- Robert Half Finance & Accounting (Lansdale, PA)
- Description Our client is looking for a detail-oriented Claims Administrator to join their team in the Lansdale area, Pennsylvania. In this role, you will manage ... product insurance claims , complaints, and related incidents with precision and professionalism....a dynamic environment and has a strong background in claims processing and insurance subrogation. Responsibilities: * Investigate and… more
- Merck (North Wales, PA)
- …and Innovation (CEI) Marketing Operations team is seeking a **Senior Specialist, Claims Library Administrator - Content Catalyst** to support our AI-Driven ... will be responsible for the creation and refinement of claims library across our US Human Health division. This...will collect and review job codes for eligibility, extract claims from approved resources, and route developed claims… more
- NJM Insurance (Trenton, NJ)
- Reporting to the Division Administrator , Worker's Compensation Legal Operations, the WC Legal Support Administrator is responsible for leading the management and ... and IME Coordinator teams. Leveraging technical expertise, the WC Legal Support Administrator will be tasked with strategically aligning the support units services… more
- Merck (North Wales, PA)
- …support the development of the Content Catalyst product backlog. + Partner with the Claims Library Administrator to serve as a quality checker, ensuring the ... accuracy of auto-harvest outputs and claims against Approved for Distribution (AFD) versions. + Partner...enhancements and process improvements. + Communicate metadata fields and claims library approval for testing to Content Catalyst team.… more
- Robert Half-Robert Half Corporate (Trevose, PA)
- **JOB REQUISITION** Operational Support Administrator **LOCATION** PA TREVOSE **JOB DESCRIPTION** Robert Half is seeking an **Operational Support Administrator ** ... valued and fulfilled in their roles. **Join our community as an Operational Support Administrator and advance your career as you help us shape our future.** **What… more
- Aston Carter (Moorestown, NJ)
- Job Title: Accounting Administrator Job Description We are seeking a dedicated Accounting Administrator to support our office by handling accounting, ... and toll passes. + Follow corporate processes for injury and liability claims reporting and compile yearly OSHA reports. + Ensure office equipment maintenance.… more
- Akumin (Limerick, PA)
- In partnership with the Site Manager and Chief Technologist, the **Lead Administrator ** is responsible for the overall operations of the assigned site(s) and service ... collection of physician hospital billing documentation to ensure timely submission of claims . + Reports and communicates coordinating repairs or service to all… more
- Centene Corporation (Trenton, NJ)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... field or equivalent experience. Three years of provider relations, provider claims /reimbursement, or contracting experience. Knowledge of health care, managed care,… more
- AIG (Philadelphia, PA)
- …review with various stakeholders (Program Managers, Product Line Officers, Actuarial, Claims , Compliance, Systems, Program Administrator , etc.) and drive to ... state filings with input from Program Managers, Product Line Officers, Program Administrator , Actuarial and Legal. Direct AIG State Filings Department personnel on… more
- Burlington (Burlington, NJ)
- …claim internally or externally. + Coordinate with 3rd party TPA (Third Party Administrator ) on outside claims * Independently gather the necessary supporting ... Coordinator.** This person will be responsible for triaging store reported claims , contacting customers who report incidents, and working with field management… more
- Lumen (Trenton, NJ)
- …the world and shape the future. **The Role** This position reports to the Claims Director and Counsel and serves as the primary litigation Attorney for the Risk ... all litigated auto liability (AL) & general liability (GL) claims . **Location** This role is designated as fully remote,...Assist with the ongoing communication with the Third Party Administrator (TPA) and insurance carriers on the current status… more
- AIG (Philadelphia, PA)
- …have the opportunity to lead in other functional areas like operations, compliance, claims , etc. What you need to know: + Developing and negotiating business plans ... to unanticipated loss. + Actively identify training opportunities at the Program Administrator level to enhance their LOB knowledge and successfully guide Program… more
- Lowe's (Sicklerville, NJ)
- …with the products our customers need. As a Scheduling and Staffing Administrator , this means: * Being friendly, professional, and supporting internal customers ... encouraging others to do the same. The Scheduling and Staffing Administrator supports store leadership through administrative duties related to staffing, scheduling,… more
- Elevance Health (Wilmington, DE)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Elevance Health (Wilmington, DE)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Penn Medicine (Philadelphia, PA)
- …unit based clinical pharmacist, social worker and discharge pharmacy program administrator as needed to obtain complete, accurate financial information required for ... to unit based clinical pharmacist and discharge concierge program administrator so as to not delay discharge + Fax...to billing and case management to assure payment of claims . + Willingly accepts responsibility and demonstrates positive and… more
- BrightSpring Health Services (Willingboro, NJ)
- …timely reporting of all service site injuries and assist with the management of claims + Monitors service site expenses relative to budgets + Trains staff on ... must comply with state law. Exceptions must have written approval of the Administrator or designee + Valid driver's license from state of residence with a… more
- Public Consulting Group (Trenton, NJ)
- …improve business processes, and achieve regulatory compliance. Services: + Third Party Administrator Services + Enhance Health and Public Safety Services + Claims ... Processing Services and Solutions + Consulting and Advisory Services + Cost Allocation Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets **Duties and Responsibilities** Chief Information Officer,… more
- NJM Insurance (Trenton, NJ)
- …being certified by JD Power for providing personal lines customers with an exceptional Auto Claims Experience, 6 years in a row! NJM has also been A+ Rated by AM ... Best for Financial Strength. Sr. Human Resources Business Partner Reporting to the Administrator of Human Resources, the Senior HR Business Partner (Sr. HRBP) will… more