- US Tech Solutions (Robbinsville, NJ)
- …**Job Description:** Under the direction of the Billing Unit supervisor, the temporary Claims Eligibility Specialist will be responsible for adjudicating and ... ** Part -time** : **Monday-Friday 8 am-12 pm (Hours are flexible)**...processing fee-for-service claims , billing and eligibility inquiries and other assigned… more
- Zurich NA (New York, NY)
- Sr. Claims Specialist , Worker's Compensation 123309 Zurich is currently looking for a Senior Workers Compensation Claims Professional with West Virginia ... claims experience to join the Workers' Compensation Claims organization. This is either a virtual position or...position is $74,300.00 - $121,700.00, with short-term incentive bonus eligibility set at 15%. As an insurance company, Zurich… more
- CDM Smith (Edison, NJ)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... eligibility and priority of assignments to include but not...needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes… more
- CDM Smith (Edison, NJ)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... projects. * Prepares complex project worksheets for the purposes of determining project eligibility , scopes of work and estimating costs to repair or replace a… more
- CDM Smith (Edison, NJ)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim... for reasonableness to report to FEMA regarding claim eligibility . Participates in and assists with the development of… more
- Guardian Life (Holmdel, NJ)
- …administrative procedures and key resource for day-to-day tier 3 escalations related to eligibility , enrollment, and claims . This includes but is not limited to: ... individual to join our team as a Benefits Operations Specialist . This role is responsible for serving as a...deliver project objectives. Ability to work independently and as part of a team. (Relationship Management/ Collaboration) + Experience… more
- Elevance Health (Woodbridge, NJ)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more