• Claims Supervisor II - G/L

    Philadelphia Insurance Companies (Bala Cynwyd, PA)
    …budget and productivity requirements are met. Supervises the day-to-day activities of a claims handling unit; oversees the investigation of insurance claims . ... and/or training; or equivalent combination of education and experience. Associate in Claims , CPCU or other industry related studies. Experience with Windows… more
    Philadelphia Insurance Companies (05/23/25)
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  • Investigations Coordinator

    Highmark Health (Trenton, NJ)
    …and Thursdays This job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of ... information in applicable case management tracking systems. **ESSENTIAL RESPONSIBILITIES** + Claims Reviews/ Investigation : Arrange for collection of claims more
    Highmark Health (06/03/25)
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  • Workers Compensation Claims Specialist…

    NJM Insurance (Trenton, NJ)
    …including: NJM policyholders, injured workers, medical providers, the NJM Medical Claims Services Department, the NJM Special Investigation Unit, the ... NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time...given authority + Build rapport with policyholders, conduct on-site investigations when necessary, and educate policyholders on NJM procedures,… more
    NJM Insurance (05/06/25)
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  • Human Resources Associate (Trenton, NJ)

    Rescue Mission of Trenton (Trenton, NJ)
    …assist with disciplinary documentation. . Participate and provide guidance in investigations into routine internal complaints Qualifications: . Associate 's or ... Human Resources Associate (Trenton, NJ) Can you look into the...Leadership. . Support benefits administration, including enrollments, changes, and claims resolution. . Respond to employee inquiries regarding policies,… more
    Rescue Mission of Trenton (05/14/25)
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  • Cyber Associate Claim Counsel

    Travelers Insurance Company (Trenton, NJ)
    …of businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation , analysis, evaluation, and disposition of claims and claim litigation to ... optimize claim results. Travelers' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response, computer… more
    Travelers Insurance Company (04/23/25)
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  • Surveillance Investigator

    Allied Universal (Trenton, NJ)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ... **Pay Rate: $2** **0 - $23** **/** **hr** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types,… more
    Allied Universal (05/29/25)
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  • Director, Global Clinical Development-Rheumatology…

    Otsuka America Pharmaceutical Inc. (Trenton, NJ)
    …or medical device product candidates. + Interprets and communicates results of Phase I-IV investigations in preparation for a new drug. + Acts as the signatory on ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Sr Clinical Compliance Prof. RCM & Coding Auditor

    Humana (Trenton, NJ)
    …and/or state requirements related to Provider Clinic operations, billing, investigations , and processes. Coordinates site visits for regulators, coordinates ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
    Humana (06/10/25)
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  • Remote Litigation Paralegal

    Carrington (Cherry Hill, NJ)
    …system, including but not limited to, analyzing complaints, investigating claims , retaining outside counsel where appropriate and providing outside counsel ... circulating agreements for signature. + Take lead in pre-claim title investigation /review, including reviewing title records, organizing documents and creating a… more
    Carrington (05/22/25)
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