NewProperty Damage Rep (I/II/Sr) – Parsippany, NJ New Jersey ManufacturersProperty Damage Rep (I/II/Sr) – Parsippany, NJParsippany, New JerseyOur General Claims department in Parsippany, NJ is looking for a Property Damage Representative candidate who has excellent communication skills as well as strong organizational and time management skills. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
Director Configuration, Benefit Administration HealthfirstDirector Configuration, Benefit AdministrationNew York, NY$154,600–$236,555 / yearThis role implements the configuration structure within Healthfirst's technology platforms to administer benefits taking in coordination with Provider Contracting, Claims Operations, Provider Data Management, Clinical Operations, Payment Integrity, and Information Technology. The objective of this role is to ensure that the benefit structure implementation delivers the intended experience through claim adjudication, including benefits, authorizations, reference data, claims editing, regulatory requirements, payment policies, and overall claim system functionality.
Billing Coordinator Alliance Health SystemsBilling CoordinatorMatawan, New JerseyRemote$20–$30 / hourCoordinate with other departments to ensure the accuracy of invoices, correspond with patients to follow up on outstanding payments, and resolve any billing related issues or discrepancies. Background Check Requirement: Employment is contingent upon the successful completion of a background check, which may include verification of employment history, education, criminal records, and other relevant information as permitted by law.
Product Owner Chubb LtdProduct OwnerNew York, NY$112,200–$162,800 / yearThe Claims Transformation Product Owner will own the product vision, roadmap, and backlog for claims technology capabilities within Chubb''s Global Claims Transformation organization, translating business strategy into prioritized, well-defined requirements that drive operational efficiency, continuous improvement, and an elevated customer experience. The ideal candidate is intellectually curious, treats change as opportunity, and actively pursues new tools and approaches, including AI-powered technologies, to continuously sharpen how products are defined and delivered.
Associate, Payment Integrity IBR Oscar Health IncAssociate, Payment Integrity IBRNew York, NYRemote$82,717–$108,566 / yearThis is accomplished by leveraging a deep understanding of Oscar''s claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
Senior Analyst, Payment Integrity Disputes Oscar Health IncSenior Analyst, Payment Integrity DisputesNew York, NYRemote$64,832–$85,092 / yearYou will leverage a deep understanding of Oscar''s claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
Dir Configuration, Benefit Administration HealthfirstDir Configuration, Benefit AdministrationNew York, NY$154,600–$236,555 / yearThis role implements the configuration structure within Healthfirsts technology platforms to administer benefits taking in coordination with Provider Contracting, Claims Operations, Provider Data Management, Clinical Operations, Payment Integrity, and Information Technology. The objective of this role is to ensure that the benefit structure implementation delivers the intended experience through claim adjudication, including benefits, authorizations, reference data, claims editing, regulatory requirements, payment policies, and overall claim system functionality.
Commercial General Liability Director Selby Jennings LtdCommercial General Liability DirectorTrenton, NJThis is a unique opportunity to join a highly visible department and play a key role in shaping processes, developing talent, and supporting continued growth across the Mid-Atlantic region. A respected and growing property & casualty insurance carrier is seeking a Commercial General Liability Claims Director to provide leadership and strategic oversight for its commercial liability claims operation.
Senior Staff Dentist, Utilization Management (Remote) NY LIBERTY Dental PlanSenior Staff Dentist, Utilization Management (Remote) NYNew York, NYRemote$175,000–$185,000 / yearJoin LIBERTY Dental Plan as a Senior Staff Dentist and play a critical role in improving quality, supporting providers, and ensuring members receive clinically appropriate, evidence-based dental care across Commercial, Medicare Advantage, and Medicaid programs. In this influential clinical leadership role, you'll leverage your expertise to guide utilization management decisions, support quality improvement initiatives, mentor colleagues, and help drive better oral health outcomes on a broader scale.
CPC Investigator Horizon Healthcare ServicesCPC InvestigatorNewark, New JerseyThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. $70,500 - $94,395 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
TPA Service Specialist TravelGuard Zurich Insurance Group LtdTPA Service Specialist TravelGuardParsippany, NJDesigned with our employees needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. In this role you will be responsible for collaborating with our Zurich CoverMore (Travel Guard/ Travelex) partners regarding the oversight of the TPAs that adjudicate claims on travel policies.
