18 workers compensation claims representative jobs found

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...

The Claims Information Service Representative will handle inbound and/or outbound calls from policyholders and injured workers regarding workers compensation claim status regarding payments, medical treatment authorization, and provide one call resolution to the caller. Hours:   Monday to Friday (8:45AM- 5PM) Hybrid opportunity once training is complete (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 predictable onsite attendance is an essential function of the job. Answer calls from internal and external customers using excellent customer service skills. Field and manage calls appropriately with one call resolution and/or to the respective department. Utilize available tools and databases to provide accurate information to callers. Process incoming First...

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...

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 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...

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. Reporting to a Supervisor in Medical Claim Services Bill Processing, 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. Schedule: Monday-Friday, specific hours are subject to selected start times between 8:00am-9:00am pending supervisory approval. Essential Duties and Responsibilities: Essential functions of this job are...

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 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...

There has 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 workers' compensation, automobile and homeowners insurance in New Jersey.  It is an exciting time to join NJM as we have just expanded into other states. Become a member of our team and you’ll be part of company who operates for the sole benefit of its policyholders and is committed to maintaining the highest levels of service.  Team members are offered a competitive compensation package and benefits including: a 401k plan, health coverage, a generous paid time off plan, and much more! Our Parsippany Medical Services Administration team is in search of a Personal Injury Protection Claims Representative ( PIP Rep is the official NJM title). Reporting to the designated PIP Supervisor, the PIP claims representative is responsible and accountable for conducting complete and...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: This role ensures a high level of customer satisfaction and exceeds the expectations of our brokers by providing quality information and superior customer service for a defined scope of issues and post enrollment inquires. Our employees work a hybrid schedule. On the days we are not in the office, our teams are able to collaborate using video and screen sharing technology which means you'll feel like...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: The position is responsible for maintaining active oversight of open claims and/or incident reports, driving regular communication with carrier claims departments and adjusters, and ensuring significant claim developments are promptly communicated to Negley management and underwriting personnel. The position is expected to dig into open files, challenge claim handling when appropriate, identify issues...

Overview We are seeking experienced professionals to join our Workers’ Compensation team in two key roles:  Senior Claim Examiner  and  Lead Claim Examiner . Both positions play a critical role in managing workers compensation claim files and ensuring compliance with state regulations while delivering exceptional service. Responsibilities Senior Claim Examiner Manage complex and high-exposure workers’ compensation claims from start to resolution. Investigate claims, determine compensability, set reserves, and negotiate settlements. Serve as a resource for junior examiners and assist with mentoring. Requires  5+ years of workers’ compensation claims experience  and strong technical knowledge.   Lead Claim Examiner Responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants...

New Jersey Manufacturers Insurance Company has an opening for a Coding & Reimbursement Specialist in its Medical Claim Services Department.  The location for this position will be based in West Trenton.  The department is seeking an individual that can be a team player while accurately and efficiently auditing medical bills by applying the correct medical, coding, and regulatory guidelines. Hours:  Monday to Friday from 8AM to 4:15PM Hybrid opportunity once training is complete 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. Accurately and clearly apply regulatory, coding, and medical guidelines, as well as company policies and procedures to audited bills. Bill negotiation. Provide concise and clear instructions for bill...

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...

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....

The Commercial Claims department is seeking a Commercial Claims Specialist II . A Claims Specialist handles all lines of Commercial business including coverage issues and litigation exposures. The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creative & analytic proactive problem solver. Also, can prioritize work assignments, is an independent worker but can work as a member of the team. Individuals should be decisive, "own" the decisions they make, and the work produced, responsible, dependable and developing presentation skills. Schedule: Monday-Friday, specific hours are subject to selected start times between 8:00am-9:00am pending supervisory approval. 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...

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....