claims examiner

Sunrise Systems, Inc.

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 Job Title: Claims Examiner - 3
 
 
 
 
 Location: Jersey City, NJ 07302
 
 
 
 
 Duration: 6 Weeks with potential to extend
 
 
 
 
 Position Type: Hourly contract Position (W2 only)
 
 
 
 
 
 
 &bull; Hybrid work model: 4 days in-office, 1 day remote.
 
 
 &bull; Standard hours: 9:00 AM &ndash; 5:00 PM, with a 30-minute lunch break.
 
 
 
 
 
 
 Position Summary
 
 
 
 The Claims Examiner is responsible for managing a portfolio of complex casualty claims, including those involving intricate coverage issues and Long Tail Exposure (LTE) claims that span multiple policy periods or involve class action litigation. This role requires expertise in handling claims such as concussion/head injury, abuse and molestation, chemical/toxic/environmental exposures, and claims potentially triggering Personal and Advertising Injury coverage under Commercial General Liability, Umbrella, and Excess policies.
 
 
 The position demands a high level of technical competence, litigation management skills, and the ability to navigate sensitive and high-exposure claims while maintaining professionalism and compliance with company standards.
 
 
 
 
 
 
 Key Responsibilities
 
 
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 Claims Management:
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 Investigate, evaluate, and resolve complex casualty claims with potential long-term exposure.
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 Draft and issue coverage position letters and maintain accurate documentation in claim files.
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 Respond promptly and professionally to inquiries from policyholders, brokers, and internal business partners.
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 Litigation Oversight:
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 Manage coverage litigation and arbitration related to assigned claims.
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 Direct and oversee outside counsel in coverage disputes, ensuring alignment with company strategy.
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 Develop litigation and resolution strategies, manage discovery requests, and participate in depositions, mediations, and trials as necessary.
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 Collaboration &amp; Communication:
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 Work closely with internal stakeholders to provide updates and recommendations on claim status and litigation progress.
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 Maintain strong relationships with clients and business partners, delivering exceptional customer service.
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 Required Skills &amp; Competencies
 
 
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 Strong organizational skills with the ability to manage multiple complex claims simultaneously.
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 Excellent written and verbal communication skills, including drafting legal and coverage-related documents.
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 Effective negotiation and interpersonal skills for managing sensitive claims and litigation.
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 Ability to work independently in a complex operating environment, demonstrating sound judgment and issue-spotting capabilities.
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 Comfort and willingness to handle claims involving abuse, sexual molestation, and other sensitive exposures.
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 Education &amp; Experience
 
 
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 Minimum 5 years of experience as a licensed claims professional with specialized expertise in:
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 Litigation management
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 Complex coverage issues
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 High-exposure and/or long-term exposure claims
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 Coverage litigation
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 Law degree preferred, but not required.
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 </ul>
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Claims Examiner

RéVive Skincare

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 Position Overview:
 
 
 
 
 
 
 R&eacute;Vive Skincare, a leading luxury American skincare brand rooted in groundbreaking biotechnology. We are seeking an experienced Formulation Chemist to support the R&amp;D director to establish and lead our first US-based R&amp;D Center in New Jersey.
 
 
 
 
 
 
 Key Responsibilities:
 
 
 
 
 
 
 &bull; Innovative Formula Development Design, develop, and test new skin care formulas to drive the innovation pipeline and meet business objectives.
 
 
 &bull; Formula Improvement &amp; Optimization Enhance and update existing formulas in response to market trends, customer feedback, and input from sales, marketing, and management teams.
 
 
 &bull; Documentation &amp; Data Management Create and maintain comprehensive formula sheets and technical data sheets for all developed and updated formulas.
 
 
 &bull; Efficacy Studies，Stability &amp; Safety Testing Plan, coordinate, and execute efficacy studies to validate product performance and claims. Conduct stability tests on new and existing formulas, ingredients, and vendor-supplied materials to verify shelf life and ensure product quality. Manage safety studies including HRIPT, Micro PET, texture evaluation, foam testing, spray pattern assessment.
 
 
 &bull; Regulatory Compliance Collaborate with the Regulatory team to ensure all formulas comply with global regulations and standards.
 
 
 &bull; Cross-Functional Collaboration Work closely with Sales, Marketing, Technical Support, Business Development, and other departments, serving as a key partner in cross-functional projects. Provide technical and laboratory support to internal teams and customers.
 
 
 &bull; Competitive Analysis &amp; Ingredient Evaluation Analyze and evaluate competitive products, and generate formulas for ingredient testing and benchmarking.
 
 
 &bull; Quality Assurance &amp; Problem Solving Design and conduct experiments to address and resolve product quality complaints.
 
 
 &bull; Scale-Up and Technology Transfer: Conduct pilot batches to establish and optimize the mass production process, and seamlessly transfer production protocols to the manufacturer.
 
 
 
 
 
 
 Qualifications:
 
 
 
 
 
 
 &bull; 5+ years of previous skincare formulation experience
 
 
 &bull; Bachelor's degree in Chemistry, Biochemistry, Chemical Engineering or related field
 
 
 &bull; Extensive knowledge of formulation science
 
 
 &bull; Strong time and project management skills &bull; Knowledge of rules and regulations (FDA, NMPA, PCPC，EU) for formulation
 
 
 &bull; Knowledge of and ability to assist in scale-up and manufacturing process
 
 
 &bull; Strong problem-solving skills
 
 
 &bull; Strong communication skills, both written and verbal
 
 
 &bull; Strong computer skills
 
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Formulation Chemist

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2 claims examiner jobs IN Jersey City United States

Claims Examiner

Formulation Chemist