9 claims manager jobs found in Trenton

The Functional Analyst, Senior is responsible for gathering, analyzing, and documenting business or system processes and requirements for NJM’s applications. This role will work closely with all Project, Business team members and Solution Owners throughout the project lifecycle. This role may be required to lead other team members and coordinate work efforts, assist in problem and solution scoping, effectively communicate requirements, and may get involved in quality assurance. Essential Duties and Responsibilities: Strategy Analysis:  Consistently support the alignment of business strategy with system implementations by assisting in the support of the FA team. Business Analysis/Elicitation Skills :  Consistently ensure that the business need is understood and articulated clearly by performing, and assist in supporting the FA team members. Requirements Life Cycle Management:  Consistently achieving deliveries that reflect business outcomes by collaborating with the...

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...

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...

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. Schedule: Monday to Friday (10:45am-7pm) and 1 Saturday a month (8:30am-4:30p) Essential Duties and Responsibilities: Receive initial reports of loss or damage from policyholders, claimants or other parties. Accurately process information into the system for assignment to an adjuster. Address customers’ questions and concerns related to the claims process and procedures and offer clear instructions on the next steps. Determine appropriate coverage and complete necessary follow-ups in a timely manner. Navigate systems with proficiency to access appropriate information to service callers. Perform additional duties...

General Summary: The Subpoena Clerk is responsible for providing clerical support to the General Claims Legal Department by reviewing, analyzing and responding to subpoenas and other document production requests directed to the Company. The Subpoena Clerk is routinely entrusted with highly confidential information and interacts with requestors and staff on a daily basis in a timely and confidential manner.   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 predictable onsite attendance is an essential function of the job. Assisting in coordinating the workflow of subpoenas and other document...

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 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. NJM’s Commercial Lines...

The Workers Compensation Staff Attorney II 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: Workers Compensation experience, including multiple jurisdictions Juris Doctor degree License to practice...

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....

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 Schedules (working 4 days per week): Monday-Friday (4:30PM - 9:00PM) and 2 Saturdays a month (8:30AM-4:30PM) Monday-Friday (5:00PM - 9:00PM) and 2 Saturdays a month (8:30AM-4:30PM) Essential Duties and Responsibilities: Receive initial reports of loss or damage from policyholders, claimants or other parties. Accurately process information into the system for assignment to an adjuster. Address customers’ questions and concerns related to the claims process and procedures and offer clear instructions on the next steps. Determine appropriate coverage and complete necessary follow-ups in a...