Claims administrator jobs in Newark, New JerseyCreate job alerts

The Claim Administrator (CA) is responsible for the timely processing and management of clients' Victim Compensation Fund (VCF) claims.

The Claim Administrator (CA) is responsible for the timely processing and management of clients' Victim Compensation Fund (VCF) claims.

As a Leave Administrator on Sparrow's Customer Experience team, you will take charge of the behind-the-scenes paperwork and correspondence essential in managing employee benefit's claims.

Job Description Seeking an insurance administrator/ office manager who is licensed in property and casualty insurance in New York that will be in charge of customer service and managing the existing book of business. Key responsibilities include processing insurance contracts, handling claims paperwork, assisting with client inquiries, and maintaining accurate policy and client data. Other duties include updating client policies, answering service emails/ calls and rewriting current policies if a customer is dropped by a carrier or looking for a better rate. This role is crucial for ensuring the brokerage runs efficiently and that clients receive timely and accurate support. Key responsibilities • Administrative support: Provide day-to-day administrative assistance to insurance brokers, which can include managing correspondence, updating records, and handling data entry., • Policy and client management: Manage the administration of insurance policies, including processing new business, renewals, and policy updates. Maintain accurate and up-to-date client and policy files., • Client communication: Act as a point of contact for clients, responding to queries, and assisting with inquiries and requests via phone and email., • Claims support: Assist with the claims process by liaising with clients, brokers, and insurance carriers, and handling associated paperwork and documentation., • Record-keeping: Maintain organized and accurate physical and digital records for clients, policies, and claims., • Compliance: Ensure all insurance-related paperwork and procedures comply with applicable regulations and company policies., • Strong organizational and time management skills., • Excellent communication and interpersonal skills., • Proficiency with administrative software, such as Microsoft Office Suite., • Attention to detail and accuracy., • Ability to work under pressure and prioritize tasks., • Knowledge of insurance policies and the insurance industry is often preferred.

Job DescriptionWe are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on the initial setup of claims, ensuring all information is accurately entered into the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning claims to the appropriate adjusters. This position is a full-time, in-office position located at our Rutherford, NJ, headquarters. Key Responsibilities: • Initial Claims Setup:, • Review FNOL (First Notice of Loss) and ensure all necessary information is included (claimant info, loss date, incident description)., • Enter claim details into the system, including policy info, loss type, incident description, and the claimant’s description of the event., • Policy Verification:, • Cross-check claim details against the policy to verify effective dates of coverage., • Confirm policy and coverage details are accurately entered into the system., • Confirm appropriate client contact is attached to the policy, • Assign Adjuster & Set Diary Notifications:, • Assign the claim to the appropriate adjuster and supervisor., • Set adjuster diaries with new claim notifications and necessary actions., • Claims Acknowledgement Letters:, • Generate and send acknowledgement letters as per client instructions.Skills and Qualifications:, • High attention to detail for accurate data entry and policy verification., • Ability to assign claims and set appropriate reminders., • Familiarity with claims management systems (or willingness to learn)., • Basic insurance knowledge is a plus but not required. As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities! Benefits and Perks: We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company. Powered by JazzHR klXCwA6fky

Job Description Put your career in the fast lane at a forward-thinking, award-winning auto dealership. Job Summary: The Service Department Administrator will report directly to the Service Director, with additional responsibilities assigned to service and warranty managers. This new role is vital to the success of this bustling, nationally-acclaimed and award-winning automotive dealership in Northern New Jersey, working with Ford and Lincoln vehicles, and Ford Trucks. The successful candidate must demonstrate an ability to work in a team-oriented environment, multi-task and portray an authority role when needed to enforce the handling and processing of documentation. General hours of operation are 9 am - 5:00 pm. Overtime may be required at peak times and candidates must be available to work on Saturdays, especially the last Saturday of the month, in order to close month end. Job Accountabilities include (but are not limited to): Administration • Ability to form structure of document control programs to aid with open repair invoices (Repair Orders)., • Process repair orders., • Process payroll., • Manage cashiering responsibilities., • File warranty claims., • Attend service meetings and training sessions, including on-line and/or computer-based self-study courses., • Demonstrate behaviors consistent with the Company's Vision, Mission and Values in all interactions with customers, co-workers, vendors and suppliers., • Self motivated to fulfill tasks., • Ability to form structure of document control programs to aid with open repair invoices (Repair Orders)., • Associates Degree, • Solid computer skills, • Working knowledge of Excel and Google Docs, • Exceptional interpersonal, verbal and written communication skills, • Strong organization and follow-up skills, • Exceptional attention to detail, • Positive attitude, self-motivated and eager to contribute, • Valid NJ state drivers’ license, • Competitive salary, • Medical and Dental health coverage, • Paid vacation and personal/sick days off Equal Employment Opportunity Maplecrest Ford Lincoln does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, disability or any other characteristic protected by law. In order to provide equal employment and advancement opportunities to all individuals, employment decisions at Maplecrest Ford Lincoln will be based on merit, qualifications and abilities. Job Description The statements included in the job description are intended to outline the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed Powered by JazzHR YWg6ElSBGh

