43 claims representative jobs found

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. Summary/Job Purpose: This position is responsible to adjust assigned claims within delegated limits of authority, conduct timely and thorough investigations, handle subrogation claims, and complete fair and equitable claim settlements in accordance with MSMM Claim Handling Guidelines and/or requirements of principals regarding TPA business to ensure services are provided in a fair, equitable and timely manner. Essential Functions: Receives new claim assignments of a moderate to complex nature and analyzes...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Liability Claims Representative | General Liability - Low Level BI & PD Experience required | Dedicated Client Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?   Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  Deliver innovative customer-facing solutions to clients who represent...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Our Fidelity/Crime Division underwrites fidelity & crime, kidnap & ransom, and fine art policies worldwide.  Customers include Fortune 500 publicly traded companies, privately held companies, financial institutions, and governmental entities. Coverages offered include...

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. The Director of Property Claims provides leadership for all U.S. Commercial Property Claims operations, including daily claims handling and catastrophe (CAT) response. This role is accountable for claim outcomes, operational performance, regulatory compliance, and customer experience across multiple commercial segments and industries. The leader drives consistent technical excellence, financial discipline, scalable CAT readiness, and modernization of property claims capabilities nationwide. This position plays a...

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 experiences, 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 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...

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. Summary/Job Purpose: Part of the MS&AD group, a top-10 global P&C insurance carrier, MSIG USA is on a mission to become a data-driven leader in specialty insurance, focused on ambitious and profitable growth. Our Insurance Analytics function is at the heart of this transformation – delivering analytics and data science solutions that drive impact across Underwriting, Pricing, Claims, Actuarial and beyond. We are seeking a hands-on analytics Manager/Director to lead a portfolio of high-impact initiatives,...

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 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 skill development of the...

General Summary: A brief description of the main purpose for this position. The Appraisal Vendor Coordinator oversees and works with NJM shops to ensure processes are followed and customer issues are resolved. Hours: Monday to Friday- 8AM - 4:15PM Hybrid opportunity once training is complete Position can be filled within the West Trenton, Parsippany, or Hammonton NJM office. 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. 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...

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 Qualifications: 2...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees...

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...

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...

MSIG USA continues to grow!  Company Overview: MSIG USA is the US-based subsidiary of  MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. Summary/Job Purpose: This position is responsible to adjust assigned claims within delegated limits of authority, conduct timely and thorough investigations, handle subrogation claims, and complete fair and equitable claim settlements in accordance with MSMM Claim Handling Guidelines and/or requirements of principals regarding TPA business to ensure services are provided in a fair, equitable and timely manner. Essential Functions: Percentage of Time: Receives new claim assignments of a moderate to...

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 - 7 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...

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 - 7 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,...

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...

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.   Tuesday to Saturday (8:15am-4:30pm). This includes a 5% shift differential. 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...

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. Our MCS (Medical Claims Services) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has excellent communication skills as well as strong organizational and time management skills. The Bill Processor (BP) is responsible and accountable for the timely audit and processing of medical bills.  Timely and accurate processing is vital to ensuring that medical bills meet all regulatory timeframes. Essential Duties and Responsibilities: Accurately audit and process standard medical bills for routine procedures within statutory timeframes, by following medical coding guidelines and department policies and procedures Verify correct payee and provider information and...