Claims Handler, Tech E&O and Media Liability Westfield Insurance CoClaims Handler, Tech E&O and Media LiabilityBerkeley Heights, NJIn this role, you will proactively investigate and manage a portfolio of primary and excess Technology Errors & Omissions (E&O) and Media Liability claims, delivering exceptional service and driving effective outcomes. Collaborate closely with underwriters, actuaries, brokers, insureds, defense counsel, and senior management to ensure effective claim handling and alignment with business objectives.
Revenue Cycle Specialist Henry J Austin Health CenterRevenue Cycle SpecialistTrenton, NJFull timeProvider billing experience, preferably in an FQHC or similar setting (3-5 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. Responsibilities include organizing and prioritizing workflows, setting deadlines for finance department staff and external billing vendors, and providing analytical support to other departments on revenue cycle matters.
Pharmacy Technician Azend PharmaPharmacy TechnicianDayton, New Jersey$20–$22 / hourAssist pharmacists in verifying the accuracy and completeness of prescriptions and enter prescription and patient information accurately into the pharmacy's computer system. We specialize in empowering pharmacies to reach new heights of success through comprehensive pharmacy management consulting services.
Claims Module Senior Business Analyst Conduent IncClaims Module Senior Business AnalystNY$85,470–$111,000 / yearThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. Should be able to run queries and perform basic system analysis, RCA etc., Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestones, track and close feedback from such demos.
NewManager, Large Loss Property Claims PL (NY / East PA - WFH) Nationwide Mutual Insurance CoManager, Large Loss Property Claims PL (NY / East PA - WFH)Trenton, NJRemote$108,000–$200,000 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. Able to make physical inspections of property loss sites; including climb ladders, balance at various heights and rooftops up to 8/12 pitch stoop, bend and/or crawl to inspect vehicles and structures; work outside in all types of weather.
Revenue Cycle Specialist Henry J. Austin Health Center IncRevenue Cycle SpecialistTrenton, NJ$48,500–$85,400 / yearProvider billing experience, preferably in an FQHC or similar setting (3-5 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. This position collaborates closely with the Director of Finance and Revenue Cycle, as well as the Revenue Cycle Manager and Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department.
Senior Claims Specialist, Cyber AXIS Capital Holdings LtdSenior Claims Specialist, CyberRed Bank, NJ$120,000–$150,000 / yearExercises critical thinking, proper judgment and decision making in a best practices claim environment to promptly analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion. Work closely with Insureds, Claimants, attorneys and brokers ensuring a premier and best practices claim service is maintained, escalating issues as appropriate.
NewWorkers Compensation Claims Adjuster Interstate Waste Services IncWorkers Compensation Claims AdjusterTeaneck, NJInterstate Waste Services is the most progressive and innovative provider of solid waste and recycling services in the greater New York, New Jersey and Connecticut markets with a rail-served landfill in Ohio. Essential Job Summary: We are seeking a detail-oriented and customer-focused Workers' Compensation Claims Adjuster to manage a caseload of claims across New Jersey, New York, and Connecticut.
Sr. Claims Specialist, Professional Liability Sedgwick Claims Management Services, Inc.Sr. Claims Specialist, Professional LiabilityNY$87,497–$129,000 / yearIn-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Avp, Claims Client Services CNA Financial Corp.Avp, Claims Client ServicesWarren, NJ$152,000–$242,000 / yearLeads or participates in claim/ broker meetings, national meetings (i.e. RIMS), mid-term account reviews, stewardship meetings, renewals and new business offerings by collaborating and partnering with Client Service team, Marketing, Sales and Distribution, Underwriters, Brokers/Agents to understand customer needs, and package claim capabilities, customer-specific trends and industry data, into a compelling story and/or proposition for existing and prospective customers. Acts as a key point of contact both internally and externally at senior levels for National Brokers, Agencies and CNA Branch Vice Presidents by representing CNA Claims, communicating claim strategies, and initiatives, promoting product and service capabilities, establishing proactive touchpoints, ensuring timely responses and problem resolution and gathering and sharing feedback throughout the organization.
