- 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 (New York, NY)
- …| 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)
- …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
- Raphael and Associates (Rutherford, NJ)
- …are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on the initial setup of ... , ensuring all information is accurately entered into the claims management system. You will play a key role...+ Assign the claim to the appropriate adjuster and supervisor . + Set adjuster diaries with new claim notifications… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …it the easy part.Getting prescriptions to patients has become increasingly complex . When things get messy along the prescription journey, pharmaceutical ... parts. Under the direction of the department leader, the Supervisor , Patient Support is responsible for ensuring that their...This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly… 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 (Morristown, NJ)
- …Extensive claim and/or legal experience and technical expertise to evaluate severe and + complex claims preferred. + Able to make independent decisions on most ... resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...assigned cases without involvement of supervisor + preferred. + Thorough understanding of business line… 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
- Travelers Insurance Company (Morristown, NJ)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most ... Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...assigned cases without involvement of supervisor preferred. + Thorough understanding of business line products,… 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
- Sedgwick (Trenton, NJ)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. +… more
- Sedgwick (New York, NY)
- …to the Content Director for ad hoc needs as assigned by direct supervisor . + Establishes KPIs and measurement frameworks in partnership with Growth Marketing ... & Knowledge** + Experience in content strategy, preferably within B2B or complex service environments; social media experience is a plus. + Demonstrated success… 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
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …(https://www.youtube.com/watch?v=Ku08Ems3keE) Getting prescriptions to patients has become increasingly complex . When things get messy along the prescription ... The Patient Support Specialist, under the direction of the Supervisor , is responsible for providing patient health care services...will Do: + Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians,… more
