Senior Claims Representative - 11717 Metro Public AdjustmentSenior Claims Representative - 11717NJLocal Opportunities – Serve homeowners across Philadelphia, Bucks County, Montgomery County, and nearby parts of South Jersey. Whether you’re looking for a new career or supplemental income, you’ll find success here if you bring a positive attitude, professionalism, and the drive to help others.
Professional Claims Writer -581888 Metro Public AdjustmentProfessional Claims Writer -581888New JerseyMetro Public Adjustment is looking for customer-oriented individuals to join our team of claims representatives. Once reviewed, If you want a face-to-face interview, we typically conduct them on Zoom: For Interview time and location, use the link below:
Research Engineer - Post-Training & Small Language Models (SLMs), Healthcare AI Deloitte Touche Tohmatsu LtdResearch Engineer - Post-Training & Small Language Models (SLMs), Healthcare AIPhiladelphia, PA$189,200–$372,900 / yearDeloitte brings together AI researchers, modeling and platform engineers, architects, clinical and domain specialists, and product leaders to build, deploy, and operate verticalized AI systems across software, data, models, and cloud infrastructure - engineered for one of the most complex operating environments in the world. Three hundred fifty million Americans rely on a healthcare system whose decision-making has become slow, costly, and adversarial - care delayed by prior authorization and paperwork, claims that misfire, clinical decisions made without the right information at the right moment, and patients who struggle to navigate or afford the care they need.
Litigation Specialist First Chicago Insurance CompanyLitigation SpecialistPhiladelphia, PAConduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas.
Client Accounting Specialist (Meritain Health) CVS Health CorpClient Accounting Specialist (Meritain Health)PA$18.50–$42.35 / hourWorking knowledge of Microsoft Office products (Word, PowerPoint, Outlook), as well as a moderate to advanced knowledge of Excel (including V-lookups, pivot tables, and/or formulas). 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.
Finance Manager, Supply Chain and logistics Americas Axalta Coating Systems LtdFinance Manager, Supply Chain and logistics AmericasGlen Mills, PAAxalta operates its business in two segments: Performance Coatings and Mobility Coatings, which serve four end markets, including Refinish, Industrial, Light Vehicle and Commercial Vehicle, across North America, EMEA, Latin America and Asia-Pacific. SUMMARY: The Finance Manager, Supply Chain and logistics Americas will be responsible for consolidation, coordination, and strategy setting for all Supply Chain / Logistics financial analysis for the Americas region.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)PA$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOPA$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Attorney Diedre Moire Corp.AttorneyMerion Station, PA$200,000–$300,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Attorney Lawyer Insurance Company Litigation Policy Development Transaction #DiedreMoire #InsuranceJobs #AttorneyJobs #LitigationJobs #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting. Attorney Counsel Insurance Claims Lawyer VP Vice President Complex Catastrophic Losses Long Tail Subrogation Policy Interpretation Research Discovery Litigation Arbitration Negotiation Settlement Agreements Mass Tort _.
Senior State Tax Manager Reed Smith USSenior State Tax ManagerPhiladelphia, Pennsylvania$160,000–$190,000Full timeProvide technical state and local tax (SALT) research, analysis, and advisory support on a variety of state tax matters, including income/franchise, sales and use, gross receipts, and other state and local taxes. The State Tax Manager will conduct technical tax research and analysis, assist in the development of client strategies and deliverables, manage multiple client matters simultaneously, and support practice group initiatives.
Public Insurance Adjuster Apprentice 249388 Metro Public AdjustmentPublic Insurance Adjuster Apprentice 249388New JerseyRemoteEarn $200 + bonuses for each approved claim while working as a Public Insurance Adjuster Apprentice. The Public Adjustment firm represents the homeowner to ensure that there is no underpayment by the insurance company.
NewTravel Nurse RN - Outpatient Clinic - $1,542 per week in Philadelphia, PA Magnet MedicalTravel Nurse RN - Outpatient Clinic - $1,542 per week in Philadelphia, PAPhiladelphia, PA$1,541.94A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities : Patient Assessment and Triage : Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
Avp, Claims Client Services CNA Financial Corp.Avp, Claims Client ServicesRadnor, PA$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.
NewDirector IT M&A - Due Diligence, Integration and Separation KPMGDirector IT M&A - Due Diligence, Integration and SeparationPhiladelphia, PA$195,415–$370,530 / yearDemonstrated success in leading high-impact IT-focused Mergers and Acquisitions projects with expertise in at least systemintegration/separation, platform migration, IT architecture modernization,outsourcing of IT operations, or regulatory technology implementation; advancedprogram management skills, with the capacity to oversee large, complex projectsand deliver strategic insights to executive audiences; familiarity withleveraging AI-powered platforms for due diligence, synergy analysis, andintegration/separation planning is a significant plus. Strong strategic thinking and leadershipabilities with experience developing and executing IT strategies that alignwith business objectives; proven ability to lead and mentor cross-functionalteams; experience developing and executing go-to-market strategies and drivingbusiness growth in the Mergers and Acquisitions space, including client relationship managementand engagement in business development activities.
NewEnrollment Coordinator - 6 TalentBurst, Inc.Enrollment Coordinator - 6Philadelphia, PA$25–$28 / hourInitiates phone calls, generates letters and other correspondence as required for follow up with payers to ensure timely receipt of provider participation effective dates and numbers (goal is within 60 days of payer receipt date of the application). -Assures that all contacts and discussion with payers are documented and maintained, as well as copies of emails and/or written correspondence sent to third party payers, for future reference.
NewA/R Management Director SarnovaA/R Management DirectorPhiladelphia, PAThe Director of A/R Management is responsible for leading and managing all revenue cycles related to outstanding insurance accounts receivable, insurance denials and appeals processes to ensure timely and accurate collections to maximize reimbursement. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle.
NewDirector of Accounts Receivable SarnovaDirector of Accounts ReceivablePhiladelphia, PASummary : The Director of A/R Management is responsible for leading and managing all revenue cycles related to outstanding insurance accounts receivable, insurance denials and appeals processes to ensure timely and accurate collections to maximize reimbursement. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle.
NewBilling Manager - Digitech SarnovaBilling Manager - DigitechPhiladelphia, PAAdditional responsibilities include identifying deficiencies within the group and escalating them to the Director, building positive relationships both internally and externally, maintaining Key Performance Indicators (KPIs), and delivering annual reviews with staff, along with corrective actions when necessary. The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements.
Claims Analyst Iv-Auto And GL American International GroupClaims Analyst Iv-Auto And GLPhiladelphia, PA$72,500–$96,700 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.
Claims Analyst IV-Auto and GL American International Group Inc (AIG)Claims Analyst IV-Auto and GLPhiladelphia, PA$72,500–$96,700 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.