1,006 Results for

Claims Processor Jobs in Monitor, NJ

Jobs

Medical Claims Processor Globalchannelmanagement

Paramus, New Jersey

Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Medical Claims Processor duties: Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.

30+ days ago

Global Claims Technical Claims Manager - Life Health Global Claims General Re Corporation

Stamford, CT

Incumbent contributes to the accurate and efficient adjudication of claims by supporting the Global Chief Claims Officer, Segment Claim Officers, their branches and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, the various regulatory environments (e.g. Key Accountabilities: As a Global Claims Technical Claims Manager, you will: Be responsible for the timely decision making and accuracy of reinsurance determinations on multiple lines of claim submissions in support of GRL Global Claims.

30+ days ago

Senior Claims Adjuster, Specialty Claims The Fortegra Group Inc

Iselin, NJ

$90,000–$150,000 / year

As a direct report to the Director, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Commercial General Liability line of business. Primary Job Functions: Direct management of general liability claims, including New York Labor Law matters with potential for significant severity and complexity.

23 days ago

Claims Adjuster, Specialty Claims The Fortegra Group Inc

Iselin, NJ

$60,000–$100,000 / year

In this role, you will investigate, evaluate, and resolve general liability claims under close supervision, while delivering fair and timely outcomes for all parties involved. Please be aware of job fraud(s) - all correspondence emails regarding your candidacy will come from our Fortegra.com email address.

30 days ago

Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Company

New Jersey, NJ

$85,000–$106,000 / year

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets .

30+ days ago

Claims Adjuster, Specialty Claims LotSolutions, Inc.

Iselin, NJ

$60,000–$100,000 / year
Part time

In this role, you will investigate, evaluate, and resolve general liability claims under close supervision, while delivering fair and timely outcomes for all parties involved. Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address.

30+ days ago

Senior Claims Adjuster, Specialty Claims LotSolutions, Inc.

Iselin, NJ

$90,000–$150,000 / year
Part time

As a direct report to the Director, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Commercial General Liability line of business. Direct management of general liability claims, including New York Labor Law matters with potential for significant severity and complexity.

24 days ago

Complex Claims Director, Excess Claims American International Group

Jersey City, NJ

$112,000–$138,500 / year

Our 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.

30+ days ago

Sr. Claims Analyst - Environmental Claims Allied World Insurance

New York, NY

$90,000–$120,000 / year

Headquartered in Bermuda, Allied World has offices in Atlanta, Boston, Brisbane, Chicago, Costa Mesa, Dallas, Dublin, Farmington (CT), Hong Kong, Houston, London, Los Angeles, Malaysia, Manchester, Miami, Nashville, New Jersey, New York, Philadelphia, San Francisco, Singapore, Sydney, Switzerland and Toronto. Ability to accurately and timely analyze coverage, draft coverage position letters and interact and collaborate with counsel regarding litigation and coverage strategies, negotiate and resolve claims and otherwise act within the scope of delegated authority.

15 days ago

Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Group (DBA)

New Jersey, NJ

$85,000–$106,000 / year

30+ days ago

Senior Claims Specialist, Environmental Claims Axis Capital Holdings LTD

Short Hills, NJ

$140,000–$155,000 / year

This role will manage complex primary and excess environmental claims arising under specialty environmental insurance products and will work closely with internal and external partners to deliver timely, technically sound claim outcomes. Manage claims arising under environmental insurance products, which may include pollution legal liability, contractors pollution liability, site-specific pollution, storage tank, and related coverages.

5 days ago

Claims Specialist - Life Global Claims General Re Corporation

Stamford, CT

May participate in client / TPA due diligence activities such as supporting audit activity, identifying emerging trends and themes not only in the client's inventory but within the industry; supporting manager with industry gleaned best practices via building and delivering customer specific training programs and seminars; emphasizing and implementing technical solutions to business needs to achieve desired improvements when asked. Incumbent contributes to the accurate and efficient adjudication of claims by supporting the department and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, state/federal regulations and reinsurance treaties in effect.

30+ days ago

Claims - Field Claims Representative Cincinnati Financial Corporation

Yonkers, NY

$60,500–$91,200 / year

This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.

30+ days ago

Claims Service Correspondent Metroplus Health Plan Inc

New York, NY

$55,000–$64,518 / year

They will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit. The Claims Service Correspondent is responsible for accurate and timely responses to written claim inquiries received from providers.

