Claims Analyst jobs in Atlantic City, NJ

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Senior Workers' Comp. Claims Analyst 2
  • Coventry
  • Egg Harbor, NJ FULL_TIME

  • Coventry


    Senior Workers' Comp. Claims Analyst 2

    US-NJ-Egg Harbor Township

    Job ID: 24-16668
    Type: Regular Full-Time
    # of Openings: 1
    Category: Insurance & Administration
    Mitchell International, Inc.

    Overview

    The Enlyte Family of Businesses

    Mitchell | Genex | Coventry

    Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.



    Responsibilities

    • Participates in large loss reviews of the teams' claims providing direction and feedback.
    • Manages medical with nurse case manager on claims.
    • Works with employers to facilitate a return to work, either full-time or modified duty basis.
    • Identifies potential and manage third party recovery.
    • Complies with excess reporting requirements.
    • Identifies potential for disability or pension credits or offsets, Second Injury Fund (when applicable) timely denial or payment of benefits.
    • Estimates the exposure of each assigned claim, establishes reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure.
    • Works with defense counsel to establish strong defenses, litigation plan of action, set legal reserve and manage litigation over life of claim.
    • Maintains closing ratio by closing files timely.
    • Completes PARs (payment authorization request).
    • Communicates effectively, verbally and in writing with internal and external parties on a wide variety of claims and account-related issues.


    Qualifications

    Education:
    Bachelor's Degree strongly preferred, HS Diploma required
    Workers Compensation Licensure (i.e. AIC, WCCC) a plus

    Experience:
    Minimum of 5 years of experience handling New Jersey workers' compensation claims
    Experience in an insurance medical/health or legal related industry




    Salary:

    Please see job description



    PI237829292

     

  • 15 Days Ago

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Liability Claims Adjustor 2
  • Coventry
  • Egg Harbor, NJ FULL_TIME
  • CoventryLiability Claims Adjustor 2US-NJ-Egg Harbor TownshipJob ID: 24-16583Type: Regular Full-Time# of Openings: 1Category: Customer Service & SupportMitchell International, Inc.OverviewThe Enlyte Fa...
  • 3 Days Ago

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Liability Claims Adjuster 2
  • Coventry
  • Egg Harbor, NJ FULL_TIME
  • CoventryLiability Claims Adjuster 2US-NJ-Egg Harbor TownshipJob ID: 23-16367Type: Regular Full-Time# of Openings: 1Category: Customer Service & SupportMitchell International, Inc.OverviewThe Enlyte Fa...
  • 9 Days Ago

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Independent Insurance Claims Adjuster in Barnegat, New Jersey
  • MileHigh Adjusters Houston Inc
  • Barnegat, NJ FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 11 Days Ago

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Independent Insurance Claims Adjuster in Pleasantville, New Jersey
  • MileHigh Adjusters Houston Inc
  • Pleasantville, NJ FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 12 Days Ago

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Independent Insurance Claims Adjuster in Bayville, New Jersey
  • MileHigh Adjusters Houston Inc
  • Bayville, NJ FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 12 Days Ago

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0 Claims Analyst jobs found in Atlantic City, NJ area

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Personal Lines Customer Representative
  • Allstate Insurance Agency - David Lieberman
  • Somers Point, NJ
  • Job Description Job Description Benefits/Perks Competitive Pay Professional Development Job Stability in a growing indus...
  • 3/28/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Manahawkin, New Jersey
  • MileHigh Adjusters Houston Inc
  • Manahawkin, NJ
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS! Independent Insurance Claims Adjusters Needed Now! This is a HUGE op...
  • 3/28/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Barnegat, New Jersey
  • MileHigh Adjusters Houston Inc
  • Barnegat, NJ
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS! Independent Insurance Claims Adjusters Needed Now! This is a HUGE op...
  • 3/28/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Forked River, New Jersey
  • MileHigh Adjusters Houston Inc
  • Forked River, NJ
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS! Independent Insurance Claims Adjusters Needed Now! This is a HUGE op...
  • 3/28/2024 12:00:00 AM

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Adjusters Needed NOW for the upcoming Winter Storm Seasons
  • Mile High Adjusters Northeast, LLC (claims adjusting services and training)
  • Cape May, NJ
  • Are you looking into becoming an Adjuster? The storm season is in full effect and Adjusters are needed to help with the ...
  • 3/28/2024 12:00:00 AM

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Life Insurance Agent
  • Lisa McGarr
  • Sicklerville, NJ
  • Looking for a Career Change? or Perhaps You are looking for more guidance and mentorship as a Life Insurance Agent... Li...
  • 3/27/2024 12:00:00 AM

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Commercial/Personal Lines Insurance CSR
  • JERSEY COAST INSURANCE AND FINANCIA
  • Margate City, NJ
  • Job Description Job Description Start the year with a new, exceptional working environment - and growing insurance agenc...
  • 3/26/2024 12:00:00 AM

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Personal Lines Insurance Agent/CSR - Min. 2 Years Exp.
  • JERSEY COAST INSURANCE AND FINANCIA
  • Stone Harbor, NJ
  • Job Description Job Description Get a FRESH START in 2023 with a new team, exceptional working environment - and fastest...
  • 3/25/2024 12:00:00 AM

Atlantic City is a resort city in Atlantic County, New Jersey, United States, known for its casinos, boardwalk, and beaches. In 2010, the city had a population of 39,558.[21][22] It was incorporated on May 1, 1854, from portions of Egg Harbor Township and Galloway Township.[23] It borders Absecon, Brigantine, Pleasantville, Ventnor City, Egg Harbor Township, and the Atlantic Ocean. Atlantic City inspired the U.S. version of the board game Monopoly, especially the street names. Since 1921, Atlantic City has been the home of the Miss America pageant. In 1976, New Jersey voters legalized casino g...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$41,220 to $52,860
Atlantic City, New Jersey area prices
were up 1.5% from a year ago

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