- 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 (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
- BrightView (Blue Bell, PA)
- …team where you can grow to be your brightest. We're looking for a Senior Claims Specialist . Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in ... At This Time **Here's what you'd do:** The Senior Claims Specialist is a key member of...and coordination with excess insurers on significant or catastrophic claims . + Analyze claim trends and loss… 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
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... and third party commercial auto insurance claims . A typical day will include the following: Thoroughly...sexual orientation and/or any other status protected by law. Benefits : We offer a comprehensive benefit package,… 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
- Zurich NA (Trenton, NJ)
- Claims Recovery Specialist - Property 128614 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... your next career move. Designed with our employees' needs in mind, the ZNA Claims Remote work model emphasizes flexibility, allowing claims employees to conduct… 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
- Penn Medicine (Philadelphia, PA)
- …reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. **Responsibilities:** + Responsible for ... Are you living your life's work? **Job Title:** Accounts Resolution Specialist I **Department:** RAD-O-BRO Data Acct Receivable **Location:** Fully Remote **Hours:**… 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
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + Works hospital claims to assure timely billing and appropriate reimbursement from Non-Governmental Insurance Companies. Primary Position ... tools, software and reports provided. + Perform all activities for billing, claim adjustment, account follow-up processes. + Complete payment review, working Compass… more
- Sedgwick (Philadelphia, PA)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist - Remote **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary Billing Specialist will work at the HMC Business Office and will be assigned to report to a Supervisor within the Business Office. The position is ... process training. Will assist patients with regards to insurance and benefit information. Will demonstrate and provide excellent customer service, ensuring patient… more
- Deloitte (Philadelphia, PA)
- …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... their role on a project, and they are eligible for a benefits package that is competitive for project delivery-focused professionals Work you'll do/Responsibilities… more
- Prime Therapeutics (Trenton, NJ)
- …the future of pharmacy with us. **Job Posting Title** Provider Relations Specialist Associate - Remote **Job Description** The Associate Provider Relations ... Specialist is responsible for conducting outreach to pharmacies participating...position is responsible for managing extension requests for the claims processing time frame and triaging inquires received in… more
- Otsuka America Pharmaceutical Inc. (Camden, NJ)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... everyday health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools,… more
- Penn Medicine (Bala Cynwyd, PA)
- …and timely claim submission. . Review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures preformed . In ... Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, Director of Quality… more