Claims Administrator

Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Claims Administrator to their Cornell team in Edison, NJ.

Job Summary:

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.

Essential Functions:

• Review and determine policy coverage for incoming claims.
• Intake and document claims from email, fax, and other sources; update claim system accurately.
• Investigate and evaluate claims for denial, subrogation, or potential fraud.
• Prepare initial action plans and maintain required records, including workers’ compensation documentation.
• Complete four‑point contact with clients, adjusters, employees, and providers.
• Report claims to carriers and communicate updates to the VP of Risk Management.
• Manage correspondence, respond to inquiries, and document all file activity.
• Participate in client claims reviews as needed.
• Ensure claimants complete required forms and paperwork.
• Coordinate with claimants, providers, adjusters, and clients to move claims forward.
• Provide regular status reports and assist with loss control materials and training.

Competencies & Qualifications: 

• Strong computer skills; knowledge of insurance laws and medical/legal terminology.
• Excellent communication, organization, and attention to detail.
• Ability to manage confidential information and multiple priorities.
• Effective working with teams at all levels.

Education & Experience:

• Minimum 5 years of insurance industry experience; multi‑state/multi‑facility experience preferred.
• Experience with AMS360 a plus.
• Associate degree preferred or equivalent experience.
• Adjuster license and/or professional certifications (ARM, CPHRM) preferred.