Job Description Accounting Clerk Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client’s specific needs. As a claims organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry! As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities! Job Summary: This is a unique opportunity for a detail oriented and computer savvy Accounting Clerk to assist with the back-office accounting functions at a growing organization. You will be able to work with an exceptional team to keep the organization operating in an efficient and organized manner! Responsibilities: • Enter, organize, ensure accuracy, and track data across multiple technology platforms, • Enable clear communication with internal and external stakeholders, • File necessary documents in appropriate end locations, • Review and process invoices, • At least 2+ years of data entry experience, • Strong computer skills and ability to work independently, • Excellent human relations and customer service skills, • Above average organizational skills We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company! Powered by JazzHR GsbCkCvVmw

Job DescriptionSalary: 50K BOE Position Overview:The Physical Therapy Office Administrator plays a crucial role in overseeing the daily operations and administrative functions of the healthcare facility. They are responsible for ensuring smooth operations, managing staff, coordinating patient care, and maintaining compliance with relevant regulations and policies. The role requires a combination of strong organizational, leadership, and communication skills. Key Responsibilities: • Administrative Management:, • Oversee the overall administrative operations of the office, including scheduling, billing, medical records management, and inventory control., • Staff Management:, • Supervise administrative staff, including front office receptionist, • Provide guidance to the staff, fostering a positive work environment and promoting professional growth., • Schedule and coordinate staff shifts to ensure adequate coverage for patient care and administrative tasks., • Patient Care Coordination:, • Ensure excellent patient service by maintaining effective communication channels with patients, addressing their concerns, and resolving any issues., • Oversee the appointment scheduling process, patient registration, and check-in/check-out procedures., • Collaborate with healthcare providers to optimize patient care delivery and facilitate the coordination of services, referrals, and follow-up appointments., • Regulatory Compliance:, • Stay updated with relevant healthcare regulations, including HIPAA, OSHA, and other legal requirements, and ensure compliance throughout the medical office., • Implement and enforce privacy and security measures to protect patient information and maintain confidentiality., • Conduct regular audits and reviews to assess compliance and identify areas for improvement., • Facility and Equipment Management:, • Collaborate with facility management to maintain a clean, safe, and organized environment., • Medical Billing:, • Verify insurance eligibility and coverage for patients, obtaining necessary authorizations for procedures or treatments., • Review and reconcile medical billing statements, identifying and resolving discrepancies or denied claims. Qualifications and Skills: • Bachelor's degree in healthcare administration, business management, or a related field (preferred)., • Proven experience in medical office management or healthcare administration., • Strong knowledge of healthcare regulations, insurance processes, and medical billing/coding., • Excellent organizational, leadership, and communication skills., • Proficiency in using electronic health record (EHR) systems and other office software., • Ability to multitask, prioritize, and manage time effectively., • Exceptional interpersonal skills with the ability to interact with diverse individuals, including patients, staff, and healthcare providers. Benefitsinclude Paid time off, Holiday Pay, 401K, Health and Dental Insurance, and HSA.

