- Sedgwick (Trenton, NJ)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** ... : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… 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 ... another day in our West Trenton 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
- Sedgwick (Trenton, NJ)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... **:** To analyze complex claims specific to the product liability / life sciences...deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as… more
- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ... amount levels on customer service platforms, specifically by using technical and claims processing expertise. + Apply medical necessity guidelines, determine… more
- Axis (New York, NY)
- …Bank, NJ; and Alpharetta, GA. * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... Utilize working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which the claims arise. In particular, utilize a… more
- NJ Transit (Newark, NJ)
- Senior Claims Documentation Specialist Risk Management & Claims Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the ... of the organization and functions of the Risk Management/ Claims Department. At NJ Transit you will enjoy a...Opportunities + Wage Progression + Full benefit package including medical , prescription, dental and vision + 457 tax-deferred savings… 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
- 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
- Gilead Sciences, Inc. (Manhattan, NY)
- …will improve the lives of patients with life-threatening illnesses worldwide. As a Senior Field Activation Specialist within Gilead's HIV Prevention team, you ... with local cross-functional colleagues (Prevention Specialists, Community Liaisons, Market Access, Medical Scientists, and other field team members) to ensure a… 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 (New York, NY)
- …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
- The Cigna Group (Trenton, NJ)
- **Pharmacy Account Manager (Non-IC) Senior Advisor - NY/NJ Market** **Work from Home: Preferably in NY or NJ** As part of Cigna Pharmacy Management, the Senior ... assigned geographical market(s) and client size band. The Pharmacy Account Senior Advisor position will be responsible for developing and maintaining relationships… 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
- WSP USA (New York, NY)
- …contractors and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate ... construction and modernization projects under the guidance of a senior level SCA Project Officer. + Ensure the quality...and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in… more
- WTW (New York, NY)
- …exciting opportunity to join the growing WTW Global Aviation & Space team, a specialist line of business with long-term career potential. In this role, the analyst ... comparison, ensuring binder and policy accuracy, and preparing documentation for senior broker review. + Maintaining accurate account files by organizing binders,… more