- Elevance Health (Morristown, NJ)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... - Friday, between the hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully completing the required basic training. Able to… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to ... support the advancement, and with opportunities for cross-training and education, CPHL is the place for a fulfilling long-term career. Position Details: + Professionally handle incoming inquiries via telephone, email or fax from providers (ie physician… more
- New York State Civil Service (New York, NY)
- …not limited to: Administrative Assistant 1, Office Assistant 3, Program Aide, Claims Services Representative Trainee 1; OR*A bachelor's or higher ... degree.Preferred Qualifications: * Bachelor's degree in pre-law or criminal justice studies* Experience in Oracle FinancialPlease be advised that the New York State Insurance Fund (NYSIF) does not offer sponsorship for employment visas to employees or… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...PHYSICAL REQUIREMENTS : The physical requirements described here are representative of those that must be met by an… more
- NJM Insurance (Parsippany, NJ)
- …0-3 years of workers' compensation or other litigation experience to defend formal claims venued in northern New Jersey. Job Responsibilities: + Defend the interests ... updates, and analysis to clients and internal Workers' Compensation Claims staff + Build and maintain strong internal and...promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities… more
- Travelers Insurance Company (Morristown, NJ)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer ... statements. + Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service...calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address… more
- NJM Insurance (Parsippany, NJ)
- …a top-rated insurance company, is looking for a Personal Injury Protection Representative who has excellent communication skills as well as strong organizational and ... as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and...promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities… more
- New York State Civil Service (New York, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Field Representative - NYC - 5 Boroughs and Long Island Occupational Category Other Professional ... NY Zip Code 10005 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
- Care Plus NJ (Paramus, NJ)
- Accounts Receivable Representative Location:Paramus + Main:1 Kalisa Way Paramus, NJ + Late night &Saturday:610 Valley Health Plaza Paramus, NJ On-site M-F: Schedule ... requirements and criteria of each plan. Job Summary: As an Accounts Receivable Representative in our Finance Department, you will be responsible for meeting monthly… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- Job Description SpecialtyRx is a full-service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: ... We offer a competitive salary and benefits package. Billing Representative Responsibilities: + Perform duties assigned by the Billing...a must. + Experience in New York Pharmacy billing claims . (Preferred) + Frameworks/ECM knowledge is a plus. +… more
- Molina Healthcare (New York, NY)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes...3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+… more
- Atlantic Health System (Morris Plains, NJ)
- Patient Financial Services Representative - CMN Coordinator + Reviews prescriptions and progress notes for accuracy and compliance with durable medical equipment ... Reviews reports of held revenue and prioritizes work to ensure timely billing of claims and reduction of bad debt. + Review patient records and submit renewal… more
- Hackensack Meridian Health (Glen Ridge, NJ)
- …transform healthcare and serve as a leader of positive change. The **Account Representative ** is responsible for billing and Revenue Cycle follow up. Ensures the ... the knowledge of ICD-10 and CPT codes to ensure accurate processing claims and denials. **Licenses and Certifications Preferred:** + Certified Professional Coder. If… more
- Graybar (Edison, NJ)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- Amalgamated Bank (New York, NY)
- Amalgamated Bank is seeking a Retail Banking Representative to be responsible for providing a high quality of Customer Service in a broad variety of activities. This ... complex work-related matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing deposits, missing checks,… more
- B&H Photo (New York, NY)
- …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers… more
- GAF (Parsippany, NJ)
- …in a call center environment + Assist customers by opening new warranty claims upon request + Ability to resolve inquiries regarding GAF's published application ... + Provide guidance to our internal and external customers regarding GAF's warranties and claims process + Ability to respond to inquiries accurately and in a timely… more
- Kemper (Clifton, NJ)
- …Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + Appropriately keeping records, accounting for money ... collected, and processing paperwork **Our agents are expected to:** + Increase the agency size + Build strong working relationships with customers + Devote whatever time is necessary to fulfill the responsibilities of the position + Commit to ongoing… more
- Transdev (Hillburn, NY)
- …Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims ... + Assist the Safety Manager in working with corporate claims staff to ensure that all liability and Workers'...personnel so classified. The physical demands described here are representative of those that must be met by an… more