Claims Process Analyst at NJM Insurance
Ewing, NJ 08628, USA -
Full Time


Start Date

Immediate

Expiry Date

28 Nov, 25

Salary

75000.0

Posted On

28 Aug, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Visio, Business Analysis, Onbase, Time Management, Credentials, Vision Insurance, Health Insurance, Addition, Dental Insurance, Health, Agile Methodologies, Decision Making

Industry

Insurance

Description

Join NJM Insurance Group’s Medical Claim Services (MCS) team as a Business Process Analyst, where you will play a key role in driving process improvement and support business continuity and technology initiatives. This position requires subject matter expertise (SME) in Personal Injury Protection (PIP), Workers’ Compensation, and/or General Claims.
The ideal candidate will have a strong understanding of current business processes and the ability to identify, design, and implement effective improvements.

REQUIRED QUALIFICATIONS:

  • Experience with PIP Claims, Workers’ Compensation Claims, and/or General Claims.
  • Strong decision-making, time management, and organizational skills.
  • Excellent verbal and written communication abilities.
  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Visio).
  • Solid analytical and problem-solving capabilities.
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Familiarity with business analysis and process improvement methodologies.
  • Willingness to travel occasionally to NJM’s Hammonton and Parsippany offices (less than 10%).

PREFERRED QUALIFICATIONS:

  • Experience with systems such as ClaimCenter, OnBase, AgilePoint, Inspire, and DecisionPoint.
  • Familiarity with Agile methodologies.
  • Bachelor’s degree or equivalent professional experience.
    Compensation: Salary is commensurate with experience and credentials.
    Pay Range: $59,745-$75,361
    Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.
    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.
    Job Type: Full-time
    Pay: $59,000.00 - $75,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Paid time off
  • Prescription drug insurance
  • Tuition reimbursement
  • Vision insurance

Work Location: In perso

How To Apply:

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Responsibilities
  • Monitor and triage the BPU Support Tracker, document production issues and coordinate resolution with IT, Production Support, and external vendors.
  • Analyze existing processes and recommend improvements to enhance efficiency and effectiveness.
  • Collaborate with cross-functional teams to define business requirements for transformational projects, system enhancements, and defect resolutions.
  • Conduct root cause analysis to identify process or system deficiencies and propose solutions.
  • Maintain accurate and up-to-date process workflow documentation, i.e., Visio.
  • Support training initiatives by identifying needs and assisting in the development of training materials.
  • Provide regular updates to management and impacted departments on process changes and project progress.
  • Participate in enterprise and departmental projects, contributing to business analysis and testing efforts.
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