Claims Supervisor jobs in Vineland, NJ

N
Regional Claims Specialist (Workers' Compensation Claims)
  • NJM Insurance
  • Hammonton, NJ FULL_TIME
  • Introduction

    Personal, compassionate service is what we’re known for at NJM. We seek the best and brightest to help our customers when they need us most. As part of the NJM team, you'll not only enjoy some of the best benefits in the industry, you'll also be joining a company that's committed to professional development, diversity and innovative thinking.

    What is it like to work at NJM?  Click here to see!

    If you don't see the position you are looking for, apply here.

    Overview

    NJM’s Workers’ Compensation Claims Team is seeking a Regional Claims Specialist. This is a full-time position and offers a hybrid schedule after training.

    The Regional Claims Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim, and outlining and recommending an action plan to manage the claim. The Regional Claim Specialist will work with and communicate to all internal and external stakeholders, including: NJM policyholders, injured workers, medical providers, the NJM Medical Services Administration Department, the NJM Special Investigation Unit, WC Legal Staff, and other departments within NJM, as well as outside defense counsel and vendors.

    This role can be based in NJM’s West Trenton, NJ or Hammonton, NJ office location.

    Responsibilities

    • Execute strategic and operational goals and objectives of the WCC department and company business goals, guidelines, and programs.
    • Recommend process improvement where applicable to best improve the department efficiency, work product, and service commitment to interested parties.
    • Manage litigated claims through proactive execution of action plans to resolve claim issues to move cases toward closure and reduce aged inventory.
    • Ensure quality management of claims in accordance with claims best practices and company guidelines, and timely, accurate documentation of claim activity.
    • Provide a high level of customer service that promotes injured worker advocacy-based principles to maximize return to work motivation and improve outcomes for all parties. 
    • Determine compensability and coverage issues that have been placed in litigation by gathering medical and factual evidence.
    • Administer the delivery of timely, appropriate, and accurate indemnity and medical benefits.
    • Evaluate the claim for potential fraud indicators and escalate the file to SIU, as appropriate.
    • Recognize and investigate subrogation opportunities for recovery of third-party funds.
    • Initiate and provide excellent communication with all stakeholders (injured workers, providers, attorneys, brokers, clients, etc.) professionally and proactively with a customer-centric approach.
    • Apply critical thinking skills to evaluate and mitigate exposures, and establish and implement a proactive strategic plan of action.
    • Assign and refer claim petitions to Counsel, and work to resolve the claim within given authority.
    • Promptly manage and resolve issues on litigated cases, inclusive of evaluating claim exposure, negotiating, and resolving claims.
    • Build rapport with the policyholder, conduct on-site investigations when necessary, and educate the policyholder on NJM legal procedures, policies, and claim practices.
    • Prepare for Claim Reviews; attend and participate as needed with the Claims Team and Supervisor.
    • Participate in in-house and outside training programs to keep current on relevant issues/topics.
    • Demonstrate a commitment to NJM’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards, and laws applicable to job responsibilities in the performance of work.

    Requirements

    • Level I- 0-3 years’ experience as a Workers' Comp Claim Representative, or comparable knowledge and experience with various aspects of claims handling and/or process including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system.
    • Level II- 3-5 years’ experience as a Workers' Comp Claim Representative, or comparable knowledge and experience with various aspects of claims handling and/or process including strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system.
    • Sr Level– 5 years’ experience as a Workers' Comp Claim Representative, or comparable knowledge and experience with various aspects of claims handling and/or process including advanced knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system.
    • Knowledge of WC regulations and jurisdiction(s) to be able to formulate a Plan of Action to bring claims to resolution.
    • Knowledge of and experience working Work with liens and Medicare Set-Asides to secure full and final settlements.
    • Customer service oriented with strong written and oral communication skills.
    • Strong interpersonal skills with ability to work both in a team and independently.
    • Demonstrated organizational skills, and use of sound decision-making capabilities.
    • Working knowledge utilizing an automated claim processing system and the Microsoft Office suite of tools (Word, Excel).
    • Ability to travel for business purposes, approximately less than 10%.

     

    Preferred:

    • Multi-state experience and/or licensing (including NJ, MD, CT, DE, PA and/or NY).
    • Associate or Bachelor’s degree.
    • AIC/CPCU Designations.

