- ManpowerGroup (Roseland, NJ)
- Our client, a leading healthcare benefits organization, is seeking a Claims Customer Service Representative to join their team. As a Claims Customer ... to problem-solving, which will align successfully in the organization. **Job Title:** Claims Customer Service Representative **Location:** Roseland, NJ **Pay… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for ... further resolution of the callers issue while adhering to CPHLs policies. + Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends + Prepares correspondence, maintains phone and contact logs, and documents… more
- New York State Civil Service (New York, NY)
- …1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, Claims Service Representative 1, Claims Services ... Analyze and evaluate applications for workers' compensation insurance policies.* Service policies and resolve underwriting issues that are potentially difficult,… more
- Sedgwick (New York, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are ... valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative Trainee 1 (NY HELPS) Occupational Category Other Professional Careers Salary Grade ... are not limited to:Under the general supervision of a Claims Services Representative 2, the incumbent will...of interview. Minimum Qualifications * Reachable on current Civil Service eligible list for this title; OR* One year… more
- IQVIA (New Providence, NJ)
- **Patient Support Medical Claims Processing Representative ** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team....Explanation of Benefits (EOB) + HIPPA certified + Customer Service Experience preferred + **Must currently be working on… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- MTA (New York, NY)
- Transit Customer Service Specialist I & II, Full-time (Customer Service Representative ) Job ID: 14168 Business Unit: MABSTOA Location: New York, NY, United ... Job Information Transit Customer Service Specialist I & II, Full-time (Customer Service Representative ) First date of Posting: 01/9/2026 Last date of Filing:… more
- NJM Insurance (Parsippany, NJ)
- Do you have a passion for customer service ? Are you looking for a company that offers you more? Come talk to NJM Insurance Group, a 6-time recipient of the Forbes ... 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: +… more
- Robert Half Office Team (Pine Brook, NJ)
- Description We are looking for a dedicated Customer Service Representative to join our team on a contract basis in Fairfield, New Jersey. In this role, you will ... GP, ensuring accuracy and efficiency. * Handle product returns, warranty claims , and other customer-related issues with professionalism. * Generate and maintain… more
- NJM Insurance (Parsippany, NJ)
- …a top-rated insurance company, is looking for a Personal Injury Protection Representative who has excellent communication skills as well as strong organizational and ... make a determination as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and process appropriate referrals.… more
- New York State Civil Service (Brooklyn, NY)
- …- Dormitory Authority of the State of New York Title Senior Field Representative - Medgar Evers College Occupational Category Other Professional Careers Salary Grade ... NY Zip Code 11225 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
- Elevance Health (New York, NY)
- **Position Title:** Customer Care Representative I **Location: Virtual:** This role enables associates to work virtually full-time, with the exception of required ... essential face-to-face onboarding and skill development. The Customer Care Representative is responsible for successfully completing the required basic training.… more
- Atlantic Health System (Summit, NJ)
- Patient Access Representative Responsible for patient-facing registration and other associated tasks like information collection, validation, and requisitioning of ... (including but not limited to) + The Patient Access Representative (PAR) plays a vital role in the patient...contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of … more
- Molina Healthcare (Yonkers, NY)
- …experience in a managed healthcare setting. **Required Experience** + 2 - 3 years customer service , provider service , or claims experience in a managed care ... policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** This role serves as the primary point of contact… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- Job Description SpecialtyRx is a full- service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: ... We offer a competitive salary and benefits package. Billing Representative Responsibilities: + Perform duties assigned by the Billing...a must. + Experience in New York Pharmacy billing claims . (Preferred) + Frameworks/ECM knowledge is a plus. +… more
- MTA (New York, NY)
- Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Date Posted: Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington Ave FULL/PART-TIME FUL… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and ... while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider… more
- Hackensack Meridian Health (Red Bank, NJ)
- …transform healthcare and serve as a leader of positive change. The **Account Representative ** is responsible for billing and Revenue Cycle follow up. Ensures the ... the knowledge of ICD-10 and CPT codes to ensure accurate processing claims and denials. **Licenses and Certifications Preferred:** + Certified Professional Coder. If… more
- Northwell Health (Lake Success, NY)
- …accounts for hospital and clinical facilities. Daily duties include processing claims , collecting payments, resolving denials and other problems, attending to ... Job Responsibility + Assists and guides the processing and managing of physician claims . + Oversees the collection of payments from physicians for processing. +… more