Job Description Essential Job Functions The Claims Manager, Energy will be responsible for: · Active oversight of claims currently managed by a Third Party Administrator as well as direct handling of an active inventory of primary and excess claims related to policies written out of the Energy Profit Center in various jurisdictions · Performing prompt coverage analysis and determination, investigation into liability and defenses, and timely reserve evaluations · Perform audits through claim systems and on-site visits · Required to attend mediations, settlement conferences, etc. to negotiate cost-effective settlements and attend trials on an “as needed” basis · Provide timely and meaningful information to underwriters, actuaries and reinsurers to update them regarding losses which could impact the firm’s policies Job Requirements 8 - 10 years of experience in energy claims handling, management and/or overseeing Third Party Administrator(s) · Prior experience handling and evaluating claims involving large commercial complex coverage analysis · Demonstrated success managing litigation, evaluating and negotiating claims involving energy, construction and/or the New York Labor Law · Self-starter and team player who needs little direction and is focused on developing, and executing on, creative solutions to our clients’ most challenging business problems · Strong coverage knowledge · Superior negotiation and litigation management skills · Must be organized and have excellent documentation skills · Strong communication (verbal and written) and interpersonal skills. Excellent and diplomatic communicator · Customer- service and relationship-oriented · Innovative and curious, with a desire for continuous learning and growth · Travel is required and will vary depending on business needs and caseload · Working knowledge of Microsoft Word and Microsoft Excel · Ability to manage time effectively, set priorities and meet deadlines [7289]

Job Description Casualty Field Adjuster Job Summary: The work of our field adjusters directly contributes to the success of our organization. You will have the ability to make a meaningful impact by leveraging your industry expertise, customer service skills, and ability to manage priorities in a fast-paced environment. This is the perfect opportunity for a self-motivated Field Adjuster to apply their knowledge of negligence theories while investigating Liability claims. This position provides an opportunity for the right candidate to expand their career and grow with a forward-thinking organization. Responsibilities: • End to end management of liability field claims according to client guidelines and state requirements., • Conduct thorough field investigations to determine damages and assess liability exposure., • Interview related parties including insured, claimant, witnesses, and others as appropriate. Take detailed notes of your interactions and enter them in our internal claims handling software., • Recognition of risk transfer potential., • Work well with internal and external customers to provide superior reports so that proper evaluations of claim values can be made., • At least 3+ years of relevant experience, • Must maintain current and valid adjuster license(es), • Must maintain a valid driver’s license, • Strong project management skills and ability to work independently, • Strong working knowledge of insurance laws, • Strong verbal and written communication skills, • Excellent customer service skills, • Experience with Claims Pilot and ImageRight, or similar is a plus, • Experience at an independent adjusting company is a plus Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client’s specific needs. As a claim’s organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry! As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities! Benefits and Perks: We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance, and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company! EOE Powered by JazzHR xYSFRZTZhc

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Competitive salary, • Flexible schedule The Medical Biller will support the therapists while being responsible for managing patient and insurance information, support and collaborate with Front office Receptionist, and initiating payment processes and procedures. The ideal candidate will be well-versed in billing software, medical insurance regulations, and an expert at responding to patient and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality, handling personal information, and providing world class customer service to all clients. Medical Bille OT/PT Duties and Responsibilities • Complete Revenue Cycle Management for OON OT/PT Therapy Practice, • Ensure patient information is accurate and complete, • Request any missing patient information, • Review referrals and authorizations, • Confirm patient benefits and insurance, • Follow all regulations and guidelines set by Medicare, state programs, and commercial insurances, • Review insurance claims and billing data in billing software (Web PT and Therabill), • Create both paper and electronic copies of documentation, • Develop and maintain a tracking system of incoming and late payments, • Monitor and date late payments, • Initiate late payment notices to relevant parties, • Respond to questions from patients or insurance companies, • Follow-up on late or missed payment notices, • Monitor and resolve financial discrepancies, • Arrange payment plans and timelines for payments, • File and maintain organized documentation of all billing and record, • Follow set billing processes and procedures, • Update and review all accounts to keep records of payments up-to-date, • Work with personal information and maintain patient confidentiality, • Collaborate and support Front Office Receptionist, • Provide concierge quality service to all clients throughout their course of treatmentMedical Biller / Practice Manager Requirements and Qualifications, • Bachelors degree in accounting, health care administration, finance, business, or related field preferred, • Two (2) years previous experience as a medical biller or in a related healthcare administrative position with certificate., • Able to multitask, prioritize, and manage time efficiently, • Self-motivated and self-directed; able to work without supervision, • Excellent verbal and written communication skills, • Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plus, • Strong customer service skills and comfortable answering both patient and insurance company questions, • Able to analyze problems and strategize for better solutions, • Experience with supervision and/or collaboration of administrative front office staff, • Desire to join a growing company, • Strong interpersonal skills, • Ability to represent the practice and therapists with outgoing personality, • Desire to support the growth and success of our therapy practiceAbout Us We are a boutique therapy practice in Union Square, NYC, specializing in Physical Therapy, Occupational Therapy, Hand Therapy and Wellness programs. To apply please email resume and include the subject "Experienced Billing Administrator" along with your salary requirements. Explain why you would be a good fit for our company, and why you are qualified to move to the next phase of interviews. Job Type: Full-time Salary: $55,000 - $60,000.00 per year Experience: • OON Medical Billing: 2 years (Preferred), • OON Therapy Billing Experience, • Complete Revenue Cycle ManagementEducation:, • Bachelor's (Preferred)License:, • Medical Billing and Coding (Preferred)Language:, • English (Required)This is an In Office Position, 11am to 7pm

