Overview
The Office of Finance & Treasury is seeking a Claims Coordinator in the department of Risk Management.
The Claims Coordinator is responsible for the coordination of all claims administrative functions for University Worker’s Compensation (WC), General Liability (GL) and Auto Liability (AL) claims matters, ensuring compliance with insurance company reporting requirements and the processing and maintenance of all financial transactions and claims records and reports. The Claims Coordinator manages certain aspects of the claims management program, including maintenance of loss runs and generation of trending reports. The Claims Coordinator coordinates with multiple departments across campus to assist in the handling of assigned claims.
Responsibilities
Responsible for Claims Coordination Activities
- Participates in the management of departmental reporting and oversight responsibilities related to assigned claims. Responsible for coordinating all WC claims handling activities between RM, Human Resources, Occupational Health Services, Environmental Health and Safety, the University’s third-party claims administrator (TPA) and outside defense counsel.
- Monitors WC TPA activities on a daily basis to ensure proper payment of medical payments, appropriate acceptance or denial of claims, proper reporting to excess carriers and receipt of excess carrier reimbursements and third-party subrogation.
- In conjunction with the Director, reviews all settlement requests submitted by defense counsel and the WC TPA and prepares formal requests for settlement for review and approval by the Director.
- Coordinates WC TPA claims reviews meetings with TPA, outside defense counsel and campus partners.
- Provides support to the Director in the management of assigned claims by conferring with claimants and/or department personnel, obtaining damage estimates, processing payments and reimbursements, notifying claimants of the status of submitted claims and preparing and obtaining releases. Provides assistance in securing and performing follow up activities on Department of Public Safety reports.
- Maintains complete and accurate files (paper and/or electronic) for all assigned claims.
Manage Financial Records Relating to Assigned Claims and Related Expenses
- Responsible for processing of all payments related to the University’s WC Self-Insurance Program and assigned claims including the maintenance of associated general ledger accounts, the proper tracking of payments by policy year and the regular reconciliation of all related accounts.
Conducts Claims Analysis and Reporting
- Tracks and prepares reports on type of claim and departmental metrics including maintaining all internal loss runs, trending reports and other reports as needed in the overall analysis of claims trends and experience.
- Utilizes artificial intelligence capabilities from internal and third-party sources to identify claim trends and emerging risk patterns that support effective claims management and loss prevention.
- Proactively researches and identifies new AI tools and alternatives to continuously improve claims analysis capabilities.
Responsible for State Filings and Renewals
- Responsible for processing all required filing fees and vendor payments associated with the WC Self-Insured Program and maintaining all required reports and files. In conjunction with the Director, assists in the completion of renewal documentation for the Excess WC and the All Other States WC coverages on an annual basis.
Qualifications
- Bachelor’s degree or equivalent work experience.
- 3 to 5 years of insurance claims handling experience.
- Intermediate level of Microsoft Office Suite, especially Excel, Teams, Word and PowerPoint.
- Strong attention to detail and excellent problem-solving skills.
- Advanced customer service and communication skills.
Preferred Qualifications:
- Work experience in a University or college setting.
- Familiarity with University Financial Systems (Prime, Jaegger), Peoplesoft and eHealth.
- Experience with the Origami Risk platform.
- Experience as the liaison with Third Party Administrators and intermediate knowledge of NJ Workers’ Compensation laws.
- Basic knowledge of standard insurance policies and terms.
The University also offers a comprehensive benefit program to eligible employees. Please see this link for more information.
Standard Weekly Hours
36.25
Eligible for Overtime
No
Benefits Eligible
Yes
Probationary Period
180 days
Essential Services Personnel (see policy for detail)
No
Physical Capacity Exam Required
No
Valid Driver’s License Required
No
Experience Level
Associate
Salary Range
$71,000 to $80,000