125 Results for

Claims Jobs in Roseville, NJ

Jobs

Pittsburgh, PA

Full time

Conduct a virtual walk-through inspection of the property, take some pictures, and fill out about 5 minutes worth of paper work. We are seeking motivated, self-starters in your area, who want to succeed.

30+ days ago

Pittsburgh, PA

$44,200–$50,440 / year

Collaborate in the production of new products and engineering changes to detect and solve problems which may arise prior to the beginning of mass production. The technician will support pharmacy operations by resolving prescription exceptions, processing insurance claims, and assisting patients, providers, and pharmacists as needed.

30+ days ago

Pittsburg, PA

Remote

$79,191–$126,500 / year

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIEs geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.

30+ days ago

Pittsburgh, PA

They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.

15 days ago

Pittsburgh, Pennsylvania

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Investigate, evaluate, and resolve complex indemnity/lost time workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.

8 days ago

Pittsburgh, PA

They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.

14 days ago

Pittsburgh, PA

$72,000–$141,000 / year

Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of high complexity and exposure Financial Lines claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.

30+ days ago

Pittsburgh, PA

$128,000–$252,500 / year

Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

21 days ago

Pittsburgh, PA

$99,000–$232,000 / year

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.

15 days ago

Pittsburgh, PA

$77,000–$202,000 / year

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members.

9 days ago

Pittsburgh, PA

Our two primary products BlinkRx and Quick Save remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.

30+ days ago

Pittsburgh, PA

$75,000–$150,000 / year

Maintains working relationship with field sales force and underwriting department in securing and giving information on claims and regarding the risk desirability of insureds. The representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation.

13 days ago

Pittsburgh, PA

Position Description: Lead, manage, and provide insurance coverage advice on high exposure complexconstruction claims, includingbut not limited to professional liability, construction defect, general liability, builders' risk, pollution liability, subcontractor default, payment and performance bonds, employment, wage and hour, and pollution claims from initial notice through claim closure, including subrogation and litigation domestically and globally. Essential Duties & Key Responsibilities: Manage specialty, complex, and high exposure insurable claims including but not limited to professional liability, construction defect, general liability, builders' risk, pollution liability, subcontractor default, payment and performance bonds, employment, wage and hour, and pollution claims.

15 days ago

Pittsburgh, PA

Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success.

30+ days ago

Cheswick, PA

Frequent movement and sedentary work required - may be required daily to lift up to 25 pounds or exert up to 10 pounds of force to lift, carry, push, pull or otherwise move objects including the human body in a sustained motion; walking is frequently required for sustained periods of time. These include, but are not limited to, calls regarding shortages and damages, problem calls from drivers, pick up calls, tracing, proof of delivery (POD''s), rates, and claims issues.

10 days ago

Pittsburgh, PA

Remote

$72,000–$82,000 / year

Our steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.

21 days ago

Saxonburg, PA

Brayman Construction Corporation in Saxonburg, PA is looking for a detail oriented and organized Safety Document Control, Claims Management & Paralegal Specialist to support the organization's safety, legal, and risk management functions by maintaining controlled safety documentation, administering workers' compensation and liability claims, and providing paralegal-level support for legal, regulatory, and compliance matters. About Brayman Construction: We are a leading heavy civil and geotechnical contractor with office headquarters in suburban Pittsburgh, Pennsylvania, a satellite office in Wytheville, Virginia and various project field offices in the Mid-Atlantic and Northeast Regions.

30+ days ago

Pittsburgh, PA

$97,000–$189,000 / year

Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals and has full management responsibility for executing the Specialty Claim Handling Guidelines by setting and communicating expectations, providing direction and situational coaching, facilitating ongoing training and development, and managing employee performance. Advanced technical expertise in Private D&O, EPL and Fiduciary matters or a specialized or highly complex line of business, business management acumen, investigation and claims resolution experience, expert knowledge claims principles, practices and procedures.

30+ days ago

Pittsburgh, Pennsylvania

Remote

22 days ago

Pittsburgh, PA

Why this role matters: As a Claims Examiner, you'll play a key role in helping our members live healthier, more independent lives. While you'll primarily work remotely, you'll come into the office occasionally depending on departmental needs.

30+ days ago

Pittsburgh, Pennsylvania

Remote

22 days ago

Saxonburg, PA

Brayman Construction Corporation in Saxonburg, PA is looking for a detail oriented and organized Safety Document Control, Claims Management & Paralegal Specialist to support the organization's safety, legal, and risk management functions by maintaining controlled safety documentation, administering workers' compensation and liability claims, and providing paralegal-level support for legal, regulatory, and compliance matters. We are a leading heavy civil and geotechnical contractor with office headquarters in suburban Pittsburgh, Pennsylvania, a satellite office in Wytheville, Virginia and various project field offices in the Mid-Atlantic and Northeast Regions.

