4 jobs found in Princeton, NJ

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has a need for Clinical Review Nurse remote or in an office  location.     PRIMARY PURPOSE:   The Clinical Review nurse has the responsibility of reviewing the medical necessity, appropriateness, quality and efficiency of services in the appropriate setting for Workers’ Compensation claimants. This position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the AmTrust Claims Adjuster team to expedite medically necessary treatment for each claim.  They also review pharmacy authorizations to determine appropriateness of pharmaceutical treatment.  Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Perform Utilization Review activities prospectively, concurrently, or...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Senior Claims Examiner - WC .    The adjuster is responsible for the prompt and efficient examination, investigation, settlement or declination of worker’s compensation insurance claims through effective research, negotiation and interaction with insures, and claimants, ensuring that company resources are utilized in a cost-effective manner in the process. The adjuster reports to a WC Supervisor.  Responsibilities Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable workers’ comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans. Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and...

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. Summary/Job Purpose: This position is responsible to adjust assigned claims within delegated limits of authority, conduct timely and thorough investigations, handle subrogation claims, and complete fair and equitable claim settlements in accordance with MSMM Claim Handling Guidelines and/or requirements of principals regarding TPA business to ensure services are provided in a fair, equitable and timely manner. Essential Functions: Receives new claim assignments of a moderate to complex nature and analyzes...

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a  Major Loss Claims Director  in the Worker's Compensation claims department.   With more than 7,000 employees worldwide, AmTrust is recognized as one of the largest private companies in the U.S. and the third-largest writer of workers’ compensation insurance nationally. Rated “A-” (Excellent) by AM Best, we are committed to delivering innovative insurance solutions, superior claims handling, and exceptional customer service. Our entrepreneurial culture and focus on sustainability drive us to provide flexible, customized coverage options for over 400 classes of business Responsibilities Manage a team of 4-8 Major Loss claim adjusters. Responsible for the direct supervision of a Major Loss claim unit, handing the most complex workers compensation claims. Large Loss/Major Case/Complex Claim experience....