Insurance Claims Examiner

2 weeks ago


Parsippany, New Jersey, United States NJM Insurance Group Full time
Key Responsibilities:
This PIP Representative position involves investigating and analyzing loss events, injuries, and other relevant information to determine coverage and course of action. Key responsibilities include:
  • Reviewing PIP coverages and identifying coverage issues
  • Evaluating claims for fraud indicators and potential underwriting issues
  • Maintaining communication with involved parties during the claim process
  • Renddering final coverage determinations within regulatory guidelines
  • Conducting activities in compliance with state and company regulations and guidelines

Requirements:
To succeed in this role, you will need:
  • A Bachelor's degree, preferably in a related field
  • 3-5 years of experience in claims handling
  • Excellent verbal and written communication skills
  • Strong organizational and time-management skills
  • Knowledge of Microsoft suite

What We Offer:
NJM Insurance Group offers a competitive compensation package, including an estimated annual salary of $55,200, based on experience and credentials.

  • Parsippany, New Jersey, United States Zurich Insurance Company Ltd. Full time

    Zurich Insurance Company Ltd. is seeking an experienced professional to join our General Liability team as a Senior Claims Specialist.This role involves working with a diverse group of claims professionals, providing opportunities for growth and development in the field of commercial general liability claims handling.As a Senior Claims Specialist, you will...


  • Parsippany, New Jersey, United States NJM Insurance Group Full time

    NJM Insurance Group, a leading insurance provider, is seeking an exceptional Personal Injury Protection Representative. With a strong focus on customer service and excellent communication skills, this individual will conduct thorough investigations on assigned claims, ensure accurate coverage determinations, and provide timely resolutions.Key...


  • Parsippany, New Jersey, United States NJM Insurance Group Full time

    NJM Insurance Group is seeking a highly skilled PIP Insurance Advocate to join our team. As a key member of our claims department, this individual will be responsible for investigating claims, analyzing loss events, and making informed coverage determinations.Responsibilities and RequirementsInvestigate claims thoroughly, evaluating relevant information to...


  • Parsippany, New Jersey, United States Zurich Insurance Company Ltd. Full time

    About ZurichZurich Insurance Company Ltd. is a leading global provider of commercial property-casualty insurance solutions and risk management products and services.OverviewOur innovative General Insurance Apprentice Program allows participants to gain their first-time higher education while launching a rewarding career in commercial insurance.Job...


  • Parsippany, New Jersey, United States Zurich Insurance Company Ltd. Full time

    Zurich North America's Apprentice Program is an innovative opportunity for individuals to gain their first-time higher education and experience in the commercial insurance industry. The two-year program combines virtual coursework at Borough of Manhattan Community College with relevant work rotations at Zurich North America's Parsippany office.About the...

  • Claims Adjuster

    4 weeks ago


    Parsippany, New Jersey, United States Plymouth Rock Assurance Full time

    Plymouth Rock Assurance is seeking a Claims Trainee to join their team in Boston, Massachusetts. The successful candidate will earn an estimated salary of $50,000-$65,000 per year, depending on experience.Job DescriptionThis role involves handling Auto Property Claims in accordance with state regulations, including NJ Unfair Practices Act, NY, and Mass....


  • Parsippany, New Jersey, United States NJM Insurance Group Full time

    Job SummaryA highly skilled and detail-oriented Senior Legal Administrator is sought to support the Workers' Compensation Legal department at NJM Insurance Group's office.Key Responsibilities:Prepare and file legal documents such as Claim Petition Answers, Motions, Briefs, Certifications, and Affidavits.Respond to Discovery Demands, Subpoenas, and...


  • Parsippany, New Jersey, United States Vishant Hathi - State Farm Agent Full time

    Job OverviewVishant Hathi - State Farm Agent is seeking a motivated and customer-focused Insurance Career Associate to join our team. As an Insurance Career Associate, you will be responsible for providing exceptional customer service to clients and assisting with daily business operations.About the RoleThe successful candidate will have excellent...


  • Parsippany, New Jersey, United States The Rockridge Group Full time

    About The Rockridge GroupThe Rockridge Group is a leading provider of high-quality contingent personnel to businesses in the NJ/NY Metropolitan area. Our team is committed to connecting businesses with job seekers, and we strive to deliver exceptional results through our collaborative engagement model.As an Insurance Defense Associate Attorney at The...