AVP, Claims Client Services CNA Financial CorpAVP, Claims Client ServicesWarren, NJ$152,000–$242,000 / yearLeads or participates in claim/ broker meetings, national meetings (i.e. RIMS), mid-term account reviews, stewardship meetings, renewals and new business offerings by collaborating and partnering with Client Service team, Marketing, Sales and Distribution, Underwriters, Brokers/Agents to understand customer needs, and package claim capabilities, customer-specific trends and industry data, into a compelling story and/or proposition for existing and prospective customers. Acts as a key point of contact both internally and externally at senior levels for National Brokers, Agencies and CNA Branch Vice Presidents by representing CNA Claims, communicating claim strategies, and initiatives, promoting product and service capabilities, establishing proactive touchpoints, ensuring timely responses and problem resolution and gathering and sharing feedback throughout the organization.
Claims Examiner, Medical Only AmTrust Financial Services, Inc.Claims Examiner, Medical OnlyPrinceton, New JerseyFull timeClaim adjudication requires interaction with employers, claimants, medical providers, and other parties to ensure adequate medical treatment is provided utilizing company resources in a cost-effective manner. Overview: The Workers’ Compensation Medical Only Claims Examiner is responsible for the prompt and effective investigation of workers’ compensation claims involving injuries requiring medical treatment without lost wages.
Assistant Contracts & Claims Administrator NjtransitAssistant Contracts & Claims AdministratorNewark, NJTracks and organizes various types of contracts and agreements with public utilities, railroads, municipalities, public agencies and other third parties as required to carry out the work of Capital Programs projects. Follows up with Risk Management, Procurement, Real Estate, Environmental and legal liaisons within and outside NJ TRANSIT on various tasks on behalf of Capital Programs to implement capital projects.
Billing and Collections Specialist Henry J Austin Health CenterBilling and Collections SpecialistTrenton, NJFull timeProvider billing and collections experience (3 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. This position collaborates closely with the Revenue Cycle Manager & Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department.
Executive Secretary RWJ Barnabas Health Medical IncExecutive SecretaryRahway, NJ$20.06–$30 / hourThe ideal candidate will possess exceptional organizational, communication, and multitasking skills, demonstrate sound judgment and discretion when handling confidential information, and be comfortable working collaboratively with executive leadership, physicians, Board members, legal professionals, patients, families, vendors, and other internal and external stakeholders. As an Executive Secretary, you'll serve as a trusted partner to senior leadership, providing high-level administrative support to the Chief Executive Officer (CEO), Chief Medical Officer (CMO), Chief Nursing Officer (CNO), and Risk Manager.
Billing And Collections Specialist Henry J Austin Health CenterBilling And Collections SpecialistTrenton, NJ$42,600–$67,000 / yearProvider billing and collections experience (3 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. FQHC is a federal designation from the Bureau of Primary Health Care (BPHC) and the Center for Medicare and Medicaid Services (CMS) that is assigned to private non-profit or public health care organizations that serve predominantly uninsured or medically underserved populations.
Assistant Manager, Post Audit Operations ExlService Holdings IncAssistant Manager, Post Audit OperationsNY$23–$38 / hourEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Portfolio Lead - Claims And Corporate Axis Capital Holdings LTDPortfolio Lead - Claims And CorporateShort Hills, NJ$137,500–$195,000 / yearPortfolio Governance and Management: The Portfolio Lead manages the finances (budgets, actuals) of the Value Stream and of epics (projects) within Value Streams and provides reporting on Objectives & Key Results (OKR) attainment, along with other delivery metrics and KPIs. Drive and guide portfolio strategy in collaboration with Business Leaders, Product Owners, Value Stream Leads and Release Train Engineers and ensure alignment with business objectives.
Portfolio Lead - Claims and Corporate AXIS Capital Holdings LtdPortfolio Lead - Claims and CorporateRed Bank, NJ$137,500–$229,000 / yearPortfolio Governance and Management: The Portfolio Lead manages the finances (budgets, actuals) of the Value Stream and of epics (projects) within Value Streams and provides reporting on Objectives & Key Results (OKR) attainment, along with other delivery metrics and KPIs. Drive and guide portfolio strategy in collaboration with Business Leaders, Product Owners, Value Stream Leads and Release Train Engineers and ensure alignment with business objectives.
Client Service Manager | Casualty Claims Experience Required (Auto, GL or WC) | Multi-Client Sedgwick Claims Management Services, Inc.Client Service Manager | Casualty Claims Experience Required (Auto, GL or WC) | Multi-ClientNY$90,000–$100,000 / yearTo manage accounts of multiple client service programs or single large national program; to maintain client, client broker and key vendor relationships; and to manage program procedures and processes that impact customer satisfaction ensuring consistency in process within the account as well as client retention. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.