- TheraCorp Behavioral Health - Jamesburg & Fairfield (Monroe Township, NJ)
- …In this role, you will be responsible for managing and processing medical claims , ensuring accurate billing, and providing support from our billing department. We ... changing lives-one session at a time. IN PERSON / NO CONTRACTORS Responsibilities * Claims Processing: Accurately process insurance claims using our EHR system,… more
- Diverse Lynx (Edison, NJ)
- Role- Human Resources - Benefits Specialist Location - Edison, NJ Duration - Fulltime Job Description The Benefits Specialist will have significant ... relevant laws and regulations, and providing support to employees throughout the claims process. *udits and Reporting: Conduct regular audits of benefits programs… more
- Argo Group (New York, NY)
- …drive profitability. A Brief Overview We are looking for a highly capable Senior Complex Claims Technical Specialist to join our team and work in our Chicago, ... fast-paced environment. Excellent evaluation and strategic skills required. Strong claim negotiation skills a must. Knows how claims... claim negotiation skills a must. Knows how claims reserving techniques are used and how to assess… more
- Marsh & McLennan Companies, Inc. (New York, NY)
- …with other departments to provide client data for modeling, research claim or premium issues, and facilitate contract negotiation. Manage contract documents ... of Marsh McLennan (NYSE: MMC), is a leading global risk advisory and reinsurance specialist and broker. Marsh McLennan is a global leader in risk, strategy and… more
- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE ... to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims...in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this… more
- City of New York (New York, NY)
- …New York employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent… 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 ... of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to Field Product Line… more
- Axis (New York, NY)
- …AXIS is seeking a Senior Claims Specialist - Cyber, Media and Crime Claims to join our North America Claim Team. The candidate should possess the ability ... to handle primary & excess claims arising from policies issued to AXIS Global Markets...determine nature of loss, coverage provided, and scope of claim and to guide strategic direction regarding settlement/disposition of… more
- Axis (New York, NY)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America ... Claims . The candidate should possess the ability to handle...determine nature of loss, coverage provided, and scope of claim and to guide strategic direction regarding settlement/disposition of… more
- CVS Health (Trenton, NJ)
- …handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** + Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. + Acts as a subject… more
- City of New York (New York, NY)
- …York City Comptroller's Office. BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position, with ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....data entry, indexing, reserving conference rooms, and managing calendars. CLAIM SPECIALIST - 30726 Qualifications 1. A… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....BLA is seeking qualified candidates for the position of Claim Specialist in the Litigation Support Unit.… more
- CVS Health (Trenton, NJ)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider payment ... and procedures. + Previous experience handling claim disputes. + Claim knowledge including professional, facility and ancillary claims . + Excellent… more
- NJM Insurance (Trenton, NJ)
- …evaluate the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all ... NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is...guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride… more
- MetLife (Bridgewater, NJ)
- …office for meetings Key Responsibilities: . Independently assess, analyze and render appropriate claim decisions on STD, PML and state claims . Clarify ... . Adhere to federal and state law to maintain appropriate and timely claim outcomes. . Communicate clearly and concisely to influence return to work, discuss… more
- Axis (New York, NY)
- …selection process. 'Key Duties and Responsibilities: * Excels in best practices claim environment, thoroughly documenting the claim process * Conducts ... and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the… more
- Sedgwick (Trenton, NJ)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… 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
- Sedgwick (Trenton, NJ)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
