- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/ Sr .) . This is a full-time position and offers a hybrid schedule after training with a ... in our West Trenton or Hammonton office. The WC Claims Specialist will be responsible for contacting...internal and external stakeholders, including: NJM policyholders, injured workers, medical providers, the NJM Medical Claims… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr . Claims Specialist to join our team! Summary: Investigate, evaluate and settle more ... complex first and third party insurance claims . A typical day will include the following: Communicates with all relevant parties and documents communication as well… more
- Sedgwick (Philadelphia, PA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- Sedgwick (Trenton, NJ)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... **:** To analyze complex claims specific to the product liability / life sciences...deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as… more
- SERV Behavioral Health System (Hamilton, NJ)
- …a wide range of services. JOB SUMMARY: Reporting to the Billing Manager, the Senior Accounts Receivable Specialist will be responsible for billing and submitting ... , and handling escalated billing and collection issues. The Senior Accounts receivable specialist serves as a...in complex accounts receivable processes including denied and aging claims and provides training and guidance to the Accounts… more
- Fujifilm (Trenton, NJ)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... + Keep abreast of new legislation and enforcement matters relevant to the medical device industry as well as industry and compliance best practices. + Perform… more
- Highmark Health (Trenton, NJ)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- United Therapeutics (Trenton, NJ)
- …you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible ... team members, consultants and stakeholders + Manage Corporate Compliance Operations Specialist II, who is responsible for administration of compliance training and… more
- Highmark Health (Trenton, NJ)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more