     

    Salary:

    • Level I - $54K - $68K annually based on experience and credentials.
    • Level II - $62K annually based on experience and credentials.
    • Sr Level - $75K annually based on experience and credentials.


    Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
  • 18 Days Ago

M
Independent Insurance Claims Adjuster in Hammonton, New Jersey
  • MileHigh Adjusters Houston Inc
  • Hammonton, 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...
  • 10 Days Ago

M
Independent Insurance Claims Adjuster in Millville, New Jersey
  • MileHigh Adjusters Houston Inc
  • Millville, 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...
  • 10 Days Ago

M
Independent Insurance Claims Adjuster in Glassboro, New Jersey
  • MileHigh Adjusters Houston Inc
  • Glassboro, 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

M
Independent Insurance Claims Adjuster in Vineland, New Jersey
  • MileHigh Adjusters Houston Inc
  • Vineland, 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

M
Independent Insurance Claims Adjuster in Williamstown, New Jersey
  • MileHigh Adjusters Houston Inc
  • Williamstown, 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

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Supervisor jobs found in Vineland, NJ area

C
Senior Claims Analyst 3 Workers Compensation
  • Coventry
  • Egg Harbor Township, NJ
  • CoventrySenior Claims Analyst 3 Workers CompensationUS-NJ-Egg Harbor TownshipJob ID: 24-16772Type: Regular Full-Time# of...
  • 4/22/2024 12:00:00 AM

D
Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Mays Landing, NJ
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
  • 4/22/2024 12:00:00 AM

L
Field Property Claims Adjuster
  • Liberty Mutual Group
  • Philadelphia, PA
  • You are here: / US,Philadelphia-PA,Field Property Claims Adjuster **Field Property Claims Adjuster** Description & Respo...
  • 4/21/2024 12:00:00 AM

P
Claims Supervisor, Casualty
  • Plymouth Rock Assurance
  • Mount Laurel, NJ
  • The Casualty Claims Supervisor is responsible for supervising claim adjusters and for the investigation and settlement o...
  • 4/20/2024 12:00:00 AM

P
Claims Supervisor, Casualty
  • Plymouth Rock Assurance
  • Mount Laurel, NJ
  • The Casualty Claims Supervisor is responsible for supervising claim adjusters and for the investigation and settlement o...
  • 4/20/2024 12:00:00 AM

F
General Claims Adjuster *Greater Philadelphia*-Sign on Bonus
  • Farmers Insurance Group
  • Philadelphia, PA
  • ** General Claims Adjuster *Greater Philadelphia*-Sign on Bonus** 9239 **We are Farmers!** Join a team of diverse profes...
  • 4/20/2024 12:00:00 AM

I
TEMP REMOTE
  • Intercare Holdings Insurance Services
  • North Philadelphia, PA
  • Claims Adjuster Summary Reports directly to the unit Claims Supervisor and may be called upon to provide technical backu...
  • 4/19/2024 12:00:00 AM

N
Workers Comp Adjuster
  • NJM Insurance Group
  • Hammonton, NJ
  • **Workers Comp Adjuster** Hammonton, NJ **NJM Insurance Group** ** This isn’t just insurance. It’s NJM. When you join th...
  • 4/19/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 69.029 square miles (178.785 km2), including 68.424 square miles (177.218 km2) of land and 0.605 square miles (1.568 km2) of water (0.88%). Of all the municipalities in New Jersey to hold the label of City, Vineland is the largest in total area. (Hamilton Township in Atlantic County is the largest municipality in New Jersey in terms of land area. Galloway Township, also in Atlantic County, is the largest municipality in total area, including open water within its borders.) Vineland borders Deerfield Township, Millville,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Supervisor jobs
$96,303 to $125,466
Vineland, New Jersey area prices
were up 1.5% from a year ago

Claims Supervisor in Appleton, WI
Understands Self Funding and Third Party Administrating concepts and how decision making impacts the “big picture”.
January 23, 2023
Claims Supervisor in Austin, TX
Assist the director with promoting and managing an effective quality assurance program, serves as a technical resource to subordinates and others in the organization ensuring loss control standards.
April 21, 2023
Claims Supervisor in San Francisco, CA
Developing, coordinating, and enforcing systems, policies, procedures and productivity standards.
March 11, 2023
Respond to escalated or complex provider inquiries regarding Provider Disputes.
April 01, 2023