Job Description The Doe Fund is a leading New York City non-profit organization that operates the enormously visible Ready, Willing & Able (RWA) program, whose participants clean over 115 miles of streets and sidewalks every day. With an $80 million budget, 500+ staff members, and 46,000 individual donors, The Doe Fund is nationally acclaimed as a work-based model for solving homelessness and criminal recidivism. We empower people to break the cycles of homelessness, welfare dependency, substance abuse, and incarceration through innovative work and housing programs. The Benefits & HR Specialist will provide administrative and clerical support to the HR department, with a focus on employee benefits administration, onboarding, and general HR operations. This role ensures the smooth delivery of benefit programs, supports day-to-day HR activities, assists with recruiting and onboarding efforts, and responds to employee inquiries to provide timely and accurate service. The Benefits & HR Specialist reports directly to the Vice President of People & Culture. Key Responsibilities • Assist with new benefit enrollments, changes, additions, and terminations under the direction of Benefits Administrator., • Support onboarding and recruiting activities, including scheduling interviews, onboarding materials, and assisting with new hire orientation., • Support HR team with filing for active and terminated employees., • Support benefits-related projects, including wellness seminars, health fairs, and employee communications (flyers, emails, etc.)., • Support with updating enrollment materials, benefit communications, and employee benefit folders., • Provide first-level support to employees regarding benefits questions, claim issues (via phone, email, or in person.), • Assist with tracking carrier utilization and preparing basic reports (Commuter, Vision, FSA, etc.)., • Provide administrative support for benefits programs, including Leaves of Absence, FMLA, disability claims, and related paperwork., • Assist with the administrative management of workers’ compensation claims, including initial filing and follow-up., • Perform general administrative duties such as filing, data entry, and responding to routine benefits- or HR-related requests., • Prior HR, Payroll or benefits experience preferred, • Strong attention to detail and organizational skills., • Ability to handle confidential information with discretion., • Good written and verbal communication skills. Before you go, we want to assure you that we are committed to building a diverse and inclusive workplace reflective of individuals who share our mission and who want to join us in working on the cutting-edge of important social issues. We are an equal opportunity employer and we highly encourage applications from candidates regardless of race, color, citizenship, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, veteran or reservist status, or any other category protected by federal, state, or local law.

