- 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, ... Assists Project Management with monitoring of the job specific safety plan. + Review accident procedure with Field Management. + Prepares and reviews the minutes of… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines 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 ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Trenton, NJ)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | 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… more
- Carrington (Cherry Hill, NJ)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Ryder System (Trenton, NJ)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- City of New York (New York, NY)
- …Conduct unit/section meetings and/or trainings as needed. - Assign, evaluate, review and approve claims /establishment/recovery actions for accuracy referred to ... cases. It was enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims for the… more
- City of New York (New York, NY)
- …DSS complies with all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the office of Revenue. ... of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also assess the income and resources...Associate Fraud Investigator II to function as a Group Supervisor , who will: - Oversee two investigative units engaged… 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 ... Associates, Eligibility Specialist, and Principal Administrative Associates involved in claim review and processing. - Assign, evaluate and review completed… 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
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality… 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 ... as audit program development and file selection, assuring the review process is proper and timely. + Conduct WC...data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans… more
- Shuvel Digital (Lawrenceville, NJ)
- …to make corrections and ensures accuracy for the days work. + Researches all utilization review claims for accuracy prior to billing on a timely basis. + ... GED. Experience: ESSENTIAL FUNCTIONS + Ensures responsibility to download claims from HBOC and upload claims to...+ Reports any trends and anomalies to Patient Accounts Supervisor and Patient Accounts + Manager in a timely… more
- New York State Civil Service (New York, NY)
- …managers/contractors and/or management of material testing and inspection consultants, review of daily field reporting, and coordination with internal quality ... participate in mechanical, electrical, and structural quality assurance field inspections.* Review bid advertisements, prepare bid summaries, review bidder… more
- NJM Insurance (Trenton, NJ)
- …tools. + Collect and report audit findings. + Consolidate data into report for supervisor review . + Identify trends or patterns. + Perform pre- and post-payment ... Reporting to the QC Supervisor , the Quality Control & Compliance Associate is...compliance checklist reviews for both PIP and Workers' Compensation Claims . Essential Duties and Responsibilities: + Assist the QC… more
- Cardinal Health (Trenton, NJ)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …+ Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims ... denying. + Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities. + Complete… more
- MTA (New York, NY)
- …Control SALARY RANGE: $133,519 - $166,899 HAY POINTS: 994 DEPT/DIV: Finance SUPERVISOR : Deputy Chief, Risk and Insurance Management LOCATION: 2 Broadway, New York, ... and counseling. Responsible for discipline/termination of employees when necessary. Review performance of staff. Create a professional environment that respects… more
- Walgreens (Edison, NJ)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Legacy Treatment Services (Marlton, NJ)
- …Must be able to understand and read the Explanation of Benefits (EOB). Review all open charges for non-payment, short payment ineligibility, inaccurate diagnoses, no ... of services. Responsible for appealing all of the unpaid and denied claims received. Complete all corrections in CareLogic and document process. Communicate… more
