Claims Representative - Hybrid/Remote
ExecutivePlacements.com · Union, NJ · 3 wk ago
Full-time
About the role
We are seeking a detail-oriented and customer-focused Claims Representative with experience in captive insurance programs.
Responsibilities
- Review, investigate, and manage claims within captive insurance programs from intake through closure
- Coordinate with TPAs, adjusters, brokers, legal counsel, and insureds to ensure timely and accurate claim handling
- Monitor claim reserves, settlement activity, and claim trends to ensure financial accuracy and program performance
- Analyze loss data and identify patterns, emerging risks, and opportunities for loss mitigation
- Assist captive members with claim-related questions, documentation, and reporting requirements
- Ensure compliance with applicable state regulations, captive program guidelines, and internal policies
- Prepare claims reports, summaries, and presentations for management, captive boards, and client meetings
Qualifications
- 3+ years of claims handling or claims administration experience, preferably within captive insurance, risk management, or self-insured programs
- Knowledge of workers’ compensation, liability, property, and/or commercial claims
- Understanding of captive insurance structures and alternative risk financing programs preferred
- Experience working with TPAs and insurance carriers
Preferred Qualifications
- Claims-related licenses or certifications preferred
- Experience with loss runs, reserve analysis, and claims trend reporting
- Familiarity with regulatory compliance and captive insurance operations
- Experience in healthcare, transportation, construction, manufacturing, or other captive-heavy industries is a plus
Benefits
- Competitive salary based on experience
- Health, dental, and vision insurance
- 401(k) with company match
- Paid time off and holidays
- Hybrid or remote flexibility depending on location and business needs