30+ days ago

Cheswick, Pennsylvania

Frequent movement and sedentary work required – may be required daily to lift up to 25 pounds or exert up to 10 pounds of force to lift, carry, push, pull or otherwise move objects including the human body in a sustained motion; walking is frequently required for sustained periods of time. These include, but are not limited to, calls regarding shortages and damages, problem calls from drivers, pick up calls, tracing, proof of delivery (POD's), rates, and claims issues.

13 days ago

In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet the end user"s needs, and implements new technologies.

30+ days ago

Pittsburgh, PA

Remote

$62,500–$115,500 / year

Nationwide 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. If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you!

6 days ago

Pittsburgh, PA

Remote

$62,500–$115,500 / year

6 days ago

Monroeville, PA

For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.

21 days ago

Working at Home, PA

Reviews processed claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit and historical claim processing information; may coordinate benefits and interact with customers. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

7 days ago

Pittsburgh, PA

In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.

30+ days ago

Pittsburgh, PA

In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.

30+ days ago

Pittsburgh, PA

Remote

Seven years of total related experience, including one year experience as a senior or lead, OR equivalent combination of education/experience. Coordinate Claims-owned regulatory updates and edits (CCI, LCD, MUE as well as periodic Epic upgrades (Nova Notes.

21 days ago

Pittsburgh, PA

The Medical Only Claims Specialist 1 is responsible for coverage analysis, investigation, evaluation, communication, and disposition of assigned medical claims within the WorkPartners Workers' Compensation business unit. The UPMC WorkPartners Workers' Compensation Medical Only Claims Specialist 1 reports to the Workers' Compensation Supervisor.

5 days ago

Pittsburgh, PA

Workflow Application Navigation - Experience in effectively navigating workflow tool applications to streamline processes and enhance productivity. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism.

22 days ago

West Mifflin, PA

$25–$32 / hour

Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your surveillance expertise.

30+ days ago

Pittsburgh, PA

$97,000–$189,000 / year

Leads a team of Claims Consultants and Consulting Directors responsible for the handling of complex, high exposure life sciences claims and claims arising under Coverage B of commercial general liability policies (personal and advertising injury), including matters involving product advertising, labeling and marketing content, intellectual property and unfair competition allegations, reputational harm, and related emerging exposures. JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training.

30+ days ago

Pittsburgh, PA

$97,000–$189,000 / year

JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training. Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental claims, including social media addiction, PFAS, talc, sexual molestation, and other long tail general liability and pollution related matters.

30+ days ago

Pittsburgh, Pennsylvania

Learn how to interpret and apply policy language to determine coverage for compensability, investigate claim scenarios to appropriately assess liability and damage exposure, and where applicable, review contractual relationships to assess potential risk transfer. As an Associate Claim Rep, General Liability, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.

14 days ago

Pittsburgh, PA

$52,600–$86,800 / year

13 days ago

Pittsburgh, Pennsylvania

Investigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. 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.

14 days ago

Pittsburgh, PA

$67,000–$110,600 / year

13 days ago

Pittsburgh, PA

Full time

Essential Functions:Main job responsibilities: Refinement of organizational processes to protect employees, guests, artists, and the organization – educating staff members about best practices, taking proactive steps to address potential hazards in Trust venues and office spaces, and securing proper insurance to protect the Trust’s financial interests. To accomplish this work, the Manager will gather data from across Trust venues and departments, review procedures, confer with outside insurance/risk contacts, identify ways to reduce risk, and develop strategies for implementing changes in the workplace.

8 days ago

Pittsburgh, Pennsylvania

The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.

16 days ago

Homer City, PA

Support PCM in the management of insurance claims for site issues, including timely notifications, preparation of required supporting documentation following damage caused during transit or project works, supporting queries from insurance adjustors and company representatives, and maintaining event logs associated with all insurance claims. Minimum 10 years’ work experience and 3+ years’ first-hand exposure in Contract Management roles in large complex infrastructure projects/businesses; EPC projects and Turnkey Power/Substation projects experience will be an advantage.

30 days ago

Pittsburgh, PA

$50,327–$80,392 / year

This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIEs geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.

15 days ago

Indiana, PA

$50,327–$80,392 / year

15 days ago

Pittsburgh, Pennsylvania

Remote

Starting pay - $14/hr plus shift differential(extra $1/hr nights & wkds)Working hours between - 8:00am-8:00pm (EST) ; Work Days - M-F Paid Training - typically 2 weeks in length from 9:00am-6:00pm Mon-Fri (EST)Status - Full Time 40 hours, Benefit eligible 1st of month after 60 days $14 - $14 an hourThe above statements are intended to describe the general nature and level of work and are not intended to be an exhaustive list of all responsibilities, duties, and skills required of the jobWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. Join us as a Patient Billing Specialist, where you’ll support patients with payment processing, billing education, insurance verification, and claims-related inquiries.

