Senior SAP FS-RI Consultant (Reinsurance Management) eTeam Inc.Senior SAP FS-RI Consultant (Reinsurance Management)Parsippany, NJ$100–$120 / hourConfigure and support SAP FS?RI for treaty and facultative reinsurance, including proportional and non?proportional structures. Functional knowledge of claims processing, recoveries, commissions, settlements, UPR, and reinstatement premiums.
NewSenior Personal Lines Bodily Injury Claims Professional Plymouth Rock Management Company of New JerseySenior Personal Lines Bodily Injury Claims ProfessionalUniondale, NY$86,000–$118,000 / yearIn this role, you'll manage sophisticated First- and Third-Party Bodily Injury claims, partnering with internal teams, defense counsel, vendors, and other experts to develop claim strategy and drive thoughtful, effective resolutions. Complex Claim Investigation - Conduct thorough coverage, liability, and injury investigations, obtain statements, and evaluate the facts needed to reach timely, well-informed claim decisions.
Manager Claims Healthcare VillageCareManager Claims HealthcareNew York, NY$118,135.58–$132,902.53 / yearExperience: This position requires a minimum of 5 + years' experience in claims analytics performing increasingly complex data analysis and report/dashboard development, in a healthcare setting, and at least 2 years' experience managing and training staff. VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
Account Manager III- Stop Loss Integrated Resources, IncAccount Manager III- Stop LossNewark, New JerseyFull timeThis specialist position will focus on growing Client's book of business in addition to coordinating with our preferred stop loss vendors by acting as a liaison between sales, marketing, underwriting, preferred vendors, brokers and other key stakeholders both internally and externally. · Coordinates with sales and underwriting on all upcoming renewals and new business opportunities that will maximize the potential for account retention and initial premium and enrollment growth which a focus on profitability.
Contract Manager Integrated Resources, IncContract ManagerNewark, New JerseyFull timeKnowledge/Skills/Abilities: Must be proficient and possess advanced skills in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Outlook; Should be knowledgeable in the use of intranet and internet applications. Responsibilities: Manages contract renewals and ensures services are provided that will maximize the potential for account retention and initial member enrollment.
Surgical Collector Human HireSurgical CollectorTarrytown, NYYoull work closely with experienced revenue cycle professionals, manage real surgical billing complexity, and contribute directly to financial readiness ahead of a major system transition. This role focuses on surgical claims follow-up, insurance resolution, and patient balance collections as the organization prepares for an upcoming Epic implementation and wind-down of legacy A/R.
Business Analyst With Pharmacy Benefit Management - Remote The Dignify Solutions, LLCBusiness Analyst With Pharmacy Benefit Management - RemoteEdison, NJRemoteCandidate should have deep understanding of First Data Bank (FDB) Drug nomenclature and how to use FDB nomenclature in designing / configuring drug coverage (inclusions/exclusions/PA Criteria) or building Formulary / Preferred Drug Lists. Willing to consider less experienced candidates who can demonstrate depth in understanding PBM area.
Administative Professional Phaxis LLCAdministative ProfessionalManhattan, NYRemote$30–$35 / hourNowHiring #HybridJobs #HealthcareJobs #ClaimsProcessing #HealthPlan #ProviderContracts #ContractAdministration #AdministrativeJobs #ExcelJobs #HiringNow #Phaxis What You'll Do: Support a major claims processing system conversion by locating, reviewing, and organizing provider contracts for the 2024, 2025, and 2026 implementation.
Managed Care Coordinator Integrated Resources, IncManaged Care CoordinatorNewark, New JerseyContractorSpecialized knowledge/skills: Requires knowledge of medical terminology Requires knowledge of a claims processing platform with health insurance carrier (i.e., FACETS, QBLUE, etc.) Requires Good Oral and Written Communication skills Requires ability to make sound decisions under the direction of Supervisor Prefer knowledge of benefit contracts, enrollment, billing & claims coding/processing Prefer knowledge Managed Care principles and/or Medicaid Prefer the ability to analyze and resolve problems with minimal supervision Prefer the ability to use a personal computer and applicable software and systems Team Player, Strong Analytical, Interpersonal Skills. Job Summary: This position supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators.
Business Systems Analyst - No Surprises Act Contech SystemsBusiness Systems Analyst - No Surprises ActNewark, NJ$50–$75 / hourThis individual will work closely with business stakeholders, operations teams, and technology teams to analyze business processes, define requirements, and support enhancements to systems responsible for NSA compliance, claims processing, and reimbursement workflows. Our client is seeking an experienced Business Systems Analyst with a strong background in the U.S. healthcare payer industry to support initiatives related to the No Surprises Act (NSA).
Customer Service Representative - State Farm Agent Team Member Tawanda Jackson - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberJersey City, NJFull timeWhether answering inquiries, assisting with policy changes, or guiding customers through the claims process, you’ll play a key role in creating exceptional experiences. This isn’t just a job—it’s a chance to build a career in a supportive, dynamic environment where your skills are valued, and your potential is unlimited.
Customer Service Representative - State Farm Agent Team Member Kyle Rourke - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberHackensack, NJFull timeAs a Customer Service Representative - State Farm Agent Team Member with Kyle Rourke - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Insurance Account Position - State Farm Agent Team Member Tawanda Jackson - State Farm AgentInsurance Account Position - State Farm Agent Team MemberJersey City, NJFull timeAs our Insurance Account Position - State Farm Agent Team Member, your knowledge of insurance products and industry trends equips you to communicate directly with customers, identify their needs, and market products or services that maximize value. If you are energetic, goal-oriented, and sales-minded, we are excited to harness your talents in this rewarding opportunity to build your career.
Customer Service Representative - State Farm Agent Team Member Alberto Santana - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberJersey City, NJFull timeAs a Customer Service Representative - State Farm Agent Team Member with Alberto Santana - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Arthur Huth - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberHewlett, NYFull timeAs a Customer Service Representative - State Farm Agent Team Member with Arthur Huth - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Kevin Baez - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberHillsborough, NJFull timeAs a Customer Service Representative - State Farm Agent Team Member with Kevin Baez - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Frank Petronella - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberHasbrouck Heights, NJFull timeAs a Customer Service Representative - State Farm Agent Team Member with Frank Petronella - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. We also believe in creating a rewarding workplace by offering PTO, health benefits, a Simple IRA, licensing reimbursement, team outings, bonus opportunities, and even the chance to earn early Fridays based on performance.
Customer Service Representative - State Farm Agent Team Member Rami Attieh - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberBloomfield, NJFull timeAs a Customer Service Representative - State Farm Agent Team Member with Rami Attieh - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
NewCustomer Service Representative - State Farm Agent Team Member Diane Smith - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberBloomfield, NJFull timeAs a Customer Service Representative - State Farm Agent Team Member with Diane Smith - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Disability Customer Advocate II MetLife IncDisability Customer Advocate IINY$49,100–$80,169 / 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").