- Axis (Princeton, NJ)
- …is available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior ... Claims Specialist to join our North America Claims team reporting to the Manager of Casualty Claims . This position requires senior claims … more
- CVS Health (Trenton, NJ)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( ... ), FI ( _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized ...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- NJ Transit (Newark, NJ)
- Senior Claims Documentation Specialist Risk Management & Claims Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the ... of the organization and functions of the Risk Management/ Claims Department. At NJ Transit you will enjoy a...Transit you will enjoy a competitive salary and excellent benefits package: + Advancement Opportunities + Wage Progression +… more
- Axis (Red Bank, NJ)
- …Bank, NJ; and Alpharetta, GA. * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... Utilize working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which the claims arise. In particular, utilize a… 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
- Gilead Sciences, Inc. (Atlantic City, NJ)
- …will improve the lives of patients with life-threatening illnesses worldwide. As a Senior Field Activation Specialist within Gilead's HIV Prevention team, you ... insurance plans*. For additional benefits information, visit: https://www.gilead.com/careers/compensation- benefits -and-wellbeing * Eligible employees may participate in benefit… more
- Stryker (Mahwah, NJ)
- We are seeking a ** Senior Regulatory Specialist ** to join our Mako and Enabling Technology business within the Joint Replacement Division to be based hybrid two ... per week in Mahwah, NJ or Weston, FL. **What you will do** As the ** Senior Regulatory Affairs Specialist ** , you will support Stryker's Mako and Enabling… more
- Axis (Red Bank, NJ)
- …and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the ... liability and damages issues in connection with complex primary and excess claims and maintaining appropriate documentation * Analyzes insurance coverage issues and… more
- Prime Therapeutics (Trenton, NJ)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description**...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- CS Energy (Edison, NJ)
- The Project Controls Specialist works under the guidance of our Project Controls Leadership and in partnership with our Operations Team to provide a single point of ... Schedules, Project Forecast Sheets, and 4 Week Lookahead Reports. The Project Controls Specialist will report to the Edison, Albany, or Worchester office at least… more
- Guardian Life (Holmdel, NJ)
- …Overview:** We are seeking a highly skilled and proactive **Data Management Operations Specialist ** to join our Data Management team in the insurance industry. This ... governance and quality. This is a unique opportunity to work closely with senior leadership and contribute to the evolution of data management within a fast-paced… more
- AIG (Parsippany, NJ)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Production Specialist to play your part in that transformation. It's an opportunity ... address those needs. + Works with the Western World claims teams to identify emerging trends, and addresses those...connected environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG,… more
- Highmark Health (Trenton, NJ)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more
- Cognizant (Teaneck, NJ)
- **Service Line Specialist - Digital Operations -Insurance** Cognizant's Insurance (INS) Markets is seeking a Service Line Sales Specialist -Digital Operations to ... key Insurance accounts. In this role, the Service Line Sales Specialist will balance client/project responsibilities with business development and sales… more
- Highmark Health (Trenton, NJ)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more
- Ascendis Pharma (Princeton, NJ)
- …in Copenhagen and Princeton. + Flexibility & growth - Hybrid work, generous benefits and clear paths to leadership or specialist roles. Requirements What ... areas 1. Data Analysis + Consolidate and patient Support Program, Specialty Pharmacy, claims and financial data to uncover trends in patient access and market… more