Top 3385 Member services 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
Pharmacy Care Representative - Work From Home New Jersey
CVS Health —New Jersey
- $17.00 - $31.30 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health 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
3d
Clinical Services Representative I
Rutgers University —New Brunswick, NJ
- $28.47 an hour
- Full-time
- Surgery
- Customer service
- Medical office experience
- Paid holidays
- Dental insurance
8d
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
Patient Access Representative
RWJ Rahway —Rahway, NJ
- $20.63 - $25.71 an hour
- Full-time
- Hospital
- High school diploma or GED
- Typing
- Paid parental leave
- Paid holidays
Remote Customer Service Representative
Garden State MLS —Edison, NJ
- $34.57 - $49.59 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
11d
Patient Services Representative
Prism Vision Group —Blackwood, NJ
- $18.00 - $31.89 an hour
- Computer literacy
- HIPAA
- English
Patient Access Representative
Barnabas Health Medical Group —West Orange, NJ
- $21.07 - $26.22 an hour
- Full-time
- High school diploma or GED
- Computer skills
- Medical terminology
- Paid parental leave
- Paid holidays
Patient Access Representative
Cooperman Barnabas Medical Center —Livingston, NJ
- $26.39 an hour
- Day shift
- Hospital
- High school diploma or GED
- Typing
- Paid parental leave
- Paid holidays
Airline Customer Service Representatives in Newark (EWR) Airport - $21.25/hr with $4.60 Health Variance
Hallmark Aviation Services —Newark, NJ
- $21.25 an hour
- Part-time
- 18 years or older
- Computer literacy
- High school diploma or GED
- Paid training
- Health insurance
Patient Access Representative
Childrens Specialized Hosp —Union, NJ
- $20.18 - $25.34 an hour
- Full-time
- Bilingual
- Computer literacy
- High school diploma or GED
- Paid parental leave
- Paid holidays
Assoc. II, Administrative Services
Merck —Rahway, NJ
- $68,000 - $107,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Inventory management
- Paid holidays
- Health insurance
19h
Patient Access Representative
Community Medical Center —Toms River, NJ
- $26.39 an hour
- Day shift
- Hospital
- High school diploma or GED
- Typing
- Paid parental leave
- Paid holidays
Patient Representative (Local NJ/NY or PA Applicants Only)
Barnabas Health Medical Group —West Orange, NJ
- $19.74 - $25.47 an hour
- Full-time
- Microsoft Excel
- Microsoft Access
- Computer literacy
- Disability insurance
- Health insurance
Patient Access Representative
RWJ Somerset —Somerville, NJ
- $24.10 an hour
- Rotating weekends
- High school diploma or GED
- Computer skills
- Outpatient
- Paid parental leave
- Paid holidays
Field Service Representative
New Jersey School Boards Association —Trenton, NJ
- $80,000 - $83,000 a year
- Weekends as needed
- Hybrid work
- School experience
- Mid-level
- Analysis skills
- Disability insurance
- Dental insurance
Quick Apply
1d
Patient Access Representative I, Full Time, Evenings (11p-3p), Atlantic Health Morristown Medical Center
Atlantic Health System —Morristown, NJ
- Full-time
- Hospital
- Medical office experience
- HIPAA
- 403(b) matching
- AD&D insurance
20h
Representative Registration and Financial
St. Joseph's Health —Wayne, NJ
- $20.20 - $27.26 an hour
- Full-time
- Acute care
- Bilingual
- Hospital
- 403(b) matching
- Paid holidays
Funding Verification Specialist - Remote
Lingraphica —Princeton, NJ
- $50,000 - $55,000 a year
- Full-time
- Remote
- HIPAA
- Research
- Mid-level
Quick Apply
7d

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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

member services representative jobs in new jersey

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

Pharmacy Care Representative - Work From Home New Jersey

Customer Service Representative

Clinical Services Representative I

Customer Service Representative - State Farm Agent Team Member

Patient Access Representative

Remote Customer Service Representative

Patient Services Representative

Patient Access Representative

Patient Access Representative

Airline Customer Service Representatives in Newark (EWR) Airport - $21.25/hr with $4.60 Health Variance

Patient Access Representative

Assoc. II, Administrative Services

Patient Access Representative

Patient Representative (Local NJ/NY or PA Applicants Only)

Patient Access Representative

Field Service Representative

Patient Access Representative I, Full Time, Evenings (11p-3p), Atlantic Health Morristown Medical Center

Representative Registration and Financial

Funding Verification Specialist - Remote

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

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