FR
Claims Administrator
full-time•Edison•$55k - $75k
About this role
<p><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;"><a style="font-weight: bold;" href="https://foundationrp.com/">Foundation Risk Partners</a><strong>, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Claims Administrator </strong><strong>to their </strong><em style="font-weight: bold;"><a href="https://www.cornellins.com/">Cornell </a></em><strong>team in Edison, NJ. </strong></span></p>
<p><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;"><strong>Job Summary:</strong></span></p>
<p><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">The Claims Administrator supports the VP of Risk Management by processing incoming claims, coordinating communication with clients and carriers, and assisting throughout the claims management cycle.</span></p>
<p><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;"><strong>Essential Functions:</strong></span></p>
<ul>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Review and determine policy coverage for incoming claims.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Intake and document claims from email, fax, and other sources; update claim system accurately.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Investigate and evaluate claims for denial, subrogation, or potential fraud.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Prepare initial action plans and maintain required records, including workers’ compensation documentation.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Complete four‑point contact with clients, adjusters, employees, and providers.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Report claims to carriers and communicate updates to the VP of Risk Management.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Manage correspondence, respond to inquiries, and document all file activity.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Participate in client claims reviews as needed.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Ensure claimants complete required forms and paperwork.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Coordinate with claimants, providers, adjusters, and clients to move claims forward.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Provide regular status reports and assist with loss control materials and training.</span></li>
</ul>
<p><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;"><strong>Competencies & Qualifications: </strong></span></p>
<ul>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Strong computer skills; knowledge of insurance laws and medical/legal terminology.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Excellent communication, organization, and attention to detail.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Ability to manage confidential information and multiple priorities.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Effective working with teams at all levels.</span></li>
</ul>
<p><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;"><strong>Education & Experience:</strong></span></p>
<ul>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Minimum 5 years of insurance industry experience; multi‑state/multi‑facility experience preferred.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Experience with AMS360 a plus.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Associate degree preferred or equivalent experience.</span></li>
<li style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;">Adjuster license and/or professional certifications (ARM, CPHRM) preferred.</span></li>
</ul><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p><span class="ui-provider ey blo qt blp blq blr bls blt blu blv blw blx bly blz bma bmb bmc bmd bme bmf bmg bmh bmi bmj bmk bml bmm bmn bmo bmp bmq bmr bms bmt bmu">This range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees.</span></p></div><div class="title">Pay Transparency Range</div><div class="pay-range"><span>$55,000</span><span class="divider">—</span><span>$75,000 USD</span></div></div></div><div class="content-conclusion"><p style="margin-top: 0pt; margin-bottom: 8pt; font-family: 'Times New Roman'; font-size: 12.0pt;"><span style="font-weight: bold; color: rgb(0, 0, 0); font-family: arial, helvetica, sans-serif;">Disclaimer:</span></p>
<p style="margin-top: 0pt; margin-bottom: 8pt; font-family: 'Times New Roman'; font-size: 12.0pt; color: black;"><span style="color: rgb(0, 0, 0); font-family: arial, helvetica, sans-serif;">While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary.</span></p>
<p style="margin-top: 0pt; margin-bottom: 8pt; font-family: 'Times New Roman'; font-size: 12.0pt; color: black;"><span style="font-weight: bold; color: rgb(0, 0, 0); font-family: arial, helvetica, sans-serif;">Equal Employment Opportunity (EEO):</span></p>
<p style="margin-top: 0pt; margin-bottom: 8pt; font-family: 'Times New Roman'; font-size: 12.0pt; color: black;"><span style="color: rgb(0, 0, 0); font-family: arial, helvetica, sans-serif;">FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law.</span></p>
<p style="margin-top: 0pt; margin-bottom: 8pt; font-family: 'Times New Roman'; font-size: 12.0pt; color: black;"><span style="font-weight: bold; color: rgb(0, 0, 0); font-family: arial, helvetica, sans-serif;">Benefits: </span></p>
<p style="margin-top: 0pt; margin-bottom: 8pt; font-family: 'Times New Roman'; font-size: 12.0pt;"><span style="color: rgb(0, 0, 0); font-family: arial, helvetica, sans-serif;">FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!</span></p>
<p> </p></div>
What you'll do
- The Claims Administrator supports the VP of Risk Management by processing incoming claims and coordinating communication with clients and carriers. They assist throughout the claims management cycle, ensuring accurate documentation and effective communication.
About Foundation Risk Partners
Foundation Risk Partners is one of the fastest growing insurance brokerage and consulting firms in the United States. Through acquisition and organic growth, we continue to expand throughout all regions with a specific growth strategy that ensures a complementary mix of industry expertise, coverage, specialized services, location, values and cultural fit. The team at Foundation Risk Partners is driven to seek new levels of success for our partners, while providing superior results for our clients.
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Frequently Asked Questions
What does Foundation Risk Partners pay for a Claims Administrator?
Foundation Risk Partners offers a competitive compensation package for the Claims Administrator role. The salary range is USD 55k - 75k per year. Apply through Clera to learn more about the full compensation details.
What does a Claims Administrator do at Foundation Risk Partners?
As a Claims Administrator at Foundation Risk Partners, you will: the Claims Administrator supports the VP of Risk Management by processing incoming claims and coordinating communication with clients and carriers. They assist throughout the claims management cycle, ensuring accurate documentation and effective communication..
Is the Claims Administrator position at Foundation Risk Partners remote?
The Claims Administrator position at Foundation Risk Partners is based in Edison, New Jersey, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Claims Administrator position at Foundation Risk Partners?
You can apply for the Claims Administrator position at Foundation Risk Partnersdirectly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.