• Claims Associate - Recovery

    Sedgwick (Trenton, NJ)
    …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery ** Claims Associate ** ... collaboration, growth, and inclusion. **ARE YOU AN IDEAL CANDIDATE?** To analyzer recovery claims on behalf of our valued clients to determine benefits due,… more
    Sedgwick (04/16/24)
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  • Claims Account Specialist (Workers'…

    NJM Insurance (Trenton, NJ)
    NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for contacting all...all parties + Recognize and investigate subrogation opportunity for recovery of third-party funds + Work with the policyholder… more
    NJM Insurance (04/03/24)
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  • Operation Associate I - Medicare Advantage

    R1 RCM (Jenkintown, PA)
    …flows while reducing operating costs and enhancing the patient experience. The Operations Associate I in our Revenue Recovery Practice, will be responsible for ... order to be successful in this role, the Ops Associate I will be primarily responsible for researching underpayments...+ Abstract information from Medical Records of Managed Care claims for accurate discharge status information on all managed… more
    R1 RCM (04/12/24)
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  • Associate , Infrastructure Project Advisory…

    KPMG (Philadelphia, PA)
    …technology + Conduct project reviews to evaluate percentage of completion, probability of recovery for change orders and claims , reasonableness of the estimate ... **Business Title:** Associate , Infrastructure Project Advisory (Construction/Engineering) **Requisition Number:** 111972...a career in Advisory. KPMG is currently seeking an Associate in Infrastructure and Projects Advisory for our Deal… more
    KPMG (04/18/24)
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  • Staff Professional-Risk Mgmt

    Marriott (Trenton, NJ)
    …by jurisdiction. This position is responsive to Marriott's associates, Marriott Claims Services, business units, Risk Management and community health resources. ... Addresses occupational injury/illness with the proactive component of aiding the associate in choosing a provider, or accessing Marriott's provider network/managed… more
    Marriott (04/23/24)
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  • Medical / Financial Risk Evaluation Analyst

    Humana (Trenton, NJ)
    …or more years of experience with CMS and/or AHCA compliance + 2 or more years Claims experience + 2 or more years Audit and/or Financial Recovery experience + ... structure and design **Preferred Qualifications** + Direct experience working with Medicare claims + Working knowledge of CPT, ICD10 and HCPC + Provider contract… more
    Humana (05/02/24)
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  • Code Edit Disputes Team Medical Coding Coordinator

    Humana (Trenton, NJ)
    …Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery . The ... offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development &… more
    Humana (05/02/24)
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  • Code Edit Disputes Supervisor

    Humana (Trenton, NJ)
    …Edit Disputes reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery . The ... offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development &… more
    Humana (05/02/24)
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