• Claims Call Center

    Zurich NA (Trenton, NJ)
    Claims Call Center Representative 127686 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers ... complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex...down Preferred Qualifications: + 6 months or more of call center experience + Strong data entry… more
    Zurich NA (09/30/25)
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  • Patient Support Medical/Biller Claims

    IQVIA (Philadelphia, PA)
    …co-pay cards or vouchers. The **Patient Support Call Center Representative ** is primarily responsible for receiving medical claims from HCPs or patients ... **Patient Support Medical Claims Processing ​ Representative ** _Contract Remote...or other available means of contact to the Support Center + Requires the ability to recognize operational challenges… more
    IQVIA (07/29/25)
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  • Licensed Account Representative (Customer…

    NJM Insurance (Trenton, NJ)
    …recipient of the Forbes Best Employers in New Jersey about joining our Contact Center ! Join a best-in-class team that has been certified by JD Power for providing ... personal lines customers with an exceptional Auto Claims Experience - 7 years in a row! Our Contact Center team enjoy: + Salary begins at $49,871.25 with the… more
    NJM Insurance (09/12/25)
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  • Insurance Verification Representative - PGC…

    Surgery Care Affiliates (Philadelphia, PA)
    …due on or before the date of service as applicable + The Insurance Verifier will call each patient as part of center compliance with CMS Conditions for Coverage ... selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits… more
    Surgery Care Affiliates (08/28/25)
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  • Grievances and Appeals 3

    CenterWell (Trenton, NJ)
    …consumer experiences **Preferred Qualifications** + Associate's or Bachelor's Degree + Previous inbound call center or related customer service experience + 1 - ... caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic… more
    CenterWell (10/08/25)
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  • Medical Director, Global Medical Affairs, Early…

    Otsuka America Pharmaceutical Inc. (Trenton, NJ)
    …from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka's call center at: ###. If you believe you are the victim of fraud ... so that others can too." Patients are at the center of our purpose as we seek to discover...within the CNS TA. + Act as a company representative and advocate in relevant medical and scientific communities… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Associate Director, Small Molecule Analytical…

    Otsuka America Pharmaceutical Inc. (Trenton, NJ)
    …from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka's call center at: ###. If you believe you are the victim of fraud ... wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (08/27/25)
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  • Pharmacy Coordinator

    Highmark Health (Trenton, NJ)
    …provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ... appropriately maintain a level of high efficiency/productivity. + Ensure adherence to call center turn around time requirements associated with DPW/CMS… more
    Highmark Health (09/09/25)
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  • Coordinator Appeals & Grievances

    AmeriHealth Caritas (Philadelphia, PA)
    …needed to ensure proper handling of the appeal eg UM team, medical directors, claims , contact center , vendors as needed (eg PerformRX) + Creates decision letter ... tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; + Research… more
    AmeriHealth Caritas (10/09/25)
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  • Benefits Manager

    ASM Global (West Conshohocken, PA)
    …leave of absence TPA and provide additional employee information as requested to complete claims . + Participate in weekly conference call with TPA's to reconcile ... fully integrated solution of premium services that keeps our partners front and center through our white-label approach. Our network of 450 venues worldwide, hosting… more
    ASM Global (09/26/25)
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