30+ days ago

Analyst, Data Exchange - Claims Operations Capital Rx, Inc.

New York, NY

$96,800–$121,000 / year

This role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

30+ days ago

Claims Manager Normann Staffing

Rye Brook, NY

$70,000–$110,000 / year
Quick Apply

Manage auto estimating processes, auto service management, auto body repair coordination, water damage restoration assessments, mold remediation evaluations, construction inspection reports, and automotive repair claims. This position offers an engaging opportunity for professionals experienced in insurance claim management who are committed to excellence in customer service while ensuring regulatory compliance across diverse claim types including workers' compensation, automotive repairs, medical billing, and property restoration projects.

30+ days ago

Senior Claims Benefit Specialist CVS Health Corp

$18.50–$42.35 / hour

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. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.

30+ days ago

Manager, Disability Claims Amalgamated Life

White Plains, New York

Strong written and verbal communication skills, including empathetic listening and a high level of customer service, are vital for this role which interacts with Claimants and stakeholders. They lead a small team responsible for the entire claims lifecycle, including but not limited to evaluating medical records, coordinating with providers, and communicating with claimants to determine eligibility for benefits.

30+ days ago

Senior Claim Director, Specialty Complex Claims Axis Capital Holdings LTD

Short Hills, NJ

The successful candidate will: Direct handle claims involving complex coverage issues as defined by the Head of North America Claims, including the investigation, analysis and evaluation of coverage liability and damages, within best practices Direct handle coverage disputes, including litigation and arbitration matters initiated by AXIS issuing companies and when AXIS issuing companies are parties to such litigation Formulate claims and litigation strategies, assigning, directing, and managing outside counsel in coverage litigation or arbitrationundefinedManage coverage counsel and litigation costs as well as collaborate and work with the Litigation Management and Vendor Management teams ensuring cost management and the development and enhancement of the coverage counsel panel Manage discovery issues and responses, including opportunities to ensure consistency as well as identifying relevant and responsive information and ensure proper and adequate preparation of company witnesses for deposition and trial testimony Provide guidance to the North America Claims teams regarding coverage issues, coverage disputes and claim handling issues, time limited demands, emerging issues, including strategic direction as well as recommend and approve outside coverage counsel assignmentsundefinedReview Coverage positions for matters pending in states required as per the Specialty Complex Claims Referral Guidelines Collaborate across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims handlingundefinedManage selection of and requests to hire coverage counsel related to any claims pending in North America Identify liability and coverage trends and issues with both individual and portfolio impact and formulate the processes and strategies for handling such claims as well as the related coverage issues ensuring accurate and consistent claims management across impacted underwriting segments and lines of business. undefined Contact Talent Acquisition Partner Please note this is a hybrid role - 3 days a week in the office - open for the Alpharetta, GA, Red Bank, NJ, Short Hills, NJ, Princeton, NJ and New York City locations .

30+ days ago

Analyst, Data Exchange Claims Ops (Tpa) Capital Rx, Inc.

New York, NY

$96,800–$121,000 / year

Position Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Position Summary: The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx - JUDI Health and its various partners, including employers, providers, and other TPAs.

30+ days ago

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Claims Processor Jobs in Monitor, NJ

Medical Claims Processor Globalchannelmanagement

Global Claims Technical Claims Manager - Life Health Global Claims General Re Corporation

Senior Claims Adjuster, Specialty Claims The Fortegra Group Inc

Claims Adjuster, Specialty Claims The Fortegra Group Inc

Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Company

Claims Adjuster, Specialty Claims LotSolutions, Inc.

Senior Claims Adjuster, Specialty Claims LotSolutions, Inc.

Complex Claims Director, Excess Claims American International Group

Sr. Claims Analyst - Environmental Claims Allied World Insurance

Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Group (DBA)

Senior Claims Specialist, Environmental Claims Axis Capital Holdings LTD

Claims Specialist - Life Global Claims General Re Corporation

Claims - Field Claims Representative Cincinnati Financial Corporation

Claims Service Correspondent Metroplus Health Plan Inc

Analyst, Data Exchange - Claims Operations Capital Rx, Inc.

Claims Manager Normann Staffing

Senior Claims Benefit Specialist CVS Health Corp

Manager, Disability Claims Amalgamated Life

Senior Claim Director, Specialty Complex Claims Axis Capital Holdings LTD

Analyst, Data Exchange Claims Ops (Tpa) Capital Rx, Inc.

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