18 claims jobs found in Trenton, NJ

The Claims Information Service Representative will handle inbound and/or outbound calls from policyholders and injured workers regarding workers compensation claim status regarding payments, medical treatment authorization, and provide one call resolution to the caller. Hours:   Monday to Friday (8:45AM- 5PM) Hybrid opportunity once training is complete (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 predictable onsite attendance is an essential function of the job. Answer calls from internal and external customers using excellent customer service skills. Field and manage calls appropriately with one call resolution and/or to the respective department. Utilize available tools and databases to provide accurate information to callers. Process incoming First...

Consider joining NJM’s 2027 Paid Summer Intern Program! This robust program includes: Lunch with leaders; featuring insights from an Executive Leadership Team member, and a former NJM intern. Opportunity to network with leaders and professionals across multiple departments. Contribute to and collaborate on meaningful work within your department. Team Intern Project: Research and present a business question to NJM leaders. NJM Seminars designed to build essential professional skills and expand knowledge of the insurance industry. Professional headshots to help enhance your personal brand. Intern Fun: Night at the Trenton Thunder Game Volunteer activities to give back to the community in which we serve Networking and social events with fellow interns, former interns, and leaders Overview NJM Insurance has a law clerk (summer) opportunity available on our General Claims legal team. Located at our West Trenton, NJ headquarters, this is a wonderful...

​ General Summary:  A brief description of the main purpose for this position.   The Commercial Claims Supervisor is responsible for leading a team of Commercial Line adjusters and successfully interact with our internal and external business partners. 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 predictable onsite attendance is an essential function of the job. The position requires excellent communication and time management skills as well as a strong organizational background. This individual must be a creative & proactive problem solver, analytical and an independent contributor who can also work as a member of the team. The successful candidate will also be a disciplined self-starter, decisive, “own” their decisions and the work they produce. Must be able to manage their own team and work...

The Staff Attorney I (official NJM job title) performs coverage analysis, drafts and reviews relevant communications, which may include reservation of rights letters and coverage position letters associated with claims under personal and commercial insurance policies.  The Staff Attorney I also monitors outside insurance defense litigation, coverage litigation, and appellate work under the supervision of a more senior attorney.  The Staff Attorney I provides General Claims staff with legal advice regarding coverage and various claims questions, assists in responding to regulatory and consumer inquiries, and advises on legal developments in case law, statutes and regulations.  The Staff Attorney I also provides General Claims Legal perspective to NJM business units on various matters including fraud, policy language, marketing materials, and legislation. Essential Duties and Responsibilities: Provides in-house legal oversight, advice and strategy recommendations relating...

The Workers Compensation Staff Attorney provides legal defense to policyholders and supports NJM’s Workers Compensation Claims Department. Essential Duties and Responsibilities: . Protect the interest of NJM policyholders in litigated workers’ compensation matters through the point of settlement or decision Work with staff in the preparation of pleadings, motions, briefs and other documents Provide case status updates, recommendations, and legal guidance to policyholders and Workers’ Compensation Claims staff Build and maintain relationships with internal and external customers Work collaboratively with other enterprise stakeholders in the defense of Workers’ Compensation claims Handle complex litigation and develop litigation strategies in collaboration with policyholders   Perform other duties as assigned Required Qualifications: Critical thinking skills and attention to detail Ability to work independently Strong negotiation, communication and writing...

The Commercial Claims department is seeking a Commercial Claims Specialist II . A Claims Specialist handles all lines of Commercial business including coverage issues and litigation exposures. The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creative & analytic proactive problem solver. Also, can prioritize work assignments, is an independent worker but can work as a member of the team. Individuals should be decisive, "own" the decisions they make, and the work produced, responsible, dependable and developing presentation skills. Schedule: Monday-Friday, specific hours are subject to selected start times between 8:00am-9:00am pending supervisory approval. 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...

The Appraisal Vendor Coordinator oversees and works with NJM shops to ensure processes are followed and customer issues are resolved. Essential Duties and Responsibilities: Serve as a liaison between various General Claims departments on repair processes Ensure NJM shops complete required processes to keep customers and NJM informed of repair status Provide updates to customers and Claims staff of status of repair escalations Document all issues into NJM’s Vendor Tracker Serve as a point of contact for Enterprise Rent-a-Car to monitor rental average for NJM shops Recover reimbursements from NJM shops due to excess rental or corrective repairs needed Address all Customer Surveys needing attention involving negative shop performance and/or customer dissatisfaction Review estimates from NJM Staff and Independent Companies as part of a bi-monthly Audit Perform Paint & Material calculations to resolve cost issues with shops Provide monthly report on shops not...

The First Notice of Loss Associate serves as the first point of contact for policyholders, claimants or other parties reporting claims. They are responsible for addressing customer inquiries concerning the claim process and collecting essential details about the incident, to accurately and efficiently establish new Auto, Property and Commercial claims.   Available Shift(s): Monday-Friday (9:30am-5:45pm) with one Saturday per month (8:30am-4:30pm) Monday-Friday (10:45am-7:00pm) with one Saturday per month (8:30am-4:30pm) Salary: $ 44,994.95 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 predictable onsite attendance is an essential function of the job. Receive initial reports of loss or damage from policyholders, claimants or other parties. Accurately process information into the system...

The Litigation Processor is responsible for providing clerical support to the General Claims Legal Department by reviewing, analyzing, and processing incoming complaints directed to the Company. Essential Duties and Responsibilities: Provide support to staff attorneys in processing complaints. Provide support to the PIP Litigation team in processing PIP arbitration demands. Provide support as needed to FNOL (First Notice of Loss) Dept in taking claims. Receive, analyze, and process complaints, determine type of lawsuit, and prepare investigation file accordingly.  Assign trail adjuster, submit complaint to staff attorney for review. Process various types of legal letters to defense firms and insureds. Maintain Legal Exchange (electronic billing site) by creating matters, closing matter and processing attorney invoices for payment. Periodic telephone communications with insureds, plaintiff counsel and defense firms regarding the status of legal pleadings. Update Claim...