Director, Logistics Maiden Home IncDirector, LogisticsNew York, NY$180,000–$210,000 / yearDevelop a tariff risk monitoring and cost modeling capability: track tariff schedules, Section 301 classifications, and trade policy changes; model financial exposure by origin country, product category, and lane; and bring scenario analyses to leadership with enough lead time to inform procurement and pricing decisions. Own claims management for damaged, lost, and delayed shipments: file and track claims, maintain an open claims log with aging, analyze patterns to drive carrier accountability, and ensure recoveries are captured in financial reporting.
Machine Adjuster NovolexMachine AdjusterElizabeth, New Jersey$22–$25 / hourFull timePrograms include company and industry training curricula, support for formal education through the Tuition Reimbursement Program (Non-Union), and a Learning Management System that supports and enhances employee skills at all levels of the organization. Novolex is a leading manufacturer of food, beverage, and specialty packaging that supports multiple industries including foodservice, restaurant delivery and carryout, food processing, grocery and retail, and industrial sectors.
(USA) Optician, Licensed - Sam's Club Walmart Inc(USA) Optician, Licensed - Sam's ClubFREEHOLD, NJ$37–$45 / hourSells Optical products and services by assisting Members with purchasing decisions measuring adjusting and repairing frames and lenses completing eyewearcontact lens orders identifying and verifying prescription information completing and maintaining paperwork forms and other required documentation collecting payments for doctor services and performing and recording results of optometric pretests. Operates hardware such as cash registers or related equipment processes member purchases and assists in payments returns refunds and exchanges using appropriate procedures for different membership and payment types.
Outpatient Payment Integrity Production Coder MedReviewOutpatient Payment Integrity Production CoderNew York, NY$58,000–$65,000 / yearPerform outpatient coding reviews using medical records, itemized bills, claim lines, payer requirements, CPT/HCPCS guidance, ICD-10-CM guidelines, revenue codes, modifier rules, NCCI edits, APC/EAPG logic, and supporting documentation. The Outpatient Payment Integrity Production Coder is responsible for completing claim-level outpatient coding reviews to identify inaccurate coding, unsupported billing, documentation gaps, and potential overpayments.
Absence Management Specialist Unit Leader MetLife IncAbsence Management Specialist Unit LeaderBridgewater, NJ$55,600–$99,300 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
NewSchool Counselor - (Anticipated) Scotch Plains Fanwood Public School DistrictSchool Counselor - (Anticipated)Scotch Plains, NJYour coverage effective date is 30 days from your employment start date, except in the following cases: 10 Month employees hired effective September 1, coverage begins effective September 1. 12 Month employees hired effective July 1, coverage begins effective July 1. Dependent under 31 Coverage - Chapter 375 What if I have issues regarding my personal insurance claims: This site is a general benefits site, containing impor tant documents and forms regarding th e benefits offered to all employees of Scotch Plains-Fanwood Board of Education.
Field Reimbursement Manager-Ophthalmology - Minnesota, Wisconsin Regeneron Pharmaceuticals IncField Reimbursement Manager-Ophthalmology - Minnesota, WisconsinNY$165,600–$209,600 / yearProactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers. Familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur.
Senior Software Engineer, Backend Grow Care, Inc.Senior Software Engineer, BackendNew York City, NY$182,000–$250,000 / yearAs a Software Engineer on this team, you'll work across search, ranking, profiles, and booking flows to build a fast, resilient, and intelligent marketplace that helps every client find the right fit provider and convert that intent into a booked appointment. As a Software Engineer on this team, you'll build and harden systems for scheduling, authentication, notifications, and early-journey flows that directly determine whether clients show up, come back for visit two, and build lasting relationships with their providers.
Billing Specialist Community OptionsBilling SpecialistPrinceton, New JerseyYou will collect Medicaid reimbursements by resolving discrepancies, adjusting claims, preparing reports, monitoring collections, and providing excellent customer service to internal staff and designated payers. Locate and notify designated payers of delinquent accounts by mail, telephone, email, or personal visits to solicit payment.