- Sedgwick (New York, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice (Professional Liability) ... **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/ Sr .) . This is a full-time position and offers a hybrid schedule after training with a ... in our West Trenton or Hammonton office. The WC Claims Specialist will be responsible for contacting...internal and external stakeholders, including: NJM policyholders, injured workers, medical providers, the NJM Medical Claims… more
- Sedgwick (New York, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- Travelers Insurance Company (New York, NY)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Axis (Princeton, NJ)
- …is available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior ... Claims Specialist to join our North America Claims team reporting to the Manager of Casualty Claims . This position requires senior claims … more
- Axis (Princeton, NJ)
- …variety of loss scenarios as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... AXIS is seeking a _Senior Claim Specialist_ _-_ _Surety_ to join our North America Claims team. This role will report to the Head of TPA & Programs Claims… more
- Axis (New York, NY)
- …NY office following in person orientation, provided performance is satisfactory. The Reinsurance Claims Specialist is a key contributor to the reinsurance team ... for candidates taking part in the selection process. Reinsurance Senior Claim Specialist - Job Description Job...Specialist - Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims Location: New York… more
- NBC Universal (New York, NY)
- …Monitor domestic and international legal developments affecting the press, freedom of speech , and publication + Partner with specialist lawyers across Versant's ... content. The spin-off is expected to be completed during 2025. The Position The Senior Counsel, News, will serve as a media lawyer to the Versant News Group… more
- SERV Behavioral Health System (Hamilton, NJ)
- …a wide range of services. JOB SUMMARY: Reporting to the Billing Manager, the Senior Accounts Receivable Specialist will be responsible for billing and submitting ... , and handling escalated billing and collection issues. The Senior Accounts receivable specialist serves as a...in complex accounts receivable processes including denied and aging claims and provides training and guidance to the Accounts… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The ... Senior Billing Specialist is responsible for multiple...Senior Billing Specialist is responsible for multiple components of the billing... medical billing + 3 years experience in medical billing or health claims , with experience… more
- CVS Health (Trenton, NJ)
- …driven encounter processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to ... scanning issues and any other irregularities. **Required Qualifications** 2 years Medical Claims processing experience adjudicating claims (Commercial,… more
- Fujifilm (Trenton, NJ)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... + Keep abreast of new legislation and enforcement matters relevant to the medical device industry as well as industry and compliance best practices. + Perform… more
- CVS Health (Trenton, NJ)
- …handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Nestle (Bridgewater, NJ)
- …nutrition for patients and consumers. **Job Description:** The Customer Solutions & Claims Supervisor ( Medical Nutrition) will provide overall leadership to the ... all activities performed by the Customer Solutions Associates and Specialist within defined Service Level Agreement. * Lead the...Service Level Agreement. * Lead the Customer Solutions & Claims team to ensure they provide the highest quality… more
- Axis (New York, NY)
- …and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the ... liability and damages issues in connection with complex primary and excess claims and maintaining appropriate documentation * Analyzes insurance coverage issues and… more
- CS Energy (Edison, NJ)
- The Project Controls Specialist works under the guidance of our Project Controls Leadership and in partnership with our Operations Team to provide a single point of ... Schedules, Project Forecast Sheets, and 4 Week Lookahead Reports. The Project Controls Specialist will report to the Edison, Albany, or Worchester office at least… more
- Guardian Life (Holmdel, NJ)
- …Overview:** We are seeking a highly skilled and proactive **Data Management Operations Specialist ** to join our Data Management team in the insurance industry. This ... governance and quality. This is a unique opportunity to work closely with senior leadership and contribute to the evolution of data management within a fast-paced… more
- Highmark Health (Trenton, NJ)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- United Therapeutics (Trenton, NJ)
- …you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible ... team members, consultants and stakeholders + Manage Corporate Compliance Operations Specialist II, who is responsible for administration of compliance training and… more
- Highmark Health (Trenton, NJ)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more