6 participant services representative jobs found in Trenton

The Solution Owner I supports the Personal Lines function/portfolio within the Strategic Alignment & Execution (SA&E) department. A successful candidate for this position will work collaboratively with business stakeholders, SO team members, and delivery teams to analyze and provide solutions to business goals. In this role, the SO will support alignment of strategy with business processes and initiatives, design of the product or solution to achieve strategic outcomes to achieve business outcomes by collaborating with delivery teams. Essential Duties & Responsibilities: Responsible for assessing business problems, consulting industry best practices, and offering creative solutions. Responsible for engaging stakeholders to understand the strategy, actions, initiatives and expected business outcomes and seek guidance regarding product features from SMEs, Business Process Leaders, Compliance, Legal, and other stakeholders. Ability to align solution...

The MCS department is searching for a PIP Claims Assistant . The PIP Claims Assistant reports directly to the PIP Administrator/Supervisor, the PIP Claims Assistant supports the PIP Department by performing assigned claim functions and tasks. The position requires the assistant to work and communicate with the PIP Claims Representatives, PIP Supervisors, and other team members. The position also interacts with NJM policyholders, associated injured parties or their legal representatives, medical providers, and other departments within NJM, as needed. Hours Monday-Friday, specific hours are subject to selected start time between 8am-9am pending supervisory approval. Hybrid opportunity after training is completed (3 days in office, 2 days remote) Essential Duties and Responsibilities: Essential functions of this job are listed below in order of priority. Reasonable accommodations may be made to enable individuals to perform the essential duties. Regular and...

There's 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 worker's compensation, automobile, and homeowners insurance in New Jersey. The Supervisor, Bill Processing is responsible for leading and directing the Bill Processing (BP) team, ensuring the timely and accurate auditing and processing of medical bills, meeting all regulatory timeframes. Essential Duties and Responsibilities: Lead and direct bill processing team to ensure timely turnaround and accurate adjudication of medical bills Monitor workloads, productivity and quality to maximize operational effectiveness and to ensure timely, effective and efficient processing of medical bills. Utilize reports to track and trend data, improve team efficiency, identify problem areas and offer recommendations as needed Instruct and counsel team members on new regulations, processes,...

The Business Continuity Analyst will work closely with the program leadership team, partner organizations, technical staff, and business units to define and apply NJM’s business continuity management objectives. With strong communication, relationship building, technical and leadership skills, the Analyst will partner with the Business Continuity team to integrate business continuity into a cohesive strategy. They will help to design and implement solutions that align with NJM’s strategy and plan to effectively address business objectives and requirements.   Essential Duties and Responsibilities: BCP Program Governance Work with department leadership, to operationalize and coordinate the businesses continuity program including the department level business impact analysis, business continuity planning and procedures. Assist in the collaboration with business areas to develop and maintain a corporate wide BCM program that addresses business recovery and emergency...

NJM Insurance Group, is a leading mid-sized U.S. property and casualty insurance company with 90 consecutive years of A+ financial strength ratings by AM BEST. Due to exceptional employee experience, NJM has been included on the latest Forbes List of Best Employers in New Jersey for the fourth year in a row. The NJM reputation for being a top provider of outstanding customer service was reaffirmed by the most recent J.D. Power Auto Insurance Claims Survey. Over the last five years, the Company has focused on a strategic plan that calls for it to become a regional property & casualty insurer and has transitioned away from its affinity-based membership model. To that end, the Company has added an independent agency model for new lines of middle and large commercial and has more than doubled its product offerings. NJM now offers its various products to businesses across New Jersey, Pennsylvania, New York, Maryland, Delaware, and Connecticut. Celebrating its 110-year...

Reporting directly to the Medical Management Supervisor, the Workers' Compensation (WC) Case Manager supports the WC Department by following the best practices associated with managing of the injured worker effectively and efficiently. The position requires the nurse to work and communicate with other members of the Medical Management team in addition to the WC Claims team, WC Claims Supervisors, and other team members. The WC Team Lead also interacts with the associated injured parties or their legal representatives, medical providers, and other departments within NJM, as needed. The official NJM job title is Medical Management Coordinator. Essential Duties and Responsibilities: Demonstrate knowledge, skills, and competency in the application of case management standards of practice. Develop and provide ongoing support of the rehabilitation plan through comprehensive assessment, planning, implementation, and overall evaluation of individual claimant needs.  Facilitate...