Top 225 Claims representative Jobs in New Jersey

PIP- Personal Injury Protection Representative (I/II/ Sr.)
NJM Insurance Group —Parsippany-Troy Hills, NJ
- $51,120.55 - $94,140.80 a year
- Full-time
- Hybrid work
- Customer service
- Medical office experience
- Mid-level
- Paid parental leave
- Disability insurance
Quick Apply
Auto Property Damage Claims (40357)
IOS Staffing Services —Parsippany-Troy Hills, NJ
- $50,000 - $65,000 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- 2 years
- Wellness program
- Paid parental leave
Quick Apply
5d
Litigation Claims Adjuster – Bodily Injury (Trial Preparation)
NJM Insurance —Ewing, NJ
- $67,543 - $98,261 a year
- Full-time
- Hybrid work
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Paid parental leave
- Disability insurance
Quick Apply
General Liability & Premises Liability Claims Adjuster (Remote)
CCMSI —Linwood, NJ
- $75,000 - $85,000 a year
- Full-time
- Spanish
- 5 years
- English
- Paid holidays
- Disability insurance
Customer Service Representative
CVS Health —New Jersey
- $17.00 - $31.30 an hour
- Full-time
- Remote
- Computer literacy
- No high school diploma
- High school diploma or GED
- Health insurance
- Dental insurance
1d
Auto Claims Representative
CURE Auto Insurance —Princeton, NJ
- $23 - $30 an hour
- Full-time
- Hybrid work
- Writing skills
- Office
- US work authorization
- Health savings account
- AD&D insurance
Quick Apply
PIP Claims Representative
CURE Auto Insurance —Princeton, NJ
- $58,240 - $76,960 a year
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Health savings account
- AD&D insurance
Quick Apply
14d
Claims Analyst - REMOTE
Ryder System —Trenton, NJ
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Senior Claims Representative - REMOTE
Ryder System —Trenton, NJ
- $75,000 - $80,000 a year
- Remote
- Management
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
14d
Commercial Claims Specialist II
NJM Insurance Group —Trenton, NJ
- $81,124 - $94,141 a year
- Full-time
- Customer service
- Mid-level
- Office
- Paid parental leave
- Disability insurance
Claims Representative (IAP) - Workers Compensation Training Program | Marlton, NJ
Sedgwick —Marlton, NJ
- Full-time
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
1d
Field Property Claims Adjuster: Hackensack, NJ
Farmers Insurance Group —Jersey City, NJ
- $23.22 - $47.07 an hour
- Background check
- Microsoft Outlook
- Computer literacy
- Paid training
- Paid parental leave
Remote Billing Representative_Third Party
SPECIALTY RX INC. —Ridgefield Park, NJ
- $19 - $22 an hour
- Weekends as needed
- Remote
- Computer literacy
- Mid-level
- High school diploma or GED
Quick Apply
5d
Corporate Claims Representative
Teknion, LLC —Mount Laurel, NJ
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
Quick Apply
Precertification & Pre-Service Appeals Nurse
CURE Auto Insurance —Princeton, NJ
- $65,000 - $85,000 a year
- Hybrid work
- Nursing
- RN License
- Writing skills
- Health savings account
- AD&D insurance
Quick Apply
Field Property Claims Adjuster: Princeton, NJ
Farmers Insurance Group —New Brunswick, NJ
- $23.22 - $47.07 an hour
- Background check
- Microsoft Outlook
- Customer service
- Paid training
- Paid parental leave
Care Coordination Representative
Advanced Medical Management —Englewood Cliffs, NJ
- $22 - $24 an hour
- Full-time
- Remote
- English
- Mid-level
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
Customer Service Representative
Graybar Electric Company, Inc. —Edison, NJ
- $25 an hour
- Full-time
- High school diploma or GED
- Associate's degree
- 2 years
- Profit sharing
- Paid holidays
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Tommy Woods - State Farm Agent —Montclair, NJ
- $40,000 - $100,000 a year
- Full-time
- Hybrid work
- Communication skills
- Entry level
- Paid time off
- Work from home
Quick Apply
Licensed Account Representative (Customer Service) - Trenton
NJM Insurance Group —Trenton, NJ
- From $51,120.55 a year
- Full-time
- Hybrid work
- Bilingual
- Microsoft Word
- Microsoft Outlook
- Paid training
- Paid parental leave

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PIP- Personal Injury Protection Representative (I/II/ Sr.)

