- 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, ... Assists Project Management with monitoring of the job specific safety plan. + Review accident procedure with Field Management. + Prepares and reviews the minutes of… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines 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 ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Trenton, NJ)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | 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… more
- Ryder System (Trenton, NJ)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- City of New York (New York, NY)
- …Conduct unit/section meetings and/or trainings as needed. - Assign, evaluate, review and approve claims /establishment/recovery actions for accuracy referred to ... cases. It was enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims for the… more
- City of New York (New York, NY)
- …DSS complies with all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the office of Revenue. ... of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also assess the income and resources...Associate Fraud Investigator II to function as a Group Supervisor , who will: - Oversee two investigative units engaged… 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 ... Associates, Eligibility Specialist, and Principal Administrative Associates involved in claim review and processing. - Assign, evaluate and review completed… more
- Travelers Insurance Company (Morristown, NJ)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality… more
- Travelers Insurance Company (Morristown, NJ)
- …reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer ... Do?** + CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or...documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality… 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 ... as audit program development and file selection, assuring the review process is proper and timely. + Conduct WC...data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans… more
- Shuvel Digital (Lawrenceville, NJ)
- …to make corrections and ensures accuracy for the days work. + Researches all utilization review claims for accuracy prior to billing on a timely basis. + ... GED. Experience: ESSENTIAL FUNCTIONS + Ensures responsibility to download claims from HBOC and upload claims to...+ Reports any trends and anomalies to Patient Accounts Supervisor and Patient Accounts + Manager in a timely… more
- New York State Civil Service (New York, NY)
- …managers/contractors and/or management of material testing and inspection consultants, review of daily field reporting, and coordination with internal quality ... participate in mechanical, electrical, and structural quality assurance field inspections.* Review bid advertisements, prepare bid summaries, review bidder… more
- NJM Insurance (Trenton, NJ)
- …tools. + Collect and report audit findings. + Consolidate data into report for supervisor review . + Identify trends or patterns. + Perform pre- and post-payment ... Reporting to the QC Supervisor , the Quality Control & Compliance Associate is...compliance checklist reviews for both PIP and Workers' Compensation Claims . Essential Duties and Responsibilities: + Assist the QC… more
- Cardinal Health (Trenton, NJ)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- MTA (New York, NY)
- …Control SALARY RANGE: $133,519 - $166,899 HAY POINTS: 994 DEPT/DIV: Finance SUPERVISOR : Deputy Chief, Risk and Insurance Management LOCATION: 2 Broadway, New York, ... and counseling. Responsible for discipline/termination of employees when necessary. Review performance of staff. Create a professional environment that respects… more
- Walgreens (Edison, NJ)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Walgreens (Hillsborough, NJ)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and assists in community events as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. **Operations** + Under direct supervision… more
- Cardinal Health (Trenton, NJ)
- …to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- City of New York (New York, NY)
- …Providers. Utilize standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or services rendered ... Medicaid recipients. - Conduct fieldwork. Analyze information/summaries of findings. Review , index /cross-reference paperwork to document audit analyses. - Examine… more
