3,033 Results for

Administration Jobs in Paramus, NJ

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Claims Examiner District Of Columbia

Washington, DC

Conducts comprehensive investigations by reviewing police reports, contracts, photographs, public records, medical documentation, witness statements, and other relevant evidence; interviewing employees, complainants, attorneys, witnesses, and other parties; and preparing investigative reports. The Claims Examiner analyzes claims information by conducting legal and factual research, establishing and adjusting claim reserves, evaluating damages, monitoring claim activity, and maintaining accurate claims data.

9 days ago

Claim Benefit Specialist CVS Health Corp

$17–$28.46 / hour

Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.

30+ days ago

Stop Loss & Health Claim Analyst Sun Life Financial Inc

Baltimore, MD

$54,100–$81,200 / year

Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. This requires applying the appropriate contractual provisions; plan specifications of the underlying plan document; professional case management resources; and claims practices, procedures and protocols to the medical facts of each claim to decide on reimbursement or denial of a claim.

17 days ago

Senior Claim Benefit Specialist - Remote CVS Health Corp

Remote

$18.50–$42.35 / hour

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.

17 days ago

Workers'''' Compensation Senior Claim Representative The Hartford Insurance Group Inc

Washington, DC

$62,400–$93,600 / year

Candidates who live near one of our office locations (Hartford, CT, Lake Mary, FL, San Antonio, TX, Naperville, IL or Scottsdale, AZ) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies.

22 days ago

Senior Claim Adjuster - Workers' Comp FCCI Insurance Group

VA Field, VA

$75,528–$116,313 / year

Currently seeking an experienced Senior Work Comp Claim Adjuster to provide quality, cost efficient, and timely investigation of liability claims and provide exceptional customer service. The selected candidate will evaluate coverage/compensability and may need to complete field investigations with a focus on quality claim handling leading to file resolution.

30+ days ago

Claim Representative II - REMOTE Ryder System Inc

Annapolis, MD

Remote

Compensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.

30+ days ago

Outside Property Associate Claim Representative The Travelers Companies Inc

Largo, MD

$52,600–$86,800 / year

This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.

4 days ago

Associate Claim Rep, Outside Property The Travelers Companies Inc

Rockville, MD

$52,600–$86,800 / year

30+ days ago

Associate Claim Representative Outside Property The Travelers Companies Inc

Hunt Valley, MD

$52,600–$86,800 / year

This position is based remotely with work at residential and commercial locations with a combination of mobile work, work from your primary residence, or the nearest Travelers office. As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.

26 days ago

Auto First Party Medical Associate Claim Rep The Travelers Companies Inc

Hunt Valley, MD

$47,700–$78,600 / year

As an Associate Claim Rep, Auto First Party Medical (FPM), you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

10 days ago

Outside Property Claim Manager The Travelers Companies Inc

Glen Burnie, MD

$104,000–$171,700 / year

Achieve Optimal Solutions: Focus on resolution and process improvement, fulfilling all obligations while maximizing cost effectiveness, helping the business understand drivers, trends and product stress points and helping our partners attract and retain business. Provide Compelling Claim Services: Employ proper claim handling techniques to protect the integrity of our brand and providing consistent service quality and streamlined processes to add value for our customers.

30+ days ago

Enterprise Architect, Senior Advisor Peraton Inc

$176,000–$282,000 / year

The ideal candidate combines deep expertise in Facets platform architecture with hands-on AWS cloud engineering experience, enabling the design of scalable, secure, and HIPAA-compliant solutions for high-volume Medicare claims processing environments. Responsibilities: Lead the architecture, design, and implementation of Facets platform environments on AWS, including compute (EC2, ECS), storage (S3, Oracle), and networking (VPC, Direct Connect) components.

30+ days ago

Healthcare Solution Architect Lumen Solutions Group, Inc.

Baltimore, MD

Remote

Quick Apply

We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and Enterprise Transformation.

30+ days ago

Nurse, Clinical Medical Review Iconma

Baltimore, MD

$36.49–$41.49 / hour
Quick Apply

35% Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or adjudication, Performs high-level research on topics identified as actual or potential medical policies. The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and Provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication.

