Claims Representative Visa Sponsorship Jobs in New Jersey
Claims representative visa sponsorship jobs in New Jersey are concentrated along the insurance and financial services corridor from Newark to Parsippany, with major employers including Prudential, Chubb, and Horizon Blue Cross Blue Shield. The state's dense concentration of insurers and third-party administrators makes it one of the more active markets for sponsored claims roles on the East Coast.
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Get Access To All JobsINTRODUCTION
This individual is responsible for the accurate detection and in-depth investigation of potentially fraudulent insurance activity, ranging from complex medical and staged accident claims to simpler application fraud issues. Investigative activities will include in-person interviews and recorded statements. Prepares and presents reports of impartial results to management for decision-making. Performs field work as needed and coordinates efforts with industry fraud units, claim personnel, counsel, law enforcement and regulatory agencies. May provide evidence and testimony in cases where law enforcement agencies pursue prosecution. May conduct fraud awareness training and/or investigative research. The individual will work remotely and will be provided a company issued computer, phone and vehicle. Applicants must live in New Jersey preferably in either Middlesex or Monmouth County.
Responsibilities
- Prioritize and handle multiple tasks simultaneously. Adjust to fluctuating workload.
- Good file analysis/decision making when reviewing file documentation.
- Maintain diary to meet requirements for status reports on all investigations.
- Successfully completes investigation addressing all referral issues.
- Will obtain nine hours of formal training per year.
- Will participate in conducting fraud awareness training to company associates.
- Network with law enforcement and other investigators within the SIU Industry.
- Adhere to privacy guidelines.
- Cover large geographic areas.
- Complete accurate monthly reports and submit to supervisor timely.
- On occasion, complete assignments in other parts of NY or NJ based on business need.
QUALIFICATIONS
Must meet the following qualifications:
- Bachelor's Degree
- Minimum of 7 years of insurance industry experience or five years of law enforcement experience involving investigation of insurance related crimes.
- Valid Driver's License
- Strong Computer Skills (Microsoft Excel, Word, Access and Outlook)
- Strong verbal and writing skills
- Working knowledge of Home and Auto Policies/Claims
- Understanding of Underwriting and Premium Fraud investigations.
- Knowledge of medical terminology and treatment plans
- Bi-lingual in Spanish would be preferred.
SALARY RANGE
The pay range for this position is $84,000 to $109,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS & BENEFITS
- 4 weeks accrued paid time off + 9 paid national holidays per year
- Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
- Annual 401(k) Employer Contribution
- Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
- Robust health and wellness program and fitness reimbursements
- Various Paid Family leave options including Paid Parental Leave
- Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
LI-DNI
INTRODUCTION
This individual is responsible for the accurate detection and in-depth investigation of potentially fraudulent insurance activity, ranging from complex medical and staged accident claims to simpler application fraud issues. Investigative activities will include in-person interviews and recorded statements. Prepares and presents reports of impartial results to management for decision-making. Performs field work as needed and coordinates efforts with industry fraud units, claim personnel, counsel, law enforcement and regulatory agencies. May provide evidence and testimony in cases where law enforcement agencies pursue prosecution. May conduct fraud awareness training and/or investigative research. The individual will work remotely and will be provided a company issued computer, phone and vehicle. Applicants must live in New Jersey preferably in either Middlesex or Monmouth County.
Responsibilities
- Prioritize and handle multiple tasks simultaneously. Adjust to fluctuating workload.
- Good file analysis/decision making when reviewing file documentation.
- Maintain diary to meet requirements for status reports on all investigations.
- Successfully completes investigation addressing all referral issues.
- Will obtain nine hours of formal training per year.
- Will participate in conducting fraud awareness training to company associates.
- Network with law enforcement and other investigators within the SIU Industry.
- Adhere to privacy guidelines.
- Cover large geographic areas.
- Complete accurate monthly reports and submit to supervisor timely.
- On occasion, complete assignments in other parts of NY or NJ based on business need.
QUALIFICATIONS
Must meet the following qualifications:
- Bachelor's Degree
- Minimum of 7 years of insurance industry experience or five years of law enforcement experience involving investigation of insurance related crimes.
- Valid Driver's License
- Strong Computer Skills (Microsoft Excel, Word, Access and Outlook)
- Strong verbal and writing skills
- Working knowledge of Home and Auto Policies/Claims
- Understanding of Underwriting and Premium Fraud investigations.
- Knowledge of medical terminology and treatment plans
- Bi-lingual in Spanish would be preferred.
SALARY RANGE
The pay range for this position is $84,000 to $109,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS & BENEFITS
- 4 weeks accrued paid time off + 9 paid national holidays per year
- Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
- Annual 401(k) Employer Contribution
- Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
- Robust health and wellness program and fitness reimbursements
- Various Paid Family leave options including Paid Parental Leave
- Tuition Reimbursement
ABOUT THE COMPANY
The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
LI-DNI
Claims Representative Job Roles in New Jersey
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Search Claims Representative Jobs in New JerseyClaims Representative Jobs in New Jersey: Frequently Asked Questions
Which companies sponsor visas for claims representatives in New Jersey?
New Jersey's insurance sector includes employers with documented visa sponsorship history for claims roles. Prudential Financial, Chubb, Horizon Blue Cross Blue Shield, and several third-party administrators based in Parsippany, Iselin, and Newark have filed Labor Condition Applications for claims-related positions. National carriers with regional operations in the state tend to sponsor more consistently than smaller independent adjusting firms.
Which visa types realistically fit claims representative roles in New Jersey?
Claims representative roles that require a bachelor's degree in a directly related field, such as business, finance, or insurance, may qualify as specialty occupations under H-1B visa. Canadian and Mexican nationals do not have a TN visa option for this role, as claims representative is not on the USMCA profession list. F-1 students may work through OPT. Employer-sponsored EB-2 or EB-3 green cards are also a pathway for longer-term candidates.
Which cities in New Jersey have the most claims representative sponsorship jobs?
Newark anchors the largest share of sponsored claims roles in New Jersey, given its concentration of insurance carriers and financial services firms. Parsippany-Troy Hills and Iselin are secondary hubs, with several national insurers and managed care organizations maintaining regional headquarters there. Mount Laurel in South Jersey also hosts healthcare payers and workers' compensation firms that periodically sponsor claims staff.
How to find claims representative visa sponsorship jobs in New Jersey?
Migrate Mate lists claims representative roles in New Jersey from employers with verified visa sponsorship history, so you can focus on companies that have actually filed for similar positions rather than applying broadly. Filtering by role and state on Migrate Mate surfaces active listings from insurers, managed care organizations, and third-party administrators across Newark, Parsippany, and other key New Jersey markets.
Are there state-specific factors that affect claims representative sponsorship in New Jersey?
New Jersey's large insurance regulatory environment and its proximity to major reinsurance and specialty insurance firms in New York create steady demand for experienced claims professionals. The state also has several university programs in risk management and business that feed local employer pipelines. Workers' compensation and healthcare claims roles tend to see more consistent sponsorship activity given the volume of payers operating in the state.
What is the prevailing wage for sponsored claims representative jobs in New Jersey?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.