NJM Insurance Group -
Parsippany-Troy Hills, NJ

Quick Apply

Job Details

Full-time
$51,120.55 - $94,140.80 a year

Benefits

Paid parental leave
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Vision insurance
401(k) matching
Paid sick time

Qualifications

Personal injury protection claims
Customer communication
Medical claims
Customer service
Medical office experience
Regulatory compliance in claims processing
Microsoft Office
High school diploma or GED
Insurance claims arbitration
Alternative dispute resolution
Subrogation claims
Legal compliance
Medical terminology
Quality data entry

Full Job Description

There has never been a better time to join NJM! With a nationally ranked reputation for outstanding customer service and a history that spans more than a century, NJM is a leading provider of workers' compensation, automobile and homeowners insurance in New Jersey. It is an exciting time to join NJM as we have just expanded into other states.

Become a member of our team and you’ll be part of company who operates for the sole benefit of its policyholders and is committed to maintaining the highest levels of service. Team members are offered a competitive compensation package and benefits including: a 401k plan, health coverage, a generous paid time off plan, and much more!

Our Parsippany Medical Services Administration team is in search of a Personal Injury Protection Claims Representative (I/II/Sr.) ( PIP Rep is the official NJM title). Reporting to the designated PIP Supervisor, the PIP claims representative is responsible and accountable for conducting complete and thorough investigation on assigned claims and medically managing those claims through their life cycle. This exciting opportunity is great for someone who is highly organized and enjoys working in a fast-paced environment.

Job Responsibilities:

Review PIP coverages and/or identify coverage issues and investigate and analyze the loss event, the injury and other relevant information to make a determination as to coverage and course of action.
Evaluate claims for fraud indicators and potential underwriting issues and process appropriate referrals. Conduct activities in compliance with state and company regulations and guidelines.
Render final coverage determination within regulatory guidelines: Maintain communication with involved parties during the course of the claim, via written and/or verbal communication, to provide relevant determinations and/or information.
Maintain communication with involved parties during the course of the claim, via written and/or verbal communication, to provide relevant determinations and/or information. Concisely and accurately document all actions taken throughout the course of the claim.
Manage all requests for medical treatment, durable medical equipment, PIP Care Paths, medical guidelines and policies, internal and/or external peer reviews and/or IMEs, when required, communicate determinations to appropriate parties within 3 business days.
Request necessary Independent Medical Examinations and render determinations for additional treatment or termination benefits.
Establish adequate medical and non-medical benefits reserves for the life of the claim and adjust reserves, if needed.
Calculate and issue non-medical benefits (wages, essential services, death benefits).

Required Qualifications and Experience:

Excellent verbal and written communication skills, knowledge of Microsoft suite
Strong interpersonal and customer service skills
Good organizational, time-management, and data entry skills
Decision-making and multi-tasking capabilities
Bachelor’s degree preferred
3-5 years of claims handling
Able to apply regulatory requirements appropriately by state
Thorough understanding of all process and regulatory knowledge associated with arbitration and subrogation

This role may be filled at a level I, II, or Sr.

The starting salary per level based on skills, direct experience, and credentials:

Level I (0- 3 years of direct experience) : $51,120.55 - $59,331.68

Level II (3- 6 years of direct experience): $61,256.00 - $77,255.10

Sr Level (6- 8 years of direct experience): $81,123.90 - $94,140.80

What is it like to work at NJM?

https://www.youtube.com/watch?v=6XVn3U0XK-0&feature=emb_logo

Apply directly on our website: https://njm.wd1.myworkdayjobs.com/njm/job/NJM---Parsippany/PIP-Rep_R2007865

Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.

Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.

Job Type: Full-time

Pay: $51,120.55 - $94,140.80 per year

Benefits:

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

Ability to Commute:

Parsippany-Troy Hills, NJ 07054 (Required)

Work Location: Hybrid remote in Parsippany-Troy Hills, NJ 07054

Quick Apply

Refine Your Search

claims representative jobs in new jersey

PIP- Personal Injury Protection Representative (I/II/ Sr.)

Auto Property Damage Claims (40357)

Litigation Claims Adjuster – Bodily Injury (Trial Preparation)

General Liability & Premises Liability Claims Adjuster (Remote)

Customer Service Representative

Auto Claims Representative

PIP Claims Representative

Claims Analyst - REMOTE

Senior Claims Representative - REMOTE

Commercial Claims Specialist II

Claims Representative (IAP) - Workers Compensation Training Program | Marlton, NJ

Field Property Claims Adjuster: Hackensack, NJ

Remote Billing Representative_Third Party

Corporate Claims Representative

Precertification & Pre-Service Appeals Nurse

Field Property Claims Adjuster: Princeton, NJ

Care Coordination Representative

Customer Service Representative

Customer Service Representative - State Farm Agent Team Member

Licensed Account Representative (Customer Service) - Trenton

I want to receive the latest job alert for claims representative in new jersey

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