- Tutor Perini (New York, NY)
- …coverage. + Originates in-take of all EEO, harassment and workplace violence claims and forwards to Human Resources. + Ensures compliance with all environmental, ... a compressed timeframe. + Other duties or responsibilities as per your supervisor . **REQUIREMENTS:** + High School Diploma or equivalent required. Bachelor's degree… more
- NJM Insurance (Trenton, NJ)
- The Complex Claims Supervisor will utilize their knowledge of Workers' Compensation Claims to guide staff on complex and high severity claims ... success and promote effective communication with employees + Direct claims staff through technical aspects of complex ...Direct claims staff through technical aspects of complex and high severity medical (and CAT) claims… more
- Sedgwick (Trenton, NJ)
- …| Professional Liability | REMOTE **Job Description Summary** To analyze complex or technically difficult environmental claims ; to provide resolution ... of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Trenton, NJ)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. + Bachelor's degree from an accredited college ... claims in the teams including frequent diaries on complex or high exposure claims **ESSENTIAL RESPONSIBILITIES...change the duties of the position at any time. \# supervisor #teamlead #LI-REMOTE #LI-HYBRID #REMOTE Sedgwick is an Equal… more
- Sedgwick (Trenton, NJ)
- …for someone with your level of expertise. **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; ... negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult general liability claims by… more
- Sedgwick (Trenton, NJ)
- …Texas adjuster license is a plus. **PRIMARY** **PURPOSE** : To analyze complex or technically difficult multi-product line claims to determine benefits ... negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and… more
- Sedgwick (Trenton, NJ)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... claims in the teams including frequent diaries on complex or high exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Supervises multiple teams of… more
- Ryder System (Trenton, NJ)
- …resolution, and adherence to service standards.** **ESSENTIAL FUNCTIONS** Investigates and resolves complex and high exposure claims , as well as directs outside ... **EXPERIENCE** Seven (7) years or more experience in casualty claims , litigation and handling large complex cases...complex cases 0 to One (1) year experience supervisor experience preferred **SKILLS** . Strong commitment to the… more
- Travelers Insurance Company (Trenton, NJ)
- …Investigate, evaluate, reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best ... HANDLING: + Directly handle the Company's most severe and complex claims when Travelers has coverage of...make independent decisions up to $1,000,000 without involvement of supervisor . + Competencies: + Leading the Business - Drive… more
- System One (Lakewood, NJ)
- Job Title: Quality Assurance Supervisor Location: Lakewood, NJ Type: Contract To Hire Compensation: $25-$32/hr. (can be flexible based on experience) Contractor Work ... 8 am to 4:30 pm We are seeking a proactive and experienced Quality Assurance Supervisor to lead our QA program and ensure that all products, materials, and processes… more
- City of New York (New York, NY)
- …for one (1) Principal Administrative Associate III to function as an Operation Supervisor who will: - Directly and indirectly supervise ARU staff which consists of ... problems and provide guidance to administrative staff on exceptional complex cases. - Submit statistical data for special reports...Social Security Administration on any issues related to the claims or the use of the Government Service Online… more
- Travelers Insurance Company (New York, NY)
- …claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned cases ... investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling...without involvement of supervisor . + Openness to the ideas and expertise of… more
- Mount Sinai Health System (New York, NY)
- …and resolves simple to moderately complex issues; corrects errors and refers complex issues to supervisor . 4. Reviews correspondence and rejection data from ... **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… more
- Travelers Insurance Company (New York, NY)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- NJM Insurance (Trenton, NJ)
- …to the Workers' Compensation (WC) Training and Quality Assurance Management Supervisor , the WC Quality Assurance/Compliance Analyst is responsible for ensuring ... process improvements, data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans that detail… more
- Allied Universal (Edison, NJ)
- …of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient understanding and application of ... **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and… more
- Cardinal Health (Trenton, NJ)
- …on standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **Anticipated ... Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances… more
- New York State Civil Service (New York, NY)
- …Manager in all aspects of a construction project or projects and/or highly complex projects (projects having a high degree of variables including budget, schedule, ... Project Manager related to change order proposals.* Assist in the evaluation of claims and make recommendations to Project Manager.* Develop and maintain records for… more
- Molina Healthcare (Manhattan, NY)
- …Molina Health plan and the Plan's highest priority, high volume and strategic complex Provider Community that services Molina members, including but not limited to ... driving timely issue resolution, EMR connectivity, Provider Portal Adoption. * Resolves complex provider issues that may cross departmental lines and involve Senior… more
- The Falcon Group (Warren, NJ)
- …allows us to deliver comprehensive, cost-conscious solutions to our clients' most complex challenges. With a growing presence in key markets and multiple regional ... (in deposition and trial) specifically for community association transitions, construction, claims and ensuring the successful delivery of projects within scope,… more
