- CVS Health (Trenton, NJ)
- …every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity ... use multiple systems and screens to obtain and record claim information - Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Travelers Insurance Company (Trenton, NJ)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- Axis (New York, NY)
- …hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing primary claims for AXIS US Primary Casualty ... area to determine coverage, liability, and settlement value. Evaluating coverage and claim exposure, determining appropriate actions, and pursuing claims until… more
- Axis (Princeton, NJ)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...Third-Party Administrators to ensure reserve adequacy. + Handling oversight claim files involving complex and severe loss as defined… more
- Axis (New York, NY)
- …AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America Claim Team. This role involves managing primary and excess ... claims for various AXIS policy forms. How does this...Management and Vendor Management teams. Maintaining accurate records of claim activities and updating systems with relevant information in… more
- Axis (Princeton, NJ)
- …Role?** + Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North America Claim team. + Managing a diverse range of ... insurance and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is… more
- Axis (Princeton, NJ)
- …About the Team AXIS is hiring a Claims Specialist , Health Care Claims , for its North America Claim Team. This role involves managing primary and excess ... healthcare liability claims for AXIS US policies. How does this role...you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and… more
- MetLife (Bridgewater, NJ)
- …made by team member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and ... calls, clear communication, accuracy of decisions and financial accuracy * Drives Claim Management Accuracy and Customer Centricity through support of the Pre-QA… more
- Zurich NA (Trenton, NJ)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim ... position does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage… more
- Travelers Insurance Company (New York, NY)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Travelers Insurance Company (New York, NY)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- SERV Behavioral Health System (Hamilton, NJ)
- …Receivable Specialist will be responsible for billing and submitting claims and handling escalated billing and collection issues. The Senior Accounts receivable ... specialist serves as a subject matter expert in complex...within the standard billing cycle timeframe. + Identifies corrected claims and process all claim appeals. +… more
- Sedgwick (Trenton, NJ)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- Terumo Medical Corporation (Somerset, NJ)
- …back up support for both the Sr. Benefit Administrator and the Sr. Benefits Specialist . + Performs other job duties as required. **Knowledge, Skills and ... Benefits Specialist Date: Nov 8, 2025... Benefits Specialist Date: Nov 8, 2025 Req ID: 4995...benefit plan. + Preparation and reconciliation of all benefit plan claims and coordinate the charge… more
- 32BJ Benefit Funds (New York, NY)
- …Range: 52763.36 To 54964.76 (USD) Annually Job Title: Member Services Representative ( Benefits Specialist ) Extended Hours * *Differential Pay Added for Working ... Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call...will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims , and Pension related issues.… more
- Bloomberg (New York, NY)
- Senior Benefits Specialist (Retirement, Leaves & Disability) Location New York Business Area Human Resources Ref # 10047321 **Description & Requirements** The ... We have an exciting opportunity for a dynamic Senior Benefits Specialist to join our Americas ...role, you will own the analysis and administration of benefit policies and programs, manage vendor relationships, handle case… more
- Sedgwick (Trenton, NJ)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research,...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- Guidehouse (New York, NY)
- …of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. ... include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific...Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more