Regional Claims Specialist
4 weeks ago
NJM Insurance is seeking a skilled Regional Claims Specialist to join our Workers Compensation Claims Team. As a key member of our team, you will be responsible for managing claims from initial contact to resolution, ensuring timely and accurate processing of claims, and providing exceptional customer service to our policyholders and injured workers.
Key Responsibilities:
- Manage claims from initial contact to resolution, ensuring timely and accurate processing of claims.
- Provide exceptional customer service to our policyholders and injured workers.
- Work with internal and external stakeholders, including policyholders, injured workers, medical providers, and defense counsel.
- Develop and implement action plans to manage claims and resolve issues.
- Collaborate with the Claims Team and Supervisor to achieve departmental goals and objectives.
Requirements:
- 3-5 years of experience as a Workers Compensation Claims Representative or comparable knowledge and experience.
- Strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system.
- Excellent communication and interpersonal skills.
- Ability to work in a team environment and independently.
- Working knowledge of Microsoft Office suite of tools.
Preferred Qualifications:
- Multi-state experience and/or licensing.
- Associate's or Bachelor's degree.
- AIC/CPCU Designations.
Salary and Benefits:
Salary: Commensurate with experience and credentials. Benefits include medical insurance, dental insurance, vision, flexible spending account, discounts on NJM auto insurance, tuition reimbursement, life insurance, and more.
-
Senior Claims Specialist
4 weeks ago
Trenton, New Jersey, United States Zurich NA Full timeZurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex Liability Claims team. This role is essential in managing complex, high-exposure construction and litigation claims, while supporting the New York Labor team to ensure claims are handled efficiently and effectively, with a focus on delivering...
-
Medical Claims Specialist
4 weeks ago
Trenton, New Jersey, United States STRESS CARE of NJ, Inc. Full timeAt STRESS CARE of NJ, Inc., we are seeking a skilled Medical Claims Specialist to join our team. The ideal candidate will have experience with medical billing and insurance claims, as well as excellent communication and organizational skills.Responsibilities:Process and submit medical claims to insurance providers in a timely and accurate mannerReview and...
-
Compensation Claims Specialist
4 weeks ago
Trenton, New Jersey, United States Inficare Full timeJob Summary:As a Compensation Claims Specialist at Inficare, you will play a critical role in determining the compensability of Workers Compensation claims filed by State government employees against the State of New Jersey.Key Responsibilities:Determine compensability of Workers Compensation claims filed by State government employees against the State of...
-
Property Field Inspection Claim Specialist
1 month ago
Trenton, New Jersey, United States State Farm Full timeBe a Good Neighbor and Help PeopleAt State Farm, we're committed to being good neighbors and helping people. As a Property Field Inspection Claim Specialist, you'll play a crucial role in making the world a better place. Our team is dedicated to providing exceptional customer service and resolving claims efficiently.Key Responsibilities:Conduct on-site...
-
Medical Claims Specialist
4 weeks ago
Trenton, New Jersey, United States Sedgwick Full timeJob SummarySedgwick is seeking a skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will play a critical role in analyzing and processing complex liability claims to determine benefits due.Key ResponsibilitiesAnalyze complex or technically difficult liability claims to determine benefits dueWork with high exposure claims...
-
Claims Examiner
4 weeks ago
Trenton, New Jersey, United States Sedgwick Full timeTransforming Claims Management with ExpertiseSedgwick is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will play a critical role in analyzing complex liability claims, ensuring timely and cost-effective resolution, and providing exceptional service to our clients.Key Responsibilities:Analyze complex liability claims,...
-
Trenton, New Jersey, United States Travelers Insurance Full timeJob SummaryWe are seeking a highly motivated and detail-oriented Claim Representative Trainee to join our team at Travelers Insurance. As a Claim Representative Trainee, you will be responsible for investigating, evaluating, and resolving property claims in a timely and professional manner.Key ResponsibilitiesInvestigate and evaluate property claims to...
-
Trenton, New Jersey, United States NARS Full timeJob DescriptionWe are seeking a Senior General Liability Claims Adjuster to investigate, analyze, and determine the extent of our liability in various claims. Our goal is to provide exceptional service to our clients by resolving disputes efficiently.The ideal candidate will possess strong negotiation skills, excellent communication skills, and the ability...
-
Medical Billing Specialist
4 weeks ago
Trenton, New Jersey, United States STRESS CARE of NJ, Inc. Full timeAt Stress Care of NJ, Inc., we are seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in ensuring that all billing and collections are accurately completed in a timely manner.Responsibilities include:Posting payments, denials, co-pays, and deductibles to patient accountsReviewing and...
