Position Details

Position Information

Recruitment/Posting Title	Claims Coordinator
Job Category	Staff & Executive - Finance/Accounting/Purchasing
Department	Risk Management & Insurance
Overview	Rutgers, The State University of New Jersey, is a leading national research university and the State of New Jersey’s preeminent, comprehensive public institution of higher education. As one of the largest employers in the State of New Jersey, Rutgers University is committed not only to the students and the State that we serve, but also to the faculty and staff who work on our campuses. Ranked in 2022 by Forbes as a top 100 best large employer in America, Rutgers’ commitment to its employees includes maintaining and fostering a safe, diverse, and respectful workplace environment, creating employment opportunities for our nation’s military veterans, and ensuring accessibility and accommodation for individuals with disabilities. University Finance and Administration (UFA) advances Rutgers’ strategic priorities through the management of all central financial, administrative, and student information systems and processes. We supply the university’s financial community the professional guidance, services, tools, and information needed to make the informed decisions that contribute to Rutgers’ standing as an academic, health, and research powerhouse. We are deeply committed to our guiding principles and the core values that are critical for the long-term strategic growth of our division and the university. For more information, please visit https://finance.rutgers.edu/ . The Department of Risk Management & Insurance manages the complex array of university-wide risk and insurance related matters, including assessing the risks and exposures undertaken by students, researchers, faculty and staff; procuring and maintaining commercial insurance products and services; managing self-insurance programs; managing international travel risks and acting as a university-wide resource for risk management and insurance information.
Posting Summary	Rutgers, The State University of New Jersey, is seeking a Claims Coordinator with hands-on workers’ compensation and general liability claims experience, capable of timely handling of matters from incident through resolution, directly or with the assistance of Rutgers’ Third-Party Administrator as needed. Reports to the Assistant Director of Risk Management – Contracts and Claims, and works in close collaboration with Rutgers Occupational Health, Human Resources, Student Health Insurance and Environmental Health and Safety. Among the key duties of this position are the following: Responsible for workers compensation investigation and litigation support, in coordination with Rutgers’ Third-Party Administrator and Rutgers’ Occupational Health Department. Will assist with investigations to determine compensability, assist with the supervision of TPA claims resolution and reporting. Will resolve billing/collection disputes with providers and coordination with other programs. Requires knowledge of SIU and other fraud prevention techniques, Medicare reporting, Medicare set-asides, Medicaid, Secondary Injury, excess, lien negotiations, recovery and subrogation actions, excess, Secondary Injury and knowledge of New Jersey workers’ compensation laws and medical terminology. Responsible for gathering, unifying, and reporting information for workers’ compensation matters, including absences due to injury, OSHA and other statutory reporting. Responsible for assisting general liability and auto claims handling, either directly for nominal claims, or in conjunction with Rutgers’ Third-Party Administrator and the Assistant Director – Contracts and Claims, for more complex claims. Real time reviews of accident alerts and police reports relating to employees, students, the public, or other stakeholders in a timely manner to activate the proper claims response. Responsible for assisting various stakeholders with the implementation of claims reduction strategies for workers’ compensation, auto and general liabilities.
Position Status	Full Time
Hours Per Week
Daily Work Shift
Work Arrangement	Consistent with the current application of Rutgers Policy 60.3.22, this position may be eligible for a hybrid work arrangement. The flexible work arrangements outlined in Rutgers Policy 60.3.22 are part of a pilot program that is effective September 1, 2022 through August 31, 2024. Therefore, there is no guarantee that this flexible work arrangement will continue beyond that date. Flexible work arrangements are not permanent, are subject to change or cancellation and contingent on the employee receiving approval in the FlexWork@RU Application System. Additional information may be found at https://futureofwork.rutgers.edu .
FLSA	Exempt
Grade	05
Position Salary
Annual Minimum Salary	66697.000
Annual Mid Range Salary	84422.000
Annual Maximum Salary	102147.000
Standard Hours	37.50
Union Description	Admin Assembly (MPSC)
Payroll Designation	PeopleSoft
Benefits	Rutgers offers a comprehensive benefit program to eligible employees. For details, please go to http://uhr.rutgers.edu/benefits/benefits-overview . Rutgers also offers a benefit program to eligible full-time postdoctoral fellow students. For details, please go to https://finance.rutgers.edu/healthcare-risk/insurance/postdoctoral-health-insurance.
Seniority Unit
Terms of Appointment	Staff - 12 month
Position Pension Eligibility	ABP

Qualifications

Minimum Education and Experience	Bachelor’s degree or an equivalent combination of education and/or experience. A minimum of two years of relevant professional experience.
Certifications/Licenses
Required Knowledge, Skills, and Abilities	Evidence of a strong work ethic with the capacity to complete tasks from start to finish without intensive supervision and as necessary in an office or hybrid environment. Knowledge and interpersonal skills to work effectively with faculty and staff, students, parents, the public and government agencies. Ability to work cooperatively with diverse populations in a respectful and equitable manner. Ability to manage constantly changing environments, with competing time constraints and goals. Must show proof of continuing education in relevant insurance training or an insurance designation. Must show proficiency in medical terminology and common injuries. Current valid Driver’s license in case investigations or assistance is required. Proficiency with computer software, hardware, data management, and social media.
Preferred Qualifications	3-5 years of experience preferred. Previous experience working with an entity subject to the Tort Claims Act or similar statutes. Previous experience working with New Jersey’s Workers Compensation and related statutes. Previous experience with a major insurance carrier or TPA, or similar position with an active claims handling caseload.
Equipment Utilized	Must be proficient in Microsoft, claims handling software and able to independently solve software, hardware, printer, scanner, internet problems.
Physical Demands and Work Environment
Special Conditions	Travel may be required on short notice to assist in an investigation or an emergency.

Posting Details

Posting Number	23ST2679
Posting Open Date	09/29/2023
Special Instructions to Applicants
Regional Campus	Rutgers University-New Brunswick
Home Location Campus	Off Campus
City	Piscataway
State	NJ
Location Details

Pre-employment Screenings

All offers of employment are contingent upon successful completion of all pre-employment screenings.

Immunization Requirements

Under Policy 60.1.35 Immunization Policy for Rutgers Employees and Prospective Employees , Rutgers University requires all prospective employees to provide proof that they are vaccinated against COVID-19 prior to commencement of employment, unless the University has granted the individual a medical or religious exemption. Rutgers University may require certain prospective employees to receive an updated (bivalent) vaccine dose. Under Policy 100.3.1 Immunization Policy for Covered Individuals , if employment will commence during Flu Season, Rutgers University may require certain prospective employees to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless the University has granted the individual a medical or religious exemption. Additional infection control and safety policies may apply. Prospective employees should speak with their hiring manager to determine which policies apply to the role or position for which they are applying. Failure to provide proof of vaccination for any required vaccines or obtain a medical or religious exemption from the University will result in rescission of a candidate’s offer of employment or disciplinary action up to and including termination.

Affirmative Action/Equal Employment Opportunity Statement

It is university policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, affectional or sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As an institution, we value diversity of background and opinion, and prohibit discrimination or harassment on the basis of any legally protected class in the areas of hiring, recruitment, promotion, transfer, demotion, training, compensation, pay, fringe benefits, layoff, termination or any other terms and conditions of employment. For additional information please see the Non-Discrimination Statement at the following web address: http://uhr.rutgers.edu/non-discrimination-statement