- NJM Insurance (Trenton, NJ)
- NJM's Workers ' Compensation Claims Team is seeking an experienced Complex Claim Specialist. This is a full-time position and offers a hybrid schedule ... as needed. This position may manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be based… more
- Sedgwick (Trenton, NJ)
- … Examiner **PRIMARY PURPOSE** **:** To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with ... specific requirements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and… more
- Sedgwick (Philadelphia, PA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Adjuster **PRIMARY PURPOSE** **:** To ... analyze mid- and higher-level workers compensation claims to determine...client. + Ensures claim files are properly documented and claims coding is correct. + May process complex… more
- Sedgwick (Marlton, NJ)
- …larger or more complex claims as necessary. + Processes workers compensation claims determining compensability and benefits due; monitors reserve ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Associate | Marlton, NJ (In-Office) **PRIMARY… more
- Sedgwick (Philadelphia, PA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Philadelphia, PA (Agile ... brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of...days/week. **PRIMARY PURPOSE OF THE ROLE:** To analyze high-level Workers Compensation claims on behalf… more
- Sedgwick (Trenton, NJ)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | CT, MA, NH, RI, VT ... brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of...experience. **PRIMARY PURPOSE OF THE ROLE:** To analyze high-level Workers Compensation claims on behalf… more
- Sedgwick (Marlton, NJ)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Marlton, NJ | Experience ... + Apply your representative knowledge and experience to adjudicate complex customer claims in the context of...professional needs. **ARE YOU AN IDEAL CANDIDATE?** To analyze Workers Compensation claims on behalf… more
- AIG (Philadelphia, PA)
- …management with strong technical knowledge of primary Auto Liability, General Liability and Workers ' Compensation claims . + Experience in high-severity ... Client Service Manager, you will be the primary Claims contact for assigned large complex national, unbundled AIG Risk Management (AIGRM) accounts and be… more
- UMB Bank (Trenton, NJ)
- …change to ensure the best customer experience. + Review and decide high-value and complex card fraud claims . + Prepare regular reports on card fraud ... **Duties & Responsibilities** The Manager, Card Fraud Claims , will oversee and manage the UMB card...College Degree + TSYS TS2 and/or TSYS TMS experience ** Compensation Range:** Minimum: $69,230.00 - Maximum: $179,300.00 _The posted… more
- Zurich NA (Philadelphia, PA)
- …conducting pre-hearing discovery, preparing for and handling final hearings before workers compensation Administrative Law Judges, and conducting post-trial ... + Collaboration skills + Effective problem solving and analytical skills + Certified Workers Compensation Specialist designation As a condition of employment at… more
- Sedgwick (Trenton, NJ)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker , employer, and medical providers, create a case management strategy to facilitate… more
- Travelers Insurance Company (Blue Bell, PA)
- …to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation , General Liability and other areas of the business as ... Imagine loving what you do and where you do it. **Job Category** Claim ** Compensation Overview** The annual base salary range provided for this position is a… more
- NJM Insurance (Trenton, NJ)
- …a history that spans more than a century, NJM is a leading provider of worker 's compensation , automobile and homeowners insurance in New Jersey. Become a member ... are routed immediately for audit purposes. + Communicate with claims personnel relating to complex issues regarding...Terminology) and ICD-10 codes preferred + Multi-state knowledge for Workers ' Compensation and/or Personal Auto (PIP) a… more
- Sedgwick (Trenton, NJ)
- …a team environment + Excellent account rounding ability + Strong understanding of workers compensation , liability and disability claims management + In-depth ... for jumbo clients requiring dedicated staff, multiple offices and complex service models; and to oversee the work of...required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions… more
- Sedgwick (Trenton, NJ)
- …to include inappropriate, unrelated or undocumented charges within state specific workers ' compensation laws rules and regulations. **ADDITIONAL FUNCTIONS and ... of education and experience required to include two (2) years workers ' compensation /bill review experience in multi-state jurisdiction; prior experience… more
- IQVIA (King Of Prussia, PA)
- …employment policy development and implementation, wage and hour issues, worker classifications and other employee relations matters; + Coordinate with ... conduct and provide counsel regarding employment-related investigations, ensuring that claims are addressed promptly, thoroughly and appropriately; + Draft… more
- Lincoln Financial Group (Trenton, NJ)
- …preferred * Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation , Utilization Review and/or nurse case management ... reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a...clinical resources (ie IME, FCE, Peer Reviews) * Discuss complex medical issues with health care providers as needed… more
- Terumo Medical Corporation (Somerset, NJ)
- …project management plan that may entail a large piece of capital equipment, complex /high priced disposable, as well as to develop and sell warranty and service ... (QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
- BJs Wholesale Club (Oaks, PA)
- …and processing new hire paperwork, hourly wage increases, hourly promotions, terminations, worker 's compensation , and unemployment claims . + Supports club ... questions or directs them to the appropriate company resources. + Addresses non- complex team member relations issues and/or escalates such issues to the assigned… more
- MetLife (Bridgewater, NJ)
- …strong leadership and coaching skills. Extensive knowledge of STD, group disability, Workers Compensation , ERISA, Social Security and state laws * Strong ... * Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively * Organizational and time management skills, ability… more