Insurance

• Work with internal team to support external clients
• Perform ad hoc analyses as needed
• Provide expertise to clients to benefit business process

Actuarial Analyst – Life Insurance and Annuity Markets

• Conduct virtual and onsite inspections of high-value homes and small businesses for personal and commercial lines insurance companies
• Analyze replacement cost value and assess property risk
• Demonstrate professionalism and expertise to agents, policyholders, business assistants, and other stakeholders
• Complete the requisite number of surveys each month to achieve personal revenue production goals
• Complete special projects assigned by the manager
• Conduct property surveys on high-value homes, documenting construction materials, workmanship, and special structural features
• Determine home square footage through detailed measurements or building plans
• Generate replacement-cost estimates using industry calculators, EXL resources, and onsite findings
• Observe and assess physical, liability, wildfire, hurricane, and other natural hazards
• Document hazards and recommend risk improvements for underwriting
• Complete detailed survey reports with narrative assessments
• Conduct underwriting surveys and loss-control assessments on commercial businesses
• Evaluate Property, General Liability, Workers Compensation, and Auto/Fleet risks
• Discuss safety culture, loss history, risk-management controls, and safety-program maturity with business owners

Field Insurance Inspector

• Manage the insurance claims process and follow up on outstanding accounts receivable
• Identify and resolve claim denials
• Appeal underpaid or rejected claims
• Communicate with insurance companies and patients to facilitate timely reimbursement
• Utilize insurance billing procedures, coding, and reimbursement regulations to optimize revenue cycle management and minimize revenue loss
• Use electronic medical records (EMR)
• Post charges for services in a timely manner
• Submit clean claims electronically to carriers
• Review and maintain clearinghouse reports
• Verify eligibility and benefit coverage
• Investigate and review insurance denials and update accounts
• Prepare and submit secondary claims as needed
• Resolve questions related to deductibles, co-insurance, and co-pays
• Prepare and submit appeal letters to insurance carriers
• Recommend coding changes as required
• Perform soft collections as needed
• Scrub Aged Trial Balance Reports for insurance discoveries
• Train required team members as needed
• Review denial reports, update accounts, and resolve denials
• Generate bad debt submission reports and PFC Medicaid eligible reports
• Assist with internal auditing initiatives
• Perform other duties assigned by the management team

Insurance A/R Follow-Up Specialist

• Provide insurance, claims and data management support for the Virtua System
• Serve as a liaison between internal departments, insurance brokers, and carriers
• Obtain and provide insurance certificates; review contracts and insurance coverage requirements
• Maintain bond, automobile and property insurance databases
• Coordinate vehicle and property additions, modifications, and removals on insurance policies
• Gather, verify, and maintain property exposure information for underwriting and renewals
• Obtain and maintain required fleet and MICU vehicle documentation with Purchasing
• Maintain physician and allied healthcare provider insurance database
• Coordinate professional liability coverage and certificates for clinical providers with Medical Affairs
• Process claims history requests for physicians and clinical providers
• Maintain insurance budget spreadsheets and track expenditures
• Organize insurance policies electronically and process related invoices
• Manage automobile and patient lost/damaged item claims as liaison between carriers and internal stakeholders
• Collect and submit claim documentation
• Track distribution of claim reimbursements and settlement checks
• Perform mail sorting, scheduling, and other assigned administrative duties

Claims and Insurance Coordinator – In-House Legal

• Conduct detailed risk assessments and control reviews for existing processes, new products, and initiatives
• Identify, assess, and document key operational risks and controls
• Review and analyze errors, incidents, and other risk events
• Perform root cause analysis and recommend or assist with implementing corrective measures
• Report to Senior Management on key operational risks, significant risk events, outstanding issues, and other topics
• Assist in collecting and reporting key risk indicators, top risks, and other risk-related metrics
• Promote Prudential’s Operational Risk Management framework, policies, and procedures across PGIM Credit businesses
• Monitor, analyze, and communicate emerging risks and external events
• Collaborate with Fixed Income and Private Credit Portfolio Managers and support functions to reinforce operational risk ownership and accountability
• Act as an Internal Audit liaison, including planning and coordinating internal audits and monitoring audit action plans
• Support Sarbanes-Oxley and SOC1 annual reviews, including scope determination and audit/issues management
• Collaborate with Compliance, Legal, and Internal Audit on risk and control matters
• Assist with management, policy requirements, and ongoing monitoring of Models, Artificial Intelligence, and End User Computing Solutions
• Support business transformation activities across PGIM Credit while assessing and mitigating risks associated with business and technology changes

Manager, Business Group Risk Management

• Conduct detailed risk assessments and control reviews for existing processes, new products, and initiatives
• Identify, assess, and document key operational risks and controls
• Review and analyze errors, incidents, and other risk events
• Perform root cause analysis and recommend corrective measures, including assisting with implementation
• Report to senior management on key operational risks, significant risk events, outstanding issues, and other topics
• Assist with collection and reporting of key risk indicators, top risks, and other risk-related metrics
• Promote Prudential’s Operational Risk Management framework across PGIM Credit businesses
• Monitor, analyze, and communicate emerging risks and external events
• Collaborate with Fixed Income and Private Credit Portfolio Managers and business support functions
• Serve as Internal Audit liaison, including audit planning and coordination
• Assist with development, monitoring, and closure of audit-related action plans
• Support Sarbanes-Oxley and SOC1 annual reviews, including scope determination and audit/issues management
• Collaborate with Compliance, Legal, and Internal Audit on risk and control matters
• Assist with management, policy requirements, and monitoring of Models, Artificial Intelligence, and End User Computing Solutions
• Support PGIM Credit business transformation while assessing and mitigating risks from business and technology changes

• Coach individual Insurance Sales Agents to apply ACA’s consultative sales program and standardized sales processes in daily sales interactions
• Provide structured coaching to new agents with less than 12 months of experience, emphasizing brand-first strategy, lead prioritization, bundling at point-of-sale, and cross-sell strategies with life insurance and other ancillary businesses
• Guide less tenured agents toward top performance through focused coaching on income maximization, process adherence, and bundling strategies
• Execute structured coaching plans, including weekly one-on-one coaching sessions for new agents and monthly one-on-one sessions for striving agents
• Facilitate biweekly new agent workshops extending the initial New Hire Training program
• Lead best-practice sharing through cohort meetings, focusing on analytics, economic-based coaching, and insurance advisory selling skills
• Maintain accountability through Sales Coach-specific reporting using metrics including bundled sales, branded sales, and quote volume
• Collaborate with the training team to reinforce consultative sales skills and process adherence
• Perform other duties as assigned

Insurance jobs in New Jersey

Actuarial Analyst – Life Insurance and Annuity Markets

Field Insurance Inspector

Insurance A/R Follow-Up Specialist

Claims and Insurance Coordinator – In-House Legal

Manager, Business Group Risk Management

Manager, Business Group Risk Management

Insurance Sales Process Specialist