23 claims support representative jobs found

The NJM Workers Compensation team is searching for a Regional Claims Supervisor. The Regional Claims Supervisor will utilize their knowledge of Workers’ Compensation Claims to analyze litigated claims to achieve appropriate outcome in accordance with legal statues, policy provisions, and company guidelines. This position will assist with supervising claims staff and provide support to ensure achievement of appropriate claim outcomes through consistent execution of best claims practices. Schedule: Monday-Friday, specific hours are subject to selected start times between 8:00am-9:00am pending supervisory approval. This role is based in the NJM Hammonton office, and occasional travel to other NJM locations is expected to support collaboration and business objectives. 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...

NJM’s WC Claims Department is seeking an experienced Claims Specialist who lives in or near Connecticut to provide on-site service to our policyholders and agents in that state.  This is a 100% remote position which includes virtual claims handling for customers in any area of CT and possibly MD, DE or PA as needed.   At NJM, our WC Claims Department empowers our employees to focus on delivering guidance and empathy to our customers.  As a department driven by service and customer advocacy, we are committed to providing transparent, empathetic support and collaborative engagement during the life of a claim. The WC Claims Department takes pride in being a key component in the growth and success of our policyholders’ business operations. To meet these expectations, WC Claims Specialists are supported by a dedicated call center who can field calls for them and other specialized units who are responsible for setting reserves, making permanency payments, and following through...

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,...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown   is seeking   a n   Employee Benefits Account Specialis t   to join our growing team in   Lambertville, NJ !         The Employee Benefits Account Specialist   is responsible for   client service support to the sales and account management team using a variety of skills and knowledge of the insurance market,   products   and legislation. Handles all aspects of account servicing for small books of business and/or ancillary lines under supervision.     How You Will Contribute:       Provide direct daily support to an assigned book of business, and the respective Producer and Account Executive.    Provide excellent customer service to the clients’ employee membership, as well as the carrier account management teams.    Research and...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firms in the US, is adding an Employee Benefits Customer Service Representative to their Corporate Synergies team. Job Summary: The Employee Benefits Customer Service Representative handles claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for our clients' administrators and employees. They work closely with clients and carriers via phone and email to resolve matters within a 24-hour timeframe. Essential Functions: •     Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications. •    Educate client employees on optimal benefit utilization and provide guidance on cost-effective plan options. •    Maintain detailed records of client interactions, entering data into Salesforce and generating client analysis reports as necessary. •    Use...

A Workers' Compensation Nurse Case Manager coordinates and manages the medical care of injured employees throughout the workers' compensation claim process. Responsibilities include evaluating medical needs, assessing treatment progress, identifying barriers to recovery, educating stakeholders, and ensuring care is delivered in accordance with workers' compensation regulations and best practices. The official NJM job title is Medical Management Coordinator II/Telephonic Nurse Case Manager. The position requires the nurse to work and communicate with other members of the Medical Management team in addition to the Workers' Compensation (WC) Claims team, WC Claims Supervisors, and other team members. 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...

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 Claims Representative (IAP) - Workers Compensation Training Program | Marlton, NJ Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. Career development and promotional growth opportunities through...

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...

Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.   Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work ® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.   C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster,...

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...

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 Solution Owner II supports the General Claims 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 the alignment of strategy with business processes and initiatives, and design products or solutions that deliver on strategic objectives and drive business outcomes, in close collaboration 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...

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...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Director of Public Entity Insurance Administration to join our growing team in Parsippany, NJ!   To work jointly with the Profit Center Leader, division producers, claims administration and support staff in the placement and servicing of public entity accounts that are in a joint insurance fund administrated by the profit center. How You Will Contribute:   Develop a full understanding of the regulations governing joint insurance funds in the State of New Jersey. Identify all markets and other alternative risk mechanisms for the placement of public entity business. Understand and incorporate procedures that are required by alternative risk placements in the servicing of new and existing business. Be proficient in the knowledge of public entity insurance so to identify risk exposures and...

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 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...

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...

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: Responsible for supporting the underwriting process for property coverages. Under minimal supervision provide technical underwriting and administrative support for assigned new and renewal accounts. Including but not limited to collecting data, account setup, rating, producing quotes and binders, issuing policies and endorsements. Proactively assist in ensuring the underwriting process is handled efficiently and accurately. Provide Underwriters with required reports and analysis....

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...

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: Responsible for supporting the underwriting process for property coverages. Under minimal supervision provide technical underwriting and administrative support for assigned new and renewal accounts. Including but not limited to collecting data, account setup, rating, producing quotes and binders, issuing policies and endorsements. Proactively assist in ensuring the underwriting process is handled efficiently and accurately. Provide Underwriters with required reports and analysis....