  • Parsippany, New Jersey, United States Plymouth Rock Assurance Full time

    At Plymouth Rock Assurance, we are seeking an experienced Automotive Damage Estimator to join our team. This is a fantastic opportunity for someone who is passionate about the automotive industry and wants to make a difference in people's lives.About the JobWe estimate that the salary for this role will be around $65,000-$80,000 per year, depending on...


  • Parsippany, New Jersey, United States Tevapharm Full time

    About the OpportunityAs a Pharmaceutical Pricing Expert at Teva Pharmaceuticals, you will play a crucial role in ensuring the seamless processing of Managed Care Commercial, Medicare Part D, Managed Medicaid, and Medical Agreement rebate claims. Your primary responsibility will be to analyze utilization data, apply rules to determine included and excluded...


  • Parsippany, New Jersey, United States Teva Pharmaceuticals Full time

    Job DescriptionTeva Pharmaceuticals seeks a highly skilled Managed Care Rebate Analyst to join our team. In this role, you will be responsible for analyzing utilization data, applying rules to determine included and excluded claims, assigning appropriate rebate percentages to utilization sales, and initiating payment to customers within contractual...


  • Parsippany, New Jersey, United States Tevapharm Full time

    About the OpportunityOur team is seeking a highly skilled Pharmaceutical Rebate Operations Specialist to join our organization. As a key member of our team, you will play a critical role in processing Managed Care Commercial, Medicare Part D, Managed Medicaid, and Medical Agreement rebate claims.Key ResponsibilitiesAnalyze utilization data and apply rules to...


  • Parsippany, New Jersey, United States Jobot Full time

    About UsWelcome to Jobot, a woman-owned business that is passionate about diversity and inclusion. Our team of 20 attorneys brings significant experience across various areas of litigation, including insurance coverage, commercial, ERISA, fraud, employee benefit plan, and insurance products.As a leading NYC-based law firm with coverage in NJ and PA, we pride...


  • Parsippany, New Jersey, United States Jobot Full time

    We are seeking a talented Senior Litigation Counsel to join our team. As a remote-based law firm, we offer a unique opportunity for experienced attorneys to work from the comfort of their own homes while still being able to contribute to our dynamic and growing litigation practice.The successful candidate will have at least 4 years of experience as a barred...


  • Parsippany, New Jersey, United States ENT And Allergy Associates Full time

    Are you a skilled and dedicated professional looking to join a leading healthcare organization?About the RoleWe are seeking a highly motivated Certified Medical Assistant to support our esteemed team at ENT And Allergy Associates.ResponsibilitiesWelcome patients with exceptional service, ensuring a positive experience from the moment they enter our...


  • Parsippany, New Jersey, United States Vishant Hathi - State Farm Agent Full time

    As a Business Development Specialist with Vishant Hathi - State Farm Agent, you will play a key role in providing exceptional customer service to our clients. This is an exciting opportunity to work in a fast-paced environment and develop your skills in sales and marketing.Key ResponsibilitiesProvide prompt and accurate customer service, responding to...


  • Parsippany, New Jersey, United States Teva Pharmaceuticals Full time

    Job OverviewTeva Pharmaceuticals is a global leader in the development and manufacturing of generic medicines. As a Managed Care Rebate Analyst, you will play a crucial role in processing rebate claims for managed care commercial, Medicare Part D, managed Medicaid, and medical agreements.About YouWe're looking for a highly analytical individual with strong...


  • Parsippany, New Jersey, United States Surety Title Company Full time

    What We OfferAs a Title Examiner with Surety Title Company, you will receive a competitive salary of $70,000 - $90,000 per year, depending on experience. In addition to your annual salary, you will also be eligible for a comprehensive benefits package, including health, dental, and vision insurance, as well as 401(k) matching and paid time off.Additional...


  • Parsippany, New Jersey, United States Vishant Hathi - State Farm Agent Full time

    About the RoleVishant Hathi - State Farm Agent is seeking a talented and motivated State Farm Agent Team Member to join our team. As a State Farm Agent Team Member, you will play a key role in delivering exceptional customer service and assisting with daily business operations.ResponsibilitiesProvide prompt, accurate, and friendly customer serviceAssist with...