12 days ago

UI Professional V (UI Professional Benefits Supervisor) State of Maryland

Baltimore City, MD

MAIN PURPOSE OF THE JOB: THE MAIN PURPOSES OF THIS POSITION ARE TO ASSIST BPC DIRECTOR IN DEVELOPING, PLANNING, COORDINATING AND MANAGING THE DAILY OPERATIONS WITHIN THE BENEFITS PAYMENT CONTROL UNIT (INVESTIGATIONS AND OVERPAYMENT AND RECOVERIES SECTIONS) FOR THE DIVISION OF UNEMPLOYMENT INSURANCE (DUI) IN ACCORDANCE WITH THE EMPLOYMENT AND TRAINING U.S. DEPARTMENT OF LABOR (USDOL); WILL DIRECTLY LEAD BPC SUPERVISORS; ASSIST IN CREATING POLICIES, PROCEDURES, AND ESTABLISH INTERNAL CONTROLS THAT EFFECTIVELY PROTECT THE INTEGRITY AND SECURITY OF UI PROGRAM STAFF, PROGRAM OPERATIONS AND SYSTEMS, UI FUNDS, UI DATA AND OTHER STATE ASSETS; TO REDUCE THE POSSIBILITY OF INTERNAL AND EXTERNAL FRAUD BY MINIMIZING PROGRAM VULNERABILITIES AND FAULTY PROCEDURES; AND TO HELP PREVENT IDENTITY THEFT. Experience: Eight years of experience in a public/or private agency rendering and/or determining eligibility for a Human Service Program, or an insurance claims processing and fraud investigations program OR four years of experience in administrative staff or professional staff work and an additional four years of experience in a public/or private agency rendering and/or determining eligibility for a Human Service Program, or an insurance claims processing and fraud investigations program.

15 days ago

Health Services - Nurse, Clinical Medical Review Talteam

Baltimore, MD

Quick Apply

ESSENTIAL FUNCTIONS: Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or adjudication, Performs high-level research on topics identified as actual or potential medical policies. The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication.

13 days ago

Senior Data Engineer Macpower Digital Assets Edge Private Limited

Washington, DC

$157,000–$169,000 / year
Quick Apply

Key Responsibilities: Maintain, troubleshoot, and modify complex SSIS packages for high-volume Medicaid claims, provider, and member data. Required Technical Skills (7+ years each): SQL Server including SSIS, SSAS, SSRS while deploying Azure cloud solutions.

12 days ago

Agent- Insurance Sales The Atlantic District

Annapolis, MD

$220,000–$250,000 / year
Quick Apply

We are looking for an energetic and warm Insurance Sales Agent to join our growing office, someone who genuinely enjoys connecting with people and helping them navigate the complexities of protecting what they have worked so hard to build. If you are someone who thrives on meaningful conversation, has a knack for problem-solving, and wants to build a career in a supportive, friendly environment, we would be delighted to have you join our team.

2 days ago

Mgr, Business Consultant CVS Health Corp

$60,300–$132,600 / year

The Manager will be responsible for ensuring the accuracy, completeness, and timeliness of encounter data submissions while partnering closely with internal business and technical teams, as well as external vendors, to meet regulatory and operational requirements across multiple states. As the Dual Special Needs Plan (DSNP) business continues to expand, we are seeking an experienced Manager, Encounter Data & State Submission Operations to lead the end-to-end management of encounter and claims data submissions to state agencies.

30+ days ago

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Administration Jobs in Paramus, NJ

Claims Examiner District Of Columbia

Claim Benefit Specialist CVS Health Corp

Stop Loss & Health Claim Analyst Sun Life Financial Inc

Senior Claim Benefit Specialist - Remote CVS Health Corp

Workers'''' Compensation Senior Claim Representative The Hartford Insurance Group Inc

Senior Claim Adjuster - Workers' Comp FCCI Insurance Group

Claim Representative II - REMOTE Ryder System Inc

Outside Property Associate Claim Representative The Travelers Companies Inc

Associate Claim Rep, Outside Property The Travelers Companies Inc

Associate Claim Representative Outside Property The Travelers Companies Inc

Auto First Party Medical Associate Claim Rep The Travelers Companies Inc

Outside Property Claim Manager The Travelers Companies Inc

Enterprise Architect, Senior Advisor Peraton Inc

Healthcare Solution Architect Lumen Solutions Group, Inc.

Nurse, Clinical Medical Review Iconma

UI Professional V (UI Professional Benefits Supervisor) State of Maryland

Health Services - Nurse, Clinical Medical Review Talteam

Senior Data Engineer Macpower Digital Assets Edge Private Limited

Agent- Insurance Sales The Atlantic District

Mgr, Business Consultant CVS Health Corp

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