- Tutor Perini (New York, NY)
- …coverage. + Originates in-take of all EEO, harassment and workplace violence claims and forwards to Human Resources. + Ensures compliance with all environmental, ... a compressed timeframe. + Other duties or responsibilities as per your supervisor . **REQUIREMENTS:** + High School Diploma or equivalent required. Bachelor's degree… more
- 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
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong knowledge of ... claims procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… 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
- City of New York (New York, NY)
- …for one (1) Principal Administrative Associate III to function as an Operation Supervisor who will: - Directly and indirectly supervise ARU staff which consists of ... problems and provide guidance to administrative staff on exceptional complex cases. - Submit statistical data for special reports...Social Security Administration on any issues related to the claims or the use of the Government Service Online… more
- Travelers Insurance Company (Morristown, NJ)
- …claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned cases ... investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling...without involvement of supervisor . + Openness to the ideas and expertise of… more
- Mount Sinai Health System (New York, NY)
- …and resolves simple to moderately complex issues; corrects errors and refers complex issues to supervisor . 4. Reviews correspondence and rejection data from ... **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… more
- Travelers Insurance Company (Morristown, NJ)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned ... assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...cases without involvement of supervisor . + Openness to the ideas and expertise of… more
- Travelers Insurance Company (Morristown, NJ)
- …Extensive claim and/or legal experience and technical expertise to evaluate severe and + complex claims preferred. + Able to make independent decisions on most ... resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...assigned cases without involvement of supervisor + preferred. + Thorough understanding of business line… more
- Travelers Insurance Company (Morristown, NJ)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Morristown, NJ)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most ... Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...assigned cases without involvement of supervisor preferred. + Thorough understanding of business line products,… more
- Travelers Insurance Company (Morristown, NJ)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned ... investigating, evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim...cases without involvement of supervisor . + Thorough understanding of business line products, policy… 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
