- TEKsystems (Ewing, NJ)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- Sedgwick (New York, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner| NY Jurisdiction | Dedicated Client We are seeking a highly ... motivated and experienced Workers' Compensation Claims Adjusters to join our team. The ideal candidate...ensuring adherence to company procedures, industry best practices, and regulatory requirements. + **Ensure** compliance with New York workers'… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- Provide CMC regulatory strategy input and expertise in the area of investigational, new and marketed biologic and small molecule drug products to assigned project ... ensure Otsuka's products are developed/maintained in compliance with global regulatory requirements and guidances. Primary regions/markets of responsibility include… more
- USAA (New York, NY)
- …Partners with vendors and internal business partners to facilitate highest complexity claims resolution. May also involve external regulatory coordination to ... settlement amounts outside of authority limits. + Maintains accurate and current claim file with critical documentation throughout the claims process for highly… more
- USAA (New York, NY)
- …+ Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure ... manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge of… more
- The Hartford (New York, NY)
- …a full file Claim Property Adjuster managing moderately severe property claims .Strong functional knowledge of commercial claims and be able to appropriately ... investigation, valuation, disposition and settlement of large Commercial Insurance property claims in a manner consistent with corporate claim settlement policies… more
- Duane Reade (New York, NY)
- …for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …to post commercialization; with emphasis on the large global clinical trials and regulatory filing activities. The Senior Director, GCD is responsible for all ... management strategies, + Demonstrated experience in leading a successful regulatory filing . + Ability to work across...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- YAI (Manhattan, NY)
- …Functions & Responsibilities + Reviews and interprets patient eligibility and claims data from various sources (explanation of benefits, remittance statements, ... collections reports, etc.) to assess the correctness of claims submitted for processing, identifying and communicating discrepancies, issues and/or missing… more
- AIG (New York, NY)
- …a collaborative role where you will engage with AIG's industry leading underwriting, claims , and legal teams. This role will be responsible for working alongside the ... Research novel issues regarding coverage, sources of liability and claims trends and assist in presenting findings to internal...non-duty to defend panels). + Collaborate with legal and regulatory teams, including state filings, to create D&O and… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …provide clinical input into their governance committees. + Will help lead regulatory filing activities and documents. Providing strategic direction and editing ... the following: + Consult with patients or their representatives, clinical, regulatory , and scientific leaders and thoughtfully apply their recommendations toward… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …input into their governance committees. + Will help lead and support regulatory filing activities and documents. Providing strategic direction and editing ... the following: + Consults with patients or their representatives, clinical, regulatory , and scientific leaders and thoughtfully applies their recommendations toward… more
- Axis (Princeton, NJ)
- …projects related to form development and implementation. + Familiarity with A&H state filing and regulatory requirements. + Ability to quickly analyze complex ... functional areas across AXIS, including underwriting, legal and compliance, actuarial and claims . The incumbent will assist business units in ongoing efforts to… more
- Mount Sinai Health System (New York, NY)
- …management to optimize the payment cycle for retail and specialty pharmacy claims . Ensure maintenance and understanding of the overall workflow of pharmacy accounts. ... to optimize the pharmacy claim payment cycle. * Provides claims resolution to ensure accuracy in the process. *...vendor data feeds into systems as required. * Understands regulatory , HMO, PPO, Federal, State and other third party… more
- Zurich NA (New York, NY)
- …High School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the insurance industry and the legal ... and regulatory environment... environment + Knowledge of underwriting philosophy, techniques, national/local filing regulations and guidelinesAND + Knowledge of the insurance… more
- Zurich NA (New York, NY)
- …will work collaboratively across business units including but limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Knowledge of line/s of business and the legal and regulatory guidelines + Knowledge of time restraints for quotes… more
- WTW (New York, NY)
- …projects such as rate indications work, predictive model builds and peer reviews, regulatory filing engagements, and best practice pricing and analytics reviews ... extensive experience with rate level indications + Comprehensive understanding of regulatory filing requirements, including providing actuarial support for… more
- Highmark Health (Trenton, NJ)
- …an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting ... and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s...Knowledge of line/s of business and the legal and regulatory guidelines + Knowledge of time restraints for quotes… more
- Zurich NA (New York, NY)
- …High School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the insurance industry and the legal ... and regulatory environment... environment + Knowledge of underwriting philosophy, techniques, national/local filing regulations and guidelines OR Mid-Senior Financial Institution Underwriter… more