13 participant services representative jobs found

The Solution Owner I 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...

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...

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...

Company Details   What makes Admiral Insurance Group ADMIRABLE .   Since 1974, Admiral Insurance Group has been supporting business innovation and market growth through our wholesale-dedicated excess and surplus (E&S) lines of commercial insurance.  We specialize in underwriting difficult-to-place moderate to high-risk commercial businesses that require creative solutions, outside of the box thinking, entrepreneurial spirit and astute business knowledge.  As a member of the W. R. Berkley Corporation, a Fortune 500® Company and one of the nation’s premier commercial lines property casualty insurance providers, we have the resources, support and industry data to provide exceptional service and exciting solutions for our clients and partners.    Unlock your insure -ability. Learn more about Careers at Admiral Insurance Group .   See what it’s like to work in Admiral’s Claims department .   The Company is an equal employment opportunity employer....

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...

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. The Supervisor, Bill Processing is responsible for leading and directing the Bill Processing (BP) team, ensuring the timely and accurate auditing and processing of medical bills, meeting all regulatory timeframes. Essential Duties and Responsibilities: Lead and direct bill processing team to ensure timely turnaround and accurate adjudication of medical bills Monitor workloads, productivity and quality to maximize operational effectiveness and to ensure timely, effective and efficient processing of medical bills. Utilize reports to track and trend data, improve team efficiency, identify problem areas and offer recommendations as needed Instruct and counsel team members on new regulations, processes,...

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:   Provide oversight and technical advisement for casualty claims. Oversees   the   bundled   auto physical damage   TPA business including technical claim oversight.  Responsible for the   direct oversight   of   coverage issues   to ensure timely recognition and referral in full compliance with MSMM Coverage Guidelines .   Ensures   compliance with all MSMM claim handling procedures, guidelines and manuals and other special unit procedures, as developed....

The Business Continuity Analyst will work closely with the program leadership team, partner organizations, technical staff, and business units to define and apply NJM’s business continuity management objectives. With strong communication, relationship building, technical and leadership skills, the Analyst will partner with the Business Continuity team to integrate business continuity into a cohesive strategy. They will help to design and implement solutions that align with NJM’s strategy and plan to effectively address business objectives and requirements.   Essential Duties and Responsibilities: BCP Program Governance Work with department leadership, to operationalize and coordinate the businesses continuity program including the department level business impact analysis, business continuity planning and procedures. Assist in the collaboration with business areas to develop and maintain a corporate wide BCM program that addresses business recovery and emergency...

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. Celebrating its 110-year...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose: One Ascot. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way. The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: Client Centric, Risk Centric, Technology Centric. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service — both pre- and post-claims. Ascot...

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...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Overview: We are seeking a visionary and hands-on VP, Head of Engineering Practice to drive innovation across Engineering initiatives, shared services, and foundational frameworks. This role will be pivotal in shaping the engineering culture, establishing best practices, and delivering scalable, cloud-native solutions that power our enterprise platforms. This is a hybrid, 3x per week, in-office position in our Jersey City or Raleigh Offices. Key Responsibilities: Strategic Leadership & Governance: Define and execute the engineering strategy for engineering initiatives and shared services Facilitate Engineering Practice meetings with broad representation...

A Network Engineer, Senior is responsible for the ongoing design, maintenance, and support of all aspects of NJM’s Network Infrastructure.  A Network Engineer Senior will lead efforts with other members of the IT infrastructure and operations teams to deliver and maintain reliable network services. Essential Duties and Responsibilities: Install, configure, and maintain LAN/WAN and Data Center Infrastructure Components Support Wireless Network Infrastructure Create reusable configuration templates to standardize the deployment of network devices and features Maintain disaster recovery network infrastructure and participate in annual DR Exercise Evaluates published security advisories and remediate security vulnerabilities consistent with NJM Patch Management Program Perform network device OS upgrades and system patching to maintain appropriate security, vendor support, and feature sets Monitor ticketing queues and respond to outstanding requests and other assigned work...