Do you have a passion for customer service? Are you looking for a company that offers you more? Come talk to NJM Insurance Group, a 6-time recipient of the Forbes Best Employers in New Jersey about joining our Contact Center! Join a best-in-class team that has been certified by J.D. Power for providing personal lines customers with an exceptional Auto Claims Experience - 8 years in a row ! Our Contact Center team enjoy: Salary: $51,120.55 Company paid training and professional state licensure. Potential annual bonus incentive worth up to 7.5% of your first year’s base salary Hybrid work schedule once training is completed An outstanding benefits package (outlined below), including a 401k with a dollar for dollar match up to 8% The Opportunity NJM is seeking talented, friendly customer service orientated professionals to become Licensed Account Representatives in our nationally recognized contact center. As part of your NJM experience, you...

Consider joining NJM’s 2027 Paid Summer Intern Program! This robust program includes: Lunch with leaders; featuring insights from an Executive Leadership Team member, and a former NJM intern. Opportunity to network with leaders and professionals across multiple departments. Contribute to and collaborate on meaningful work within your department. Team Intern Project: Research and present a business question to NJM leaders. NJM Seminars designed to build essential professional skills and expand knowledge of the insurance industry. Professional headshots to help enhance your personal brand. Intern Fun: Night at the Trenton Thunder Game Volunteer activities to give back to the community in which we serve Networking and social events with fellow interns, former interns, and leaders NJM's Special Investigations Unit in West Trenton, NJ is seeking a Summer Intern for 2027! Overview The SIU Analyst Intern will support NJM's Special Investigations...

New Jersey Manufacturers Insurance Company (NJM) was founded in 1913 by a group of manufacturers seeking to provide cost-effective, safety conscious and financially secure workers' compensation insurance for their workers. From inception the Company has operated as a mutual, with a focus on the needs of its policyholders. Today, 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...

The Agile Coach supports the adoption, maturity, and sustainability of Agile ways of working across Property & Casualty insurance delivery teams. This role partners with business, technology, and operational leaders to improve delivery predictability, value flow, and outcomes across core insurance value streams, while ensuring alignment with regulatory, risk, and governance requirements.  The Agile Coach acts as a change agent, guiding teams and leaders beyond mechanical Agile adoption toward a sustainable Agile mindset that balances speed, quality, and compliance in a regulated insurance environment.  Essential Duties and Responsibilities:   Team & Role Coaching Help teams and delivery leaders adopt an agile mindset through coaching Coach multiple cross-functional delivery teams across key P&C domains (Policy, Billing, Claims, Data, Digital).  Mentor Scrum Masters, Product Owners, Business Analysts, and delivery leaders to improve team maturity, flow,...

The Trial Prep Rep is responsible for appropriately managing and resolving litigation claims, which includes reviewing and analyzing newly assigned files, coordinating with defense counsel, attending court proceedings as necessary, and ensuring all actions are consistent with company guidelines and applicable law.  Compensation: This role may be filled at a Level II or Senior level based on skills, experience and credentials. Level II: $67,543-$85,174 Sr. Level: $84,610-$98,261 Essential Duties and Responsibilities: Prepare required reports necessary for evaluation and conclusion of litigated claims. Communicate effectively with trial counsel and attend legal proceedings as appropriate. Review, update, and evaluate assigned files on an ongoing basis with supervisor and establish reserves as necessary. Review and analyze newly assigned litigation files to determine appropriate action and additional investigation necessary. Required...

New Jersey Manufacturers Insurance Company (NJM) was founded in 1913 by a group of manufacturers seeking to provide cost-effective, safety conscious and financially secure workers' compensation insurance for their workers. From inception the Company has operated as a mutual, with a focus on the needs of its policyholders. Today, 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...

Why Join GEICO? At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.   Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide.   Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States. When you join our company, we want you to feel valued, supported, and proud to work here. That's why we offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers. Please note: This is not a remote role; you will be required to work in the territory listed on the job posting. Experienced Auto Damage Adjuster- Trenton, NJ and Philadelphia, PA   Salary: $36.63-$46.80 per...

The Product Development Manager is responsible for supporting the design, enhancement, and ongoing management of NJM’s personal auto, homeowners, and umbrella products across the company’s operating footprint. This newly created position is accountable for evaluating product performance, analyzing market trends, and identifying opportunities to improve product competitiveness and profitability. The role is also responsible for conducting research, developing recommendations, and collaborating with actuarial, underwriting, claims, compliance, IT, and other business areas to implement product changes and strategic initiatives. In addition, the position ensures alignment with regulatory requirements and organizational objectives, contributing to product strategy and supporting NJM’s growth and performance goals. Essential Duties and Responsibilities: Essential functions of this job are listed below in order of priority. Reasonable accommodations may be made to enable...

New Jersey Manufacturers Insurance Company has an opening for a Coding & Reimbursement Specialist in its Medical Claim Services Department.  The location for this position will be based in West Trenton.  The department is seeking an individual that can be a team player while accurately and efficiently auditing medical bills by applying the correct medical, coding, and regulatory guidelines. Hours:  Monday to Friday from 8AM to 4:15PM Hybrid opportunity once training is complete 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 predictable onsite attendance is an essential function of the job. Accurately and clearly apply regulatory, coding, and medical guidelines, as well as company policies and procedures to audited bills. Bill negotiation. Provide concise and clear instructions for bill...