135 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

We are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. High school diploma or GED required, Bachelor's degree strongly preferred.

2 days ago

Pittsburgh, Pennsylvania

Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders.

3 days ago

Pittsburgh, PA

You will be working from home so previous workers compensation adjusting experience is required (i.e. taking statements, paying lost wage benefits, filing state forms, denying claims, subrogation, litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.

1 day 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.

3 days ago

Pittsburgh, Pennsylvania

Remote

Full time

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.

24 days ago

Pittsburgh, PA

Full time

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.

27 days ago

$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

$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.

25 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.

29 days ago

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.

30+ days ago

Pittsburgh, Pennsylvania

Skills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.

3 days ago

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

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.

26 days ago

Saxonburg, PA

Full time

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

Johnstown, PA

$48,000–$55,000 / year

Responsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.

7 days ago

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.

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

30+ days ago

Pittsburgh, Pennsylvania

Remote

30+ 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

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

This role manages complex claims involving primary and excess insurance coverages, significant litigation, and extensive liability; monitors claims work on complicated claims; assumes responsibility for reviewing claims for settlement potential; managing the litigation services provided by all subcontracted defense attorneys; and conducts comprehensive audits of litigated files. Analyze complex, technically challenging, and/or sensitive employee related and third party claims that are submitted for coverage under one of, but not limited to, UPMC Captive policies; Directors & Officers Liability, including Employment Practice Liability, Managed Care Errors & Omissions, General Liability and Professional (malpractice liability.

9 days ago

Cheswick, Pennsylvania

Full time

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.

29 days ago

Pittsburgh, PA

You will serve as a subject matter expert regarding claims matters, handling various types of claim disputes and litigation for automobile personal injury, commercial general liability, property damage, workers compensation, and other corporate litigation. Our dedication to fostering a strong, value-driven culture has consistently earned us the Top Workplaces USA award as one of the nation's top employers, including recognition in Leadership, Purpose & Values, and Compensation & Benefits.

10 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.

23 days ago

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.

22 days ago

Pittsburgh, PA

$121,000–$143,000 / 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. Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management.

7 days ago

West Mifflin, PA

$25–$32 / hour
Part time

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

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.

21 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

$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, PA

$132,800–$219,100 / year

As a Senior Counsel with Travelers you will be responsible for high quality, proactive case handling and will have the opportunity to use your legal expertise and litigation skills to independently handle a caseload of higher exposure cases and more complex litigation matters, including Major Case and Complex Claim matters depending on line of business. In the independent handling of a caseload of higher exposure cases and most complex litigation matters, including Major Case and Complex Claim depending on line of business, your responsibilities will include: Leverage trial experience to apply effective use of litigation skills and techniques to try cases to verdict or negotiate resolution.

3 days ago

Pittsburgh, PA

$67,000–$110,600 / year

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.

29 days ago

Pittsburgh, Pennsylvania

4 days ago

Pittsburgh, Pennsylvania

30 days ago

Pittsburgh, PA

$50,000–$71,500 / year

The Claim Manager will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attorneys, etc. to gather the information to make the decision on the claim. Role Overview: The LTD Claim Manager is responsible for accomplishing training requirements, learning, and applying the LTD concepts gained in classroom and on the job training to successfully manage an assigned LTD caseload.

3 days ago

Valencia, Pennsylvania

The Warranty Claims assistant will perform various routine clerical duties regarding school bus vehicles in support of the service location. Other duties will consist of answering phones, directing calls and preparing messages; data entry, filing, and completion of simple forms.

17 days ago

Valencia, PA

Full time

12 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.

30+ 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

West Mifflin, PA

Part time

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.

23 days ago

Pittsburgh, PA

$56,367–$90,040 / 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.

9 days ago

Pittsburgh, PA

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19 days ago

Pittsburgh, PA

The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.

8 days ago

Belle Vernon, Pennsylvania

As a Roof Field Inspector, you'll be part of our dynamic network of independent contractors, conducting assessments on steep and high roofs, evaluating exterior and interior damage, and performing underwriting property inspections. Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.

3 days ago

Mt Pleasant, Pennsylvania

3 days ago

West Mifflin, PA

10 days ago

Latrobe, PA

2 days ago

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Claims Jobs in Roseville, NJ

459763 Public Adjuster Metro Public Adjustment

Pharmacy Benefits Specialist BlinkRx

Property Adjuster Insurance Claims Elevate Claims Solutions

Workers Compensation Claims Adjuster (Northeast Jurisdictions) CBCS

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

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

Pharmacy Claims Adjudication Specialist Onco360

Claims Examiner - Subrogation Claims Auto-Owners Insurance Group

Claims Prevention Coordinator Operations Pitt-Ohio Express, LLC

Safety Document Control, Claims Management & Paralegal Specialist Brayman Construction

Claims Consultant Tata Consultancy Services Ltd

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

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

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

Claims Examiner (CHC/Medicaid University of Pittsburgh Medical Center

Epic Systems Analyst- Resolute Hospital Billing & Claims Highmark Inc

Senior Claims & Insurance Analyst University of Pittsburgh Medical Center

Claims Prevention Coordinator- Operations Pitt Ohio

Claims Counsel West Shore Home, Inc.

Claims Processor Highmark Inc

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

Senior Resolute PB Claims Consultant Deloitte Touche Tohmatsu Ltd

SIU Claims Investigator Lemieux & Associates LLC

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

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

Complex Claim Director - Mass Tort Unit CNA Financial Corp

Sr Counsel, Claim The Travelers Companies Inc

General Liability Claim Representative The Travelers Companies Inc

Sr Counsel, Claim Travelers

General Liability Claim Representative Travelers

LTD (Long Term Disability) Claim Manager - Pittsburgh New York Life Insurance Co

Warranty Claim Assistant Blue Bird Bus Sales Of Pittsburgh

Warranty Claim Assistant Blue Bird Bus Sales Of Pittsburgh, Inc.-

Medical Billing Assistant - Entry Level Vitalsearchgroup

Site Contract Manager ON GRID INFRASTRUCTURE SERVICES LLC

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

Property Adjuster I Erie Indemnity Co

Account Specialist (Dental Billing) University of Pittsburgh

Surveillance Investigator Allied Universal

Belle Vernon, PA - Field Roof Inspector Hancock Claims Consultants Technicians

Mt Pleasant, PA - Field Roof Inspector Hancock Claims Consultants Technicians

West Mifflin/ Pittsburg, PA - Field Roof Inspector Hancock Claims Consultants Technicians

Latrobe, PA - Field Roof Inspector Hancock Claims Consultants Technicians

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