30+ days ago

Pittsburgh, PA

$118,700–$218,600 / year

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Experience applying International Classification of Diseases, Tenth Revision (ICD-10), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) in claims, medical record, or appeals reviews.

22 days ago

Pittsburgh, PA

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3 days ago

West Mifflin, PA

We're actively seeking retired and former law enforcement professionals to join our Special Investigations Unit (SIU) as Investigators. Join a team where your background is respected, your voice is heard, and your work continues to make a difference.

7 days ago

Pittsburgh, PA

Description Property Adjusters investigate commercial property claims, evaluate damages, determine coverage, set accurate loss cost estimates, control the insureds exposures and losses, manage consultants, and achieve a prompt, fair and equitable settlement according to fair claims handling requirements. An ability to build relationships, mentoring and training less experienced team members, listen (i.e., comprehend nuances and acknowledge others viewpoints), write business correspondence, produce accurate work, manage projects, manage vendors; and use core applications/spreadsheets as normally acquired through a bachelors degree or equivalent.

30+ days ago

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Claims Jobs in Roseville, NJ

459763 Public Adjuster Metro Public Adjustment

Pharmacy Technician A-Line Staffing Solutions LLC

Property Claims Specialist Erie Indemnity Co

Casualty Claims Specialist First Chicago Insurance Company

Senior Workers Compensation Claims Adjuster - DE, PA, NJ Gallagher

Casualty Claims Specialist First Chicago Insurance Company (FCIC)

Complex Claims Consultant - Life Insurance Agent / Broker Dealer CNA Financial Corp

Insurance Claims Business Analyst Deloitte Touche Tohmatsu Ltd

Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLP

Property & Casualty Insurance Claims Operations Consultant, Sr. Associate PricewaterhouseCoopers LLP

Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink Health Management LLC

Field Claims Representative - Pittsburgh Acuity, A Mutual Insurance Company

Senior Corporate Counsel - Director Complex Claims Turner Construction Co

Claims Examiner - Subrogation Claims Auto-Owners Insurance Group

Claims Prevention Coordinator Operations Pitt-Ohio Express, LLC

Workers Comp Senior Claims Rep Remote-NJ PA MA Great American Insurance Company

Safety Document Control, Claims Management & Paralegal Specialist Brayman Construction Corp

Complex Claims Director - EPL, Private and Not-For-Profit D&O, Fiduciary CNA Financial Corp

Workers Comp Senior Claims Rep Remote-NJ PA MA National Interstate Corporation

Claims Examiner (CHC/Medicaid University of Pittsburgh Medical Center

Workers Comp Senior Claims Rep Remote-NJ PA MA Vanliner Insurance Company

Safety Document Control, Claims Management & Paralegal Specialist Brayman Construction

Claims Prevention Coordinator- Operations Pitt Ohio

Epic Systems Analyst- Resolute Hospital Billing & Claims Highmark Inc

Field Claims Specialist II, Material Damage (Southwest Greater Pittsburgh Area, PA - WFH) Nationwide Mutual Insurance Co

Field Claims Specialist II, Material Damage (Eastern Greater Pittsburgh Area, PA - WFH) Nationwide Mutual Insurance Co

Claims Administrative Support Specialist The Progressive Corp

Claims Processor Highmark Inc

Epic Certified Professional Billing Claims Analyst 5944596 Accenture Plc

Epic Certified Hospital Billing Claims Analyst 5944595 Accenture Plc

Systems Analyst - Team Lead (Epic HB Claims and Remittance University of Pittsburgh Medical Center

Medical Only Claims Specialist I - Workers Comp University of Pittsburgh Medical Center

Fraud Claims Sr Specialist Citizens Financial Group Inc

SIU Claims Investigator Lemieux & Associates LLC

Complex Claim Director - Life Sciences & Advertising Injury/Personal Injury CNA Financial Corp

Complex Claim Director - Mass Tort Unit CNA Financial Corp

General Liability Associate Claim Representative Travelers

General Liability Associate Claim Representative The Travelers Companies Inc

General Liability Claim Representative Travelers

General Liability Claim Representative The Travelers Companies Inc

Risk and Insurance Manager Pittsburgh Cultural Trust

Medical Billing Assistant - Entry Level Vitalsearchgroup

Site Contract Manager ON GRID INFRASTRUCTURE SERVICES LLC

Property Adjuster (Trainee) - Allegheny, Beaver, Butler County, PA Erie Indemnity Co

Property Adjuster (Trainee) - Westmoreland, Armstrong & Indiana County, PA Erie Indemnity Co

Patient Billing Representative Five Star Solutions

Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu Ltd

Account Specialist (Dental Billing) University of Pittsburgh

Private Investigator - Retired/Former Law Enforcement Lemieux & Associates LLC

Property Adjuster Liberty Mutual Holding Company Inc

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