Regional Claims Specialist

4 weeks ago


Trenton, New Jersey, United States NJM Insurance Full time
Job Title: Regional Claims Specialist - Workers Compensation

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.



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