- Centers Plan for Healthy Living (Staten Island, NY)
- …developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for ... further resolution of the callers issue while adhering to CPHLs policies. + Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends + Prepares correspondence, maintains phone and contact logs, and documents… more
- IQVIA (Newark, NJ)
- **Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team. In this position, you… more
- Port Authority of New York and New Jersey (New York, NY)
- …to ensure alignment on valuation of the exposure and strategy to resolve claims . Oversee the accident reporting process to ensure that injury reports are completed ... coordinate the delivery of salary adjustments on lost time claims from the TPA to the Agency's accounting staff....as well as any ad hoc items. Provide customer service by responding to inquiries from injured employees, staff… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- NJM Insurance (Parsippany, NJ)
- …0-3 years of workers' compensation or other litigation experience to defend formal claims venued in northern New Jersey. Job Responsibilities: + Defend the interests ... case recommendations, updates, and analysis to clients and internal Workers' Compensation Claims staff + Build and maintain strong internal and external client… more
- South Jersey Industries (Union, NJ)
- …is not for immediate hire, rather it is for pipelining purposes for our Customer Service Representative training classes** A career in Customer Service will ... information on programs available for energy assistance. Job Description The Customer Service Representative performs the following: + Address customer bill, … more
- Travelers Insurance Company (Morristown, NJ)
- …for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. ... unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto,… more
- Fedcap (New York, NY)
- …data entry accuracy; assure correct provider, facility, place of service , medical service and coding are billed. + Submit claims to insurance companies on ... Position Summary The Medical Billing Representative I provides support and reports directly to...A/R aging to include appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims… more
- Elevance Health (New York, NY)
- **Position Title:** Customer Care Representative I **Location: Virtual:** This role enables associates to work virtually full-time, with the exception of required ... essential face-to-face onboarding and skill development. The Customer Care Representative is responsible for successfully completing the required basic training.… more
- Molina Healthcare (Ramapo, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Molina Healthcare (Manhattan, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 3 - 5 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- Job Description SpecialtyRx is a full- service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: ... We offer a competitive salary and benefits package. Billing Representative Responsibilities: + Perform duties assigned by the Billing...a must. + Experience in New York Pharmacy billing claims . (Preferred) + Frameworks/ECM knowledge is a plus. +… more
- MTA (New York, NY)
- Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Date Posted: Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington Ave FULL/PART-TIME FUL… more
- Amalgamated Bank (Bronx, NY)
- Amalgamated Bank is seeking a Retail Banking Representative to be responsible for providing a high quality of Customer Service in a broad variety of activities. ... on to work in both the Teller and Customer Service areas, according to needs. This position is responsible...matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing… more
- Barnes & Noble Education (Florham Park, NJ)
- …education. As part of this mission, we are seeking a **Human Resources Representative ** to drive a positive employee experience and support our business operations. ... employment verification, work authorization, hiring, timekeeping, paid time off, unemployment claims , and general benefits. + Investigates and resolves inquiries by… more
- Insight Global (Newark, NJ)
- …benefit approval. They will be communicating with government agencies regarding status of claims and maintain documentation of claims . We are a company committed ... ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and ... while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider… more
- Molina Healthcare (Yonkers, NY)
- …experience in a managed healthcare setting. **Required Experience** + 3 - 5 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** + Under general supervision, responsible for various provider… more
- Kemper (Clifton, NJ)
- …from policyholders, based on a pre-arranged schedule + Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + ... visits with our customers in their homes for premium collection and other service needs. You'll start with a paid license preparation/training period! As an… more
- Insight Global (Englewood Cliffs, NJ)
- …assist and resolve daily issues and escalations . Handle internal/external escalations from Service Partners, Field Ops & AR team . Review requested labor rate with ... into the system . Assisting in auditing of warranty claims before closing . Compile and manage large amount...factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic… more