- 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
- Sedgwick (Philadelphia, PA)
- …| 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
- BAYADA Home Health Care (Pennsauken, NJ)
- **POSITION SUMMARY:** Is responsible for varied Employee Claims and Safety office duties including but not limited to the creation of work plans, preparation of ... or more of the following: subject matter expertise, ownership and accountability for complex assignments, and the ability to work in a supervisory capacity leading,… more
- U-Haul (Ivyland, PA)
- …Pennsylvania 18974 United States of America Under the direction of the supervisor , you will be responsible for the investigation, evaluation, and settlement (either ... by denial, compromise, or payment) of claims arising from physical damages to vehicles, property of...damages to vehicles, property of customers (higher and more complex cases) and third parties (medium to high exposure… 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
- BAYADA Home Health Care (Pennsauken, NJ)
- …to service offices; legal research and policy support; incident management of in-house claims ; and assistance with third-party claims such as complaints, payor ... or more of the following: subject matter expertise, ownership and accountability for complex assignments, and the ability to work in a supervisory capacity leading,… more
- Sedgwick (Trenton, NJ)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. +… more
- CVS Health (Trenton, NJ)
- …enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we ... incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. * Conducts… more
- Penn Medicine (Philadelphia, PA)
- …Financial Services Representative is responsible for a broad range of complex billing activities including data entry, payment posting, reconciliation, depositing ... Coding Guidelines, timely filing, appeal reviews, verification of duplication claims , maximum benefits, rejections due to precertification/ authorization/referral, provider… more
- CVS Health (Huntingdon Valley, PA)
- …of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of ... including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility.… more