2 attorney ii jobs found

Description The Workers Compensation team is searching for a WC Claims Account Specialist (I/II/Sr).  The overall responsibility of this position is to consistently execute on the Company’s mission vision values, leading customer service approach, and claims business model that leads to better outcomes for our injured workers and insureds. The Claims Account Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage the claim. The Claims Account Specialist will work with and communicate to NJM policyholders, injured workers, medical providers, NJM Medical Services Administration Department, the NJM Special Investigation Unit, WC Legal Staff, other departments within NJM, and vendors as needed. This is an entry level position in the Claims Account track that will require consistent supervision, guidance and coaching in the...

The Personal Lines Claims Specialist, Senior appropriately manages and resolves bodily injury claims across multiple states, and if necessary, through the litigation process.  This includes contacting insureds, claimants, attorneys, witnesses and other carriers, and investigating, negotiating, and settling claims based on company guidelines and applicable law, as well as securing and maintaining required licenses. This position could be filled at the Level II or Senior Level, based on skills and experience. Essential Duties and Responsibilities: Initiate appropriate action to conclude all clams in a manner consistent with existing law, licensure and company guidelines Conduct ongoing review independently and with supervisor of all assigned files focusing on adequacy of reserves and required investigation Communicate effectively with trial counsel and prepare required reports necessary for evaluation and conclusion of litigated claims Investigate, review, analyze, and...