4 customer service representative 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 Subrogation Claims Rep II is responsible for analyzing and conducting investigation of all assigned files for recovery and resolution of subrogation claims utilizing effective negotiation skills of liability and damage disputes. Responsibilities: Receive and process subrogation claims, seeking recoveries from adverse parties and/or their insurance carriers. Thoroughly review, evaluate and investigate subrogation claims to obtain necessary information for prompt resolution. Negotiate subrogation claims and resolve liability and/or damage disputes for successful recoveries.  Efficiently credit recovery checks and issue deductible payments to our insured. Claims are settled and negotiated based on company guidelines and applicable state negligence laws. Professionally respond and communicate on all subrogation related issues. Provide excellent customer service to our policyholders. Comply with department procedures and metrics. Required Qualifications: Minimum...

The Solution Owner II 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 features...

The Law & Regulation Analyst II assists the Law and Regulation Department with ensuring Business Units adhere to statutory and regulatory requirements when performing company operations. This position promotes a culture of compliance throughout the organization. The Level II Analyst also assists the Law and Regulation Department with special projects. Essential Duties and Responsibilities: Research property and casualty insurance industry compliance regulations and laws Assist in the management of the proposed regulatory comments workflow  Perform audits and compliance reviews to evaluate / assess internal operational and procedural compliance Review, summarize, and distribute quarterly reports on Market Conduct activity in the states the Company conducts business     Assist with compliance meetings and educating employees on regulatory requirements Assist with compliance reporting  Support evolving regulatory compliance strategies, policies, and procedures based...