Claims Manager jobs in New Jersey
Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to a director. The Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Recently Added Claims Manager jobs
Claims Examiner
- Sedgwick Claims Management Services Inc.
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Marlton, NJ
OTHER
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Examiner PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. Prepares necessary state fillings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 66K-92K. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.
- Just Posted
General Liability Claims Adjuster
- TheBest Claims Solutions
-
Bridgewater, NJ
FULL_TIME
- Our client is seeking to add a remote Commercial General Liability Claims Adjuster to their team. The ideal candidate will have 2 years experience handling moderate Commercial General Liability claims...
- 26 Days Ago
Senior Claims Auditor
- VERUS CLAIMS SERVICES LLC
-
Princeton, NJ
FULL_TIME
- DescriptionThe Senior Claims Auditor is responsible for evaluating audits, ensuring compliance with pre-established Procedures, Agreements, and Audit Protocol. In addition, the Senior Claims Auditor i...
- 6 Days Ago
Claims Analyst lll, General Liability
- AIG Claims, Inc.
-
Parsippany, NJ
FULL_TIME
- Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualt...
- 11 Days Ago
Claims Representative - WC
- Sedgwick Claims Management Services Inc.
-
Marlton, NJ
OTHER
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
- Just Posted
Claims Processing Manager
- Benecard Services, LLC
-
Clifton, NJ
FULL_TIME
- JOB SUMMARY: Claims Processing Manager/Examiner directly reports to the Senior Manager of the Claims Department and is an integral member of the Claims Leadership Team.ROLES AND RESPONSIBILITIES: Clai...
- Just Posted
Claims Manager jobs at Popular Companies
Claims Manager
- Polikov Recruitment Solutions
-
- Our client is an A+ rated E&S carrier serving niche insurance markets & shouldering the risks, so their clients have the...
- 6/2/2024 12:00:00 AM
Claims Manager
- Apex Service Partners
-
Tampa, FL
- Overview: Overview: Founded in 2019, Apex Service Partners, LLC is the industry and nationwide leader in residential hom...
- 6/1/2024 12:00:00 AM
Claims Manager
- Turner Construction Company
-
New York, NY
- Division: Turner Surety & Insurance Brokerage Project Location(s): New York, NY 10001 USA Minimum Years Experience: 5 Tr...
- 6/1/2024 12:00:00 AM
Claims Manager
- Davis Search
-
Phoenix, AZ
- Overview: Highly regarded NYSE Insurance company is seeking a Claims Manager (Director depending upon level of experienc...
- 5/31/2024 12:00:00 AM
Claims Manager
- Peyton Resource Group (PRG)
-
San Antonio, TX
- Job Description Job Description Job Purpose The Claims Manager is responsible for overseeing and directing delegated Man...
- 5/31/2024 12:00:00 AM
Claims Manager
- SJW Car Accident & Injury Attorneys Las Vegas
-
Las Vegas, NV
- Job Description Job Description We are seeking a Legal Assistant to become a part of our team! This candidate should be ...
- 5/31/2024 12:00:00 AM
Claims Manager
- Peyton Resource Group (PRG)
-
San Antonio, TX
- Job Description Job Description Job Purpose The Claims Manager is responsible for overseeing and directing delegated Man...
- 5/30/2024 12:00:00 AM
Claims Manager
- Martin & Zerfoss, Inc.
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Nashville, TN
- About Us Martin & Zerfoss, Inc. is an independent insurance firm in Nashville, TN. We specialize in all areas of Persona...
- 5/29/2024 12:00:00 AM
About New Jersey
New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River.
New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Manager jobs
$132,821 to $177,977
Most Popular Cities in New Jersey for Claims Manager Jobs
What does a Claims Manager do?
Claims Manager in Green Bay, WI
A claims manager runs the claims department, while performing many of the same duties as the processors.
January 17, 2020
Claims Manager in Port Arthur, TX
Manages and monitors the investigation, evaluation and resolution of Bus claims and litigated actions of assigned staff.
November 27, 2019
Claims Manager in Spokane, WA
Collaboration with internal partners to ensure timely and accurate claims processing and clinical outcomes related to formulary decisions.
December 06, 2019