Claims Examiner, Sr. jobs in Middlesex, NJ

Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Claims Specialist/Professional Liability Claims Handler
  • Ohio Farmers Insurance Company
  • Berkeley Heights, NJ FULL_TIME
  • The Opportunity

    We are seeking talented and enthusiastic individuals to proactively investigate and directly handle lawyers' and accountant's professional liability claims.


    What you will do:

    • Be responsible for lawyers' and accountant's professional liability claims from first notice through resolution, including coverage evaluation and litigation management. This position may also handle architects and engineers claims.
    • Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners.
    • Work collaboratively with internal and external business partners, including underwriters, actuaries, brokers, insureds, counsel, and senior management.
    • Use your negotiation skills at mediations and settlement conferences.
    • Identify and communicate industry trends.
    • Adhere to all statutory regulations and Unfair Claims Practices Acts.

    What you need to have:

    • Minimum of 2-3 years of claims handling experience handling lawyers and/or architects and engineers and/or applicable legal experience.
    • Juris Doctor degree preferred.
    • Prior claims leadership/management experience a plus.
    • Adjuster's licenses strongly preferred.
    • Excellent written, verbal, and interpersonal communication skills.
    • Strong analytic, investigative, listening, and negotiation skills.
    • A desire to be part of a team.
    • Keen attention to detail.
    • Ability and willingness to travel as needed.

    #WSP


     

  • 1 Month Ago

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Senior Claims Specialist/Cyber and Privacy Claims Handler
  • Ohio Farmers Insurance Company
  • Berkeley Heights, NJ FULL_TIME
  • The Opportunity We are seeking talented and enthusiastic individuals to proactively investigate and directly handle lawyers' and accountant's professional liability claims.What you will do: Directly h...
  • 1 Month Ago

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Claims Assistant - Remote
  • Crum & Forster
  • EATONTOWN, NJ FULL_TIME
  • Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines ins...
  • 7 Days Ago

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Associate Claims Specialist - Construction
  • Markel Service Inc.
  • Red Bank, NJ FULL_TIME
  • What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize oppor...
  • 9 Days Ago

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RCM Denial Claims Analyst Lead
  • Allied Digestive Health
  • West Long Branch, NJ FULL_TIME
  • Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-...
  • Just Posted

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Claims Counsel (Remote, NJ-Based)
  • NIP Group, Inc.
  • Woodbridge, NJ FULL_TIME
  • Position Description: Who We Are: NIP Group www.nipgroup.com NIP Group is a rapidly growing insurance service provider of specialty programs for commercial insurance brokers and carriers providing und...
  • Just Posted

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0 Claims Examiner, Sr. jobs found in Middlesex, NJ area

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Claims Examiner
  • Berkley
  • Jersey City, NJ
  • Company Details: W. R. Berkley Corporation, founded in 1967, is one of the nations premier commercial lines property cas...
  • 4/26/2024 12:00:00 AM

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Claims Examiner
  • Metropolitan Jewish Health System
  • New York, NY
  • Overview: The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Med...
  • 4/26/2024 12:00:00 AM

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Claims Examiner -Remote
  • Generis Tek Inc
  • New York, NY
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/25/2024 12:00:00 AM

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Claims Examiner -Remote
  • Generis Tek Inc
  • Garden City, NY
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/25/2024 12:00:00 AM

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Claims Examiner –Remote
  • Generis Tek Inc
  • New York, NY
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/23/2024 12:00:00 AM

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VCCO #24-164: Claims Investigator Trainee (Newark, NJ)
  • New Jersey Attorney General's Office
  • Newark, NJ
  • The New Jersey Attorney General’s Office – Victims of Crime Compensation Office is seeking two (2) enthusiastic individu...
  • 4/22/2024 12:00:00 AM

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Claims Investigator
  • Daniel J. Hannon and Associates, Inc.
  • Forest Hills, NY
  • Job Description Job Description Company Info: Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • New York, NY
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

Middlesex is a borough in Middlesex County, New Jersey, United States. As of the 2010 United States Census, the borough's population was 13,635 reflecting a decline of 82 (-0.6%) from the 13,717 counted in the 2000 Census, which had in turn increased by 662 (+5.1%) from the 13,055 counted in the 1990 Census. Middlesex was incorporated as a borough by an act of the New Jersey Legislature on April 9, 1913, from portions of Piscataway Township, based on the results of a referendum held on May 6, 1913.[21] The borough's name derives from Middlesex, England.[22][23] According to the United States C...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$69,894 to $90,112
Middlesex, New Jersey area prices
were up 1.5% from a year ago

Claims Examiner, Sr. in Riverside, CA
Health Claims Examiners, or Health Information Technicians, enter data electronically to process transactions.
December 14, 2019
Claims Examiner, Sr. in Evansville, IN
If you’re in dire straits, we can advise you on steps to get the OWCP claims examiner to pay attention to your needs, such as contacting the Department of Labor’s district director, or the national director via mail.
February 12, 2020
Claims Examiner, Sr. in Springfield, IL
No, the examiner is only involved in performing the exam and providing the results to the claims processor.
January 13, 2020