- Centers Plan for Healthy Living (Staten Island, NY)
- …developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for ... further resolution of the callers issue while adhering to CPHLs policies. + Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends + Prepares correspondence, maintains phone and contact logs, and documents… more
- Sedgwick (Trenton, NJ)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Comp (CA experience preferred) **PRIMARY PURPOSE** ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Trenton, NJ)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses… more
- NJM Insurance (Trenton, NJ)
- …for the daily management and resolution of Workers' Compensation Subrogation Claims across the Regional States. Leveraging technical expertise, the Worker's ... including but not limited to document review and claim documentation; + Evaluate claims and identify subrogation potential; + Assist in onboarding and training of… more
- IQVIA (Trenton, NJ)
- **Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team. In this position, you… more
- Lincoln Financial (Trenton, NJ)
- …Role at a Glance** We are excited to bring on a Telephonic Initiation Representative to join our claimant excellence team supporting Group Protection in a remote ... to perform in this fast-paced environment. As a Telephonic Initiation Representative , you will be responsible for answering claimants calls regarding disability… more
- Zurich NA (Trenton, NJ)
- Claims Call Centre Representative 125071 Zurich is...in August 2025. If you are passionate about customer service and want to help people, we want to talk ... complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex...on to or involve others to provide an effective service and clear advice to colleagues and customers. +… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a required ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting all parties...both emotional and memorable. As a department driven by service and customer advocacy, we are committed to providing… more
- NJM Insurance (Trenton, NJ)
- …expertise (SME) in Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . The ideal candidate will have a strong understanding of current ... to business analysis and testing efforts. Required Qualifications: + Experience with PIP Claims , Workers' Compensation Claims , and/or General Claims . +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- NJM Insurance (Trenton, NJ)
- …with 3+ years of workers' compensation litigation experience to defend formal claims venued in central/southern New Jersey. Job Responsibilities: + Defend the ... case recommendations, updates, and analysis to clients and internal Workers' Compensation Claims staff + Build and maintain strong internal and external client… more
- NJM Insurance (Trenton, NJ)
- …Support Supervisors. + Ensure effective and efficient daily workflow of litigated claims through timely management and preparation of legal documents, scheduling of ... to a 401(k) with employer match up to 8% and additional service -based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative , Bilingual, assists members, physicians, hospitals, revenue agencies and other healthcare providers with ... member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives must be able to work in various shifts… more
- NJM Insurance (Trenton, NJ)
- Do you have a passion for customer service ? Are you looking for a company that offers you more? Come talk to NJM Insurance Group, a 5-time recipient of the Forbes ... been certified by JD Power for providing personal lines customers with an exceptional Auto Claims Experience - 7 years in a row! Our Contact Center team enjoy: +… more
- Cardinal Health (Trenton, NJ)
- …environment coupled with strong internal controls. + Possesses understanding of service level goals and objectives when providing customer support. + Demonstrates ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
- Fedcap (New York, NY)
- …data entry accuracy; assure correct provider, facility, place of service , medical service and coding are billed. + Submit claims to insurance companies on ... Position Summary The Medical Billing Representative I provides support and reports directly to...A/R aging to include appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims… more
- New York State Civil Service (New York, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Field Representative - NYC - 5 Boroughs and Long Island Occupational Category Other Professional ... NY Zip Code 10005 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
- CVS Health (Trenton, NJ)
- …Meritain Health an Aetna/CVS affiliate has multiple openings for Sr. Customer Service Representatives in our permanent work from home role $19.50/hr wage. This ... position handles customer service inquiries for our Fully Insured or High Profile...+ Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc +… more
- Elevance Health (New York, NY)
- **Position Title:** Customer Care Representative I **Location: Virtual:** This role enables associates to work virtually full-time, with the exception of required ... essential face-to-face onboarding and skill development. The Customer Care Representative is responsible for successfully completing the required basic training.… more
- Highmark Health (Trenton, NJ)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract,...visits and reviews to continually improve the care and service to members and provide recommendations to internal customer… more