- NJM Insurance (Trenton, NJ)
- The Complex Claims Supervisor will utilize their knowledge of Workers' Compensation Claims to guide staff on complex and high severity claims ... success and promote effective communication with employees + Direct claims staff through technical aspects of complex ...Direct claims staff through technical aspects of complex and high severity medical (and CAT) claims… more
- Sedgwick (Trenton, NJ)
- …| Professional Liability | REMOTE **Job Description Summary** To analyze complex or technically difficult environmental claims ; to provide resolution ... of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Trenton, NJ)
- …for someone with your level of expertise. **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; ... negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult general liability claims by… more
- Sedgwick (Trenton, NJ)
- …Texas adjuster license is a plus. **PRIMARY** **PURPOSE** : To analyze complex or technically difficult multi-product line claims to determine benefits ... negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and… more
- Raphael and Associates (Rutherford, NJ)
- …are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on the initial setup of ... , ensuring all information is accurately entered into the claims management system. You will play a key role...+ Assign the claim to the appropriate adjuster and supervisor . + Set adjuster diaries with new claim notifications… more
- BAYADA Home Health Care (Pennsauken, NJ)
- **POSITION SUMMARY:** Is responsible for varied Employee Claims and Safety office duties including but not limited to the creation of work plans, preparation of ... or more of the following: subject matter expertise, ownership and accountability for complex assignments, and the ability to work in a supervisory capacity leading,… more
- Ryder System (Trenton, NJ)
- …resolution, and adherence to service standards.** **ESSENTIAL FUNCTIONS** Investigates and resolves complex and high exposure claims , as well as directs outside ... **EXPERIENCE** Seven (7) years or more experience in casualty claims , litigation and handling large complex cases...complex cases 0 to One (1) year experience supervisor experience preferred **SKILLS** . Strong commitment to the… more
- Sedgwick (Trenton, NJ)
- …**OFFICE LOCATIONS** Sedgwick Office - Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits ... negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult general liability claims by… more
- System One (Lakewood, NJ)
- Job Title: Quality Assurance Supervisor Location: Lakewood, NJ Type: Contract To Hire Compensation: $25-$32/hr. (can be flexible based on experience) Contractor Work ... 8 am to 4:30 pm We are seeking a proactive and experienced Quality Assurance Supervisor to lead our QA program and ensure that all products, materials, and processes… more
- Travelers Insurance Company (Morristown, NJ)
- …claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned cases ... investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling...without involvement of supervisor . + Openness to the ideas and expertise of… more
- Travelers Insurance Company (Morristown, NJ)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned ... assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...cases without involvement of supervisor . + Openness to the ideas and expertise of… more
- Travelers Insurance Company (Morristown, NJ)
- …Extensive claim and/or legal experience and technical expertise to evaluate severe and + complex claims preferred. + Able to make independent decisions on most ... resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...assigned cases without involvement of supervisor + preferred. + Thorough understanding of business line… more
- Travelers Insurance Company (Morristown, NJ)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Morristown, NJ)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most ... Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...assigned cases without involvement of supervisor preferred. + Thorough understanding of business line products,… more
- Travelers Insurance Company (Morristown, NJ)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned ... investigating, evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim...cases without involvement of supervisor . + Thorough understanding of business line products, policy… more
- NJM Insurance (Trenton, NJ)
- …to the Workers' Compensation (WC) Training and Quality Assurance Management Supervisor , the WC Quality Assurance/Compliance Analyst is responsible for ensuring ... process improvements, data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans that detail… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …to service offices; legal research and policy support; incident management of in-house claims ; and assistance with third-party claims such as complaints, payor ... or more of the following: subject matter expertise, ownership and accountability for complex assignments, and the ability to work in a supervisory capacity leading,… more
- Allied Universal (Edison, NJ)
- …of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient understanding and application of ... **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and… more
- Walmart (Rio Grande, NJ)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and...- Regional Pay Zone (RPZ) (based on location) - Complex Structure (based on external factors that create challenges)… more
- Sedgwick (Trenton, NJ)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. +… more