-
Regional Clinical Reimbursement Specialist
4 weeks ago
Trenton, New Jersey, United States Springpoint Living Full timeJob SummaryWe are seeking a highly experienced Regional Clinical Reimbursement Specialist to join our team at Springpoint Living.Key ResponsibilitiesEnsure compliance with Federal and State regulations and company policies governing Medicare and state payment systems.Review accuracy of ICD-10 coding and provide oversight of the RAI process and policies.Audit...
-
Manager Specialist in Training
3 weeks ago
Trenton, New Jersey, United States ICF Full timeJob SummaryICF seeks a highly skilled and experienced professional to fill the role of Grantee Specialist Manager for the Region II Head Start Training and Technical Assistance network.The successful candidate will be responsible for supervising a team of home-based Grantee Specialists and implementing a comprehensive system of quality assurance that...
-
Head Start Grantee Specialist Manager
1 month ago
Trenton, New Jersey, United States ICF Full timeJob SummaryWe are seeking a highly experienced and skilled Grantee Specialist Manager to join our team at ICF. As a key member of our Region II Head Start Training and Technical Assistance network, you will be responsible for supervising a team of home-based Grantee Specialists and implementing a comprehensive system of quality assurance that promotes the...
-
Pharmacy Rebate Specialist
4 weeks ago
Trenton, New Jersey, United States Prime Therapeutics Full timeJob SummaryWe are seeking a highly skilled Pharmacy Rebate Specialist to join our team at Prime Therapeutics LLC. As a key member of our operations team, you will be responsible for managing day-to-day operations for manufacturer invoicing and working directly with manufacturers to resolve any issues.Key ResponsibilitiesMaintains a clear understanding of...
-
Senior Legal Specialist in Trenton, NJ
4 weeks ago
Trenton, New Jersey, United States Inficare Full timeHello, We are seeking a highly skilled Senior Legal Specialist to join our team at InfiCare Technologies. The ideal candidate will have intermediate to extensive experience in Litigation/Tort Claims/employment, Banking & Insurance, and Collections. Responsibilities will include monitoring outside counsel engagement processes, partnering with vendor...
-
Healthcare Professional
4 weeks ago
Trenton, New Jersey, United States Genesis - Mid-America & SE Region - Chambersburg (1070) Full timeOur Company PromiseWe are committed to providing our Employees a stable work environment with equal opportunity for learning and personal growth. Genesis - Mid-America & SE Region - Chambersburg (1070)\'s Mission is to provide efficient, fast, high quality healthcare staffing to our clients.Our Culture\'s key elements are crucial to the effectiveness of our...
-
Injury Claims Specialist
1 month ago
Trenton, New Jersey, United States PrideStaff Full timeJob DetailsWe are seeking a highly skilled Personal Injury Paralegal to join our team at PrideStaff. The ideal candidate will have 5 years of experience in Personal Injury Protection and Litigation, with expertise in case management software and proficiency in Microsoft Office and Dropbox.Responsibilities:Prepare and file motions, briefs, and arbitration...
-
Medical Laboratory Specialist
4 weeks ago
Trenton, New Jersey, United States Corewell Health Full timeJob Summary:Corewell Health is seeking a skilled Medical Laboratory Specialist to join our team. As a Medical Laboratory Specialist, you will play a critical role in the diagnosis and treatment of patients by performing a variety of routine and specialized tests and procedures. Key Responsibilities:• Independently perform routine and complex chemical,...
-
Clinical Nurse Specialist
4 weeks ago
Trenton, New Jersey, United States Capital Health (US) Full timeJob DescriptionCapital Health is a leading healthcare provider in the region, known for its commitment to quality patient care and innovative technology. Our team of exceptional physicians, nurses, and staff work together to deliver exceptional patient outcomes.Position OverviewClinical Nurse Specialist JDCapital Health requires all applicants to undergo a...
-
Pharmacy Technician Specialist
1 month ago
Trenton, New Jersey, United States Inficare Full timeJob Title: Pharmacy TechnicianWe are seeking a highly skilled Pharmacy Technician to join our team at Inficare. The successful candidate will have experience in pharmacy claims billing processes and knowledge of pharmaceutical products.Key Responsibilities:Assist with day-to-day operations, including responding to inquiries from members, providers, and...
-
Nurse Disability Consultant
3 weeks ago
Trenton, New Jersey, United States Lincoln Financial Group Full timeJob SummaryWe are seeking a highly motivated and experienced Nurse Disability Consultant to join our clinical organization. This is an exciting opportunity to work with a talented team and make a meaningful impact in the lives of our customers.The successful candidate will be responsible for reviewing and analyzing medical information to determine the...