purchase plan
Quick Apply

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Claims Examiner- Voluntary Benefits

Accenture -
Morristown, NJ

Apply Now

Job Details

Full-time
$20.10 - $40.53 an hour
8 days ago

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Benefits administration
Writing skills
HCPCS
Health insurance knowledge
Medical terminology

Full Job Description

The Voluntary Benefits Claims Examiner will support a large Group Insurance Business contract is responsible for the calculation of Voluntary Benefits across limited products according to Plan Provisions. Voluntary Benefits can include wellness, hospital indemnity, accident and critical illness products. This position requires the knowledge and understanding of Voluntary Benefits policies and procedures with a medical terminology background and ability to read medical records outside of ICD’s, CPTs and HCPC to appropriately calculate the benefits due. You will be expected to follow through timely on claim processing, utilize judgment, and assess risk when rendering claim decisions. Able to communicate with various constituents with limited guidance and learn and transact using the client s systems. Expected to communicate clearly concisely to influence return to work, discuss terms of the certificate, and the basis of payment nonpayment.

Key Responsibilities:

Document all claim information including phone calls and correspondence.
Utilize effective communication to obtain information both verbally and in writing and provide information to the claimant and employer.
Ability to read multiple pages of medical records to confirm benefits available to the member.
Ability to apply plan provisions understand the needs of the clients.
Expected to adhere to client Service Level Agreements and department s product s key performance requirements and any reporting.
Able to utilize strong organizational skills to manage multiple priorities while working under tight time constraints, possess the ability to work through ambiguity, and work effectively with various vendors with strong interpersonal skills.
Willing to support special internal functional projects and ad hoc requests as required.
Able to work cohesively with Subject Matter experts to support the day to day tasks, able to anticipate, identify, and resolve complex issues problems.
Able to communicate risks issues to supervisor and help with the resolution, as needed.
Provide exceptional customer service either over the phone or through email.
Able to provide leadership updates progress reports on training curriculum.
Utilize tools independently and accurately to identify work to be completed.
Professional and detailed verbal skills for outbound calls to obtain medical records or claim details to gather data to work claim to completion.

Basic Qualifications:

Minimum of 6 months experience in Medical Insurance Claims Processing
Minimum of 1 year experience in a contact center/call center.

Preferred Qualifications:

Group Life/Disability/ Voluntary Claims experience
Bachelor s Degree
NY Adjustor License
Strong mathematical skills

Professional Skills:

Proficiency in Windows environment, including Word and Excel
Medical terminology knowledge
Strong written and verbal communications required
Detailed oriented with strong time management skills

Job Requirement: Schedule flexibility to work a schedule from 7 am to 7 pm CST

Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below. We anticipate this job posting will be posted until 08/28/2026. Accenture offers a market competitive suite of benefits including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid time off. See more information on our benefits here:

U.S. Employee Benefits | Accenture

Role Location Hourly Salary Range California $21.68 to $40.53 Cleveland $20.10 to $32.40 Colorado $21.68 to $35.00 District of Columbia $23.13 to $37.26 Illinois $20.10 to $35.00 Maine $18.51 to $29.81 Maryland $21.68 to $35.00 Massachusetts $21.68 to $37.26 Minnesota $21.68 to $35.00 New York $20.10 to $40.53 New Jersey $23.13 to $40.53 Virginia $20.10 to $37.26 Washington $23.13 to $37.26

Requesting an Accommodation

Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.

If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at 1 (877) 889-9009 or send us an email or speak with your recruiter.

Equal Employment Opportunity Statement

We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.

For details, view a copy of the Accenture Equal Opportunity Statement

Accenture is an EEO and Affirmative Action Employer of Veterans/Individuals with Disabilities.

Accenture is committed to providing veteran employment opportunities to our service men and women.

Other Employment Statements

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.

Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.

Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment.

The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.

California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information.

Please read Accenture’s Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.

Apply Now

Refine Your Search

claims examiner jobs in new jersey

Claims Examiner- Voluntary Benefits

Disability Claims Examiner - LTD

Senior Disability Claims Examiner (LTD)

Associate Claims Examiner, Cyber Claims

Liability Claims Examiner Trainee - NJ

Claims Examiner, Medical Only

Liability Claims Examiner | General Liability & Auto BI (Litigated & Non-Litigated), Premises | License Required | Dedicated Client

Associate Claims Examiner

Workers Compensation Claims Examiner | PA, NJ, DE, & VA Jurisdictions | DE Licensing

APD Claims Examiner

Liability Claims Examiner

Associate Claim Examiner

Executive Claims Examiner, Miscellaneous Professional E&O

Senior Claims Examiner

Executive Claims Examiner, Programs

Commercial Auto Liability Claims Examiner

Claims Examiner, General Liability

Sr. Claims Examiner

Senior Claims Examiner, General Liability

Claims Examiner II, Construction

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