• Pharmacy Claims Representative

    Humana (Trenton, NJ)
    …to enhance the workflow and success of the Call Center * Assist Customer Service team with claims research/resolution *Assist with new hires training **Location: ... (PD vs. FFS) from hospice to hospice * Assist Customer Service team with claims research/resolution via dispensing systems, PBM systems and fax systems *… more
    Humana (04/24/24)
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  • Claims Representative - Auto

    Sedgwick (Trenton, NJ)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ;… more
    Sedgwick (04/23/24)
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  • Claims Account Specialist (Workers'…

    NJM Insurance (Trenton, NJ)
    NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for contacting all...where applicable to improve department efficiency, work product, and service commitment to interested parties + Ensure quality management… more
    NJM Insurance (04/03/24)
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  • Complex Claims Manager, Long Term…

    Guardian Life (Trenton, NJ)
    **Complex Claims Manager, LTD Claims ** The Complex Claims Manager, LTD Claims is responsible for making accurate decisions on assigned complex claims ... established protocols. This position will manage a portfolio of claims which have complexities driven by things including but...+ Continuously strives to provide superior products and customer service + Expresses oneself in an open and honest… more
    Guardian Life (04/17/24)
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  • Claims Case Manager II, Supplemental Health

    Guardian Life (Trenton, NJ)
    …available against policy guidelines. Once benefits established, determine corresponding type of service codes and benefit amounts for processing. + Assess file to ... decisions via telephone and in writing. + Prioritize and review new claims to adhere to established departmental turnaround times. + Meet productivity requirements… more
    Guardian Life (04/11/24)
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  • Lead Network Support Representative

    Highmark Health (Trenton, NJ)
    …as assigned or requested. **EXPERIENCE** **Required** + 5 years of experience in Customer Service + 5 years of experience in Claims Support and Processing + ... SUMMARY** This role provides new and existing customers with the best possible service related to help desk inquiries, service requests, billing inquiries and… more
    Highmark Health (04/17/24)
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  • Representative , Customer Service

    Evolent Health (Trenton, NJ)
    …for the mission. Stay for the culture. **What You'll Be Doing:** Our customer service team offers candidates the opportunity to make a meaningful impact by providing ... to providing better health outcomes. **Collaboration Opportunities:** + Customer Service Representatives (CSR's) will be working with and providing support… more
    Evolent Health (04/23/24)
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  • May Graduates | Start your professional career!…

    NJM Insurance (Trenton, NJ)
    Start your Professional Career: Licensed Account Representative Are you graduating from college this year? Are you searching for your first professional role? Do you ... for providing personal lines customers with an exceptional Auto Claims Experience, 6 years in a row. NJM Offers:...+ Plus, additional company discounts for items like travel, service , car rental and more! The Opportunity NJM is… more
    NJM Insurance (02/27/24)
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  • Licensed Account Representative - Contact…

    NJM Insurance (Trenton, NJ)
    Do you have a passion for customer service ? Are you looking for a company that offers you more? Come talk to NJM Insurance Group, a 4-time recipient of the Forbes ... been certified by JD Power for providing personal lines customers with an exceptional Auto Claims Experience - 5 years in a row! Our Contact Center team enjoy: + A… more
    NJM Insurance (04/08/24)
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  • Bilingual Patient Receptionist…

    Insight Global (Pennington, NJ)
    …Description One of Insight Global's clients is looking for a patient receptionist representative for their Maternal Fetal Medicine practices - one is located in ... the system. Collect co-payments and outstanding balances at check-in, time of service balances, and estimated balances at check-out. Refer patients to Central… more
    Insight Global (04/20/24)
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  • Sr. Marketing Associate/Marketing…

    Philadelphia Insurance Companies (Ewing, NJ)
    …to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service , Inc. and First Insurance Company of Hawaii, Ltd.) is ... A++ by AM Best. Duties We are looking for a Sr. Marketing Associate/Marketing Representative to join our team! Summary - This position is responsible for qualifying… more
    Philadelphia Insurance Companies (04/20/24)
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  • Client Service Manager

    Sedgwick (Trenton, NJ)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Client Service Manager **PRIMARY PURPOSE** : To manage accounts of multiple client ... service programs or single large national program; to maintain...required to include three (3) years as an Account Representative **OR** five (5) years adjuster experience including one… more
    Sedgwick (02/10/24)
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  • Account Service Associate-(Nationwide)

    Philadelphia Insurance Companies (Ewing, NJ)
    …to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service , Inc. and First Insurance Company of Hawaii, Ltd.) is ... AM Best. Duties We are looking for a Account Service Associate-(Nationwide) to join our team! Summary - Works...with no dedicated assignment by region, agency or PIC representative . + Manages combined book of new and renewal… more
    Philadelphia Insurance Companies (03/28/24)
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  • Associate or Senior Associate Actuary

    NJM Insurance (Trenton, NJ)
    …regional property and casualty insurer with a national reputation for auto claims satisfaction. NJM offers Auto, Homeowners, Renters, Condo, and Umbrella insurance ... the benefit of our policyholders while maintaining the highest levels of service , integrity, and financial stewardship. About Actuarial The Actuarial department at… more
    NJM Insurance (04/18/24)
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  • Actuarial Analyst II

    NJM Insurance (Trenton, NJ)
    …regional property and casualty insurer with a national reputation for auto claims satisfaction. NJM offers Auto, Homeowners, Renters, Condo, and Umbrella insurance ... the benefit of our policyholders while maintaining the highest levels of service , integrity, and financial stewardship. About Actuarial The Actuarial department at… more
    NJM Insurance (02/23/24)
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  • Director, Government Pricing/Contract Compliance

    Bausch Health (Bridgewater, NJ)
    …by required due dates and certification requirements. Oversight of Medicaid claims , Tricare and Coverage Gap processing operations with Third Party vendor ... updates as required to business or regulatory changes, Bona Fide & Non-Bona Fide Service Fee monitoring for treatment in calculations. Stay up to date on regulatory… more
    Bausch Health (03/27/24)
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  • Bill Processor

    NJM Insurance (Trenton, NJ)
    …a better time to join NJM! With a nationally ranked reputation for outstanding customer service and a history that spans more than a century, NJM is a leading ... its policyholders and is committed to maintaining the highest levels of service . Team members are offered a competitive compensation package and benefits including:… more
    NJM Insurance (04/08/24)
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  • Sr. Underwriter I/II - Commercial Lines (Bala…

    Philadelphia Insurance Companies (Ewing, NJ)
    …to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service , Inc. and First Insurance Company of Hawaii, Ltd.) is ... staff to meet the property & casualty insurance and service needs of large multi-product customers. Assist in the...line of business or insurance segment. May accompany marketing representative or represent the company on appointments in assigned… more
    Philadelphia Insurance Companies (04/18/24)
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  • Field Operations Project Manager 1 - Utilities

    Jacobs (Trenton, NJ)
    …all types of emergency incidents, including natural disasters. Coordinates with Customer Service Field, Claims , Public Affairs, Gas Engineering, and Outreach ... on job progress, labor, equipment and material used. Acts as on-site Company representative and liaison with all state and local government officials as applicable.… more
    Jacobs (03/27/24)
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  • Training Specialist - Medical Services

    NJM Insurance (Trenton, NJ)
    …a better time to join NJM! With a nationally ranked reputation for outstanding customer service and a history that spans more than a century, NJM is a leading ... and is committed to maintaining the highest levels of service . Team members are offered a competitive compensation package...+ Must Have experience in the P&C Insurance industry, claims experience is preferred + A High School Diploma… more
    NJM Insurance (03/27/24)
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