Job Description Position Summary: The Inside Sales Representative will report to the NY Branch Manager and work closely with the Aftermarket Sales Manager to accomplish annual aftermarket sales goals. This position focuses on providing responsive customer service, accurate quotations, efficient order management, and warranty claim processing while maintaining strong communication with customers, the factory, vendors, and internal teams. This is a semi-hybrid role, with the expectation of being in the office 4 days per week, 1 day remote and spending approximately 15–20% of total time in the field. The ideal candidate will be organized, technically inclined, and capable of managing and reprioritizing tasks in a dynamic environment. The incumbent should be a friendly, and proactive and effective communicator who can establish clear expectations with customers, manage multiple responsibilities, and contribute to building strong, lasting relationships. They should be customer-oriented, fast learners, and willing to learn on the job. Key Responsibilities: Quoting & Opportunity Management • Prepare and issue quotes for aftermarket parts., • Enter and track all opportunities in the CRM system., • Respond to customer inquiries regarding new and existing orders., • Provide updates on order status, tracking, and delivery schedules., • Maintain close communication with the manufacturing plant and vendors to confirm lead times, address obstacles, and resolve delays., • Work in tandem with the NY Sales team to drive territory sales efforts., • Participate in customer site visits and inspections (approx. 15–20% of time)., • Assist with outside sales activities by documenting opportunities and ensuring smooth follow-up., • Process warranty claims in collaboration with the NY Sales team ensuring accurate documentation and timely resolution., • Ability to climb ladders and work at heights during site visits., • Comfortable working on rooftops and cooling towers., • Trade school minimum. Bachelor’s degree preferred, ideally in Engineering, Business, or related field., • Prior experience in sales support, customer service, or order management required., • Experience using SAP., • Knowledge of HVAC systems, cooling towers, or industrial equipment is a plus but not required., • Strong organizational skills with attention to detail and follow-through., • Proficiency in Microsoft Office (Excel, Word, Outlook); familiarity with ERP/CRM systems a plus., • Competitive base salary., • Comprehensive healthcare package including medical, dental, and vision coverage., • 401(k) plan with company match., • Quarterly bonus eligibility based on meeting aftermarket sales goals., • Hybrid schedule: in-office 4 days per week and 1 day remote work. Full attendance required for the first 3 to 6 months., • Local travel within NYC and surrounding boroughs (15–20% of time)., • Combination of office and field environments; occasional exposure to noise, heat, and weather conditions. We recognize that attracting the best talent is key to our strategy and success as a company. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we are able to attract the best candidates. As required by law in this state, the estimated hourly rate range for this position is $75,000 - $90,000 and represents our good faith estimate as to what our ideal candidates are likely to expect. We tailor our offers within the range based on organizational needs, internal equity, market data, geographic zone, and the selected candidate’s experience, education, industry knowledge, location, technical and communication skills, and other factors that may prove relevant during the selection process. At SPX, it is not common for individuals to be hired at the higher end of the range, and compensation decisions depend on a variety of factors. This position is eligible to participate in a discretionary bonus, subject to the rules governing the plan. SPX offers a variety of benefits, including health benefits, 401K retirement with a company match, and flexible time off. More information about our benefits can be found on the “Rewards and Benefits” section of our career page. Company DescriptionAt SPX Corporation, what’s in it for our employees transcends market-competitive compensation and benefits. Our Total Rewards program also includes opportunities for employees’ personal development, career growth, and recognition. These programs focus on alignment and assessment of organizational, team, and individual efforts toward achieving business results. Our development and career growth programs empower our employees to enhance their skills, develop new competencies, and pursue career goals. SPX Corporation’s benefits package provides choices designed to help employees manage their well-being. Our compensation programs are performance-based to recognize and reward employees who work hard, display the values and leadership practices we embrace, and deliver exceptional results. WORKING AT SPX Our work environment is established on a work-life philosophy supported by policies, programs, and practices that help employees achieve success within and outside the workplace. We believe in creating an inclusive work environment where employees strive to realize their fullest potential. We are an affirmative action and equal opportunity employer committed to making selection decisions without regard to race, color, religion, sex, sexual orientation, national origin, gender identity, genetic information, age, disability, veteran status or any other legally protected basis.At SPX Corporation, what’s in it for our employees transcends market-competitive compensation and benefits. Our Total Rewards program also includes opportunities for employees’ personal development, career growth, and recognition. These programs focus on alignment and assessment of organizational, team, and individual efforts toward achieving business results. Our development and career growth programs empower our employees to enhance their skills, develop new competencies, and pursue career goals. SPX Corporation’s benefits package provides choices designed to help employees manage their well-being. Our compensation programs are performance-based to recognize and reward employees who work hard, display the values and leadership practices we embrace, and deliver exceptional results.\r\n\r\nWORKING AT SPX\r\nOur work environment is established on a work-life philosophy supported by policies, programs, and practices that help employees achieve success within and outside the workplace. We believe in creating an inclusive work environment where employees strive to realize their fullest potential. We are an affirmative action and equal opportunity employer committed to making selection decisions without regard to race, color, religion, sex, sexual orientation, national origin, gender identity, genetic information, age, disability, veteran status or any other legally protected basis.