- NJM Insurance (Trenton, NJ)
- The Complex Claims Supervisor will utilize their knowledge of Workers' Compensation Claims to guide staff on complex and high severity claims ... success and promote effective communication with employees + Direct claims staff through technical aspects of complex ...Direct claims staff through technical aspects of complex and high severity medical (and CAT) claims… more
- Sedgwick (Trenton, NJ)
- …| Professional Liability | REMOTE **Job Description Summary** To analyze complex or technically difficult environmental claims ; to provide resolution ... of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Trenton, NJ)
- …for someone with your level of expertise. **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; ... negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult general liability claims by… more
- Sedgwick (Trenton, NJ)
- …Texas adjuster license is a plus. **PRIMARY** **PURPOSE** : To analyze complex or technically difficult multi-product line claims to determine benefits ... negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and… more
- Sedgwick (Trenton, NJ)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... claims in the teams including frequent diaries on complex or high exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Supervises multiple teams of… more
- Ryder System (Trenton, NJ)
- …resolution, and adherence to service standards.** **ESSENTIAL FUNCTIONS** Investigates and resolves complex and high exposure claims , as well as directs outside ... **EXPERIENCE** Seven (7) years or more experience in casualty claims , litigation and handling large complex cases...complex cases 0 to One (1) year experience supervisor experience preferred **SKILLS** . Strong commitment to the… more
- Travelers Insurance Company (Trenton, NJ)
- …Investigate, evaluate, reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best ... HANDLING: + Directly handle the Company's most severe and complex claims when Travelers has coverage of...make independent decisions up to $1,000,000 without involvement of supervisor . + Competencies: + Leading the Business - Drive… more
- System One (Lakewood, NJ)
- Job Title: Quality Assurance Supervisor Location: Lakewood, NJ Type: Contract To Hire Compensation: $25-$32/hr. (can be flexible based on experience) Contractor Work ... 8 am to 4:30 pm We are seeking a proactive and experienced Quality Assurance Supervisor to lead our QA program and ensure that all products, materials, and processes… more
- NJM Insurance (Trenton, NJ)
- …to the Workers' Compensation (WC) Training and Quality Assurance Management Supervisor , the WC Quality Assurance/Compliance Analyst is responsible for ensuring ... process improvements, data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans that detail… more
- Allied Universal (Edison, NJ)
- …of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient understanding and application of ... **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and… more
- Cardinal Health (Trenton, NJ)
- …on standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **Anticipated ... Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances… more
- CVS Health (Trenton, NJ)
- …enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we ... incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. * Conducts… more
- Cardinal Health (Trenton, NJ)
- …on standard work; receives detailed instruction on new assignments. + Consults with supervisor or senior peers on complex and unusual problems. **Anticipated ... Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a… more