Medical Claims Processor GlobalchannelmanagementMedical Claims ProcessorParamus, New JerseyPartner 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.
NewCommercial Lines Account Manager planet earth recruitingCommercial Lines Account ManagerMedford, NJThe successful candidate will act as the primary liaison between clients and insurance providers, overseeing policy administration from inception through renewal while maintaining strong client relationships. This role consists of managing commercial insurance accounts, ensuring that clients receive exceptional service and tailored insurance solutions that meet their unique business needs.
NewBenefit Administrator UFCW Local 464ABenefit AdministratorLittle Falls, NJThis role is responsible for assisting members with benefit-related questions, processing claims and enrollments, and maintaining accurate benefit records. Handle new enrollments, benefit changes, terminations, and dependent updates.
NewInsurance Account Manager AccessWaveInsurance Account ManagerRed Bank, NJ$65,000–$85,000 / yearAccessWave is a dynamic community designed for private business owners, principals, and C-level executives seeking actionable insights from seasoned leaders who have faced similar challenges. Assist clients with the insurance application process by gathering required documentation, reviewing completed forms for accuracy, and submitting applications to carriers for approval.
Claims Specialist, Pollution Environmental Claims W. R. Berkley CorpClaims Specialist, Pollution Environmental ClaimsJersey City, NJWe provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers' compensation, along with claim services, providing expertise to meet the unique business needs of our customers. This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $150,000.00.
Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance CompanyClaims Specialist/Senior Claims Specialist-Alternative MarketsNew Jersey, NJ$85,000–$106,000 / yearAt 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 .
Senior Claims Specialist, Excess Casualty Claims - NA Axis Capital Holdings LTDSenior Claims Specialist, Excess Casualty Claims - NAShort Hills, NJ$140,000–$160,000 / yearSenior Claims Specialist, Excess Casualty - North America Claims Job Code 13573 About the Team AXIS is hiring a Senior Claims Specialist, Excess Casualty, to support its expanding presence in North America's Excess market. About You We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals.
Claims Specialist, Pollution Environmental Claims BerkleyClaims Specialist, Pollution Environmental ClaimsJersey City, New JerseyWe provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. Responsibilities: This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $150,000.00.
Complex Claims Director, Excess Claims American International GroupComplex Claims Director, Excess ClaimsJersey City, NJ$112,000–$138,500 / yearOur 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.
Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Group (DBA)Claims Specialist/Senior Claims Specialist-Alternative MarketsNew Jersey, NJ$85,000–$106,000 / yearAt 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 .
Senior Claims Examiner, Ocean Marine Claims Markel Group IncSenior Claims Examiner, Ocean Marine ClaimsRed Bank, NJ$78,000–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Typically handles moderate to complex exposure ocean marine bodily injury and property damage claims including, but not limited to, Commercial General Liability, Protection & Indemnity, Marina Operator's Protection & Indemnity, and Marine Excess (Bumbershoot) Liability, as well as Hull, Piers, Wharves & Docks, and Ocean Cargo.
Senior Manager, Quality Assurance And Audit, North America Claims, Claims Shared Services Axis Capital Holdings LTDSenior Manager, Quality Assurance And Audit, North America Claims, Claims Shared ServicesPrinceton, NJ$140,000–$160,000 / yearThis role is ideal for a claims, audit, quality assurance, or compliance professional with strong technical claims judgment, experience assessing specialty claim handler performance, working knowledge of TPA or outsourced claims partner oversight, and the ability to translate audit and file review results into practical actions that improve claim outcomes. The successful candidate will plan, coordinate, monitor, and report on audits and quality file reviews across North America Claims, including specialty claim handler audits across multiple lines of business, TPA oversight audits, and leadership quality control file reviews.
Senior Manager, Quality Assurance and Audit, North America Claims, Claims Shared Services Axis Capital HoldingsSenior Manager, Quality Assurance and Audit, North America Claims, Claims Shared ServicesPrinceton, NJ$140,000–$160,000 / yearThis role is ideal for a claims, audit, quality assurance, or compliance professional with strong technical claims judgment, experience assessing specialty claim handler performance, working knowledge of TPA or outsourced claims partner oversight, and the ability to translate audit and file review results into practical actions that improve claim outcomes. The successful candidate will plan, coordinate, monitor, and report on audits and quality file reviews across North America Claims, including specialty claim handler audits across multiple lines of business, TPA oversight audits, and leadership quality control file reviews.
Claims Manager - Excess Casualty Claims AXIS Capital Holdings LtdClaims Manager - Excess Casualty ClaimsPrinceton, NJ$160,000–$190,000 / yearClose collaboration with the Specialty Complex Claims team with regard to coverage disputes, including litigation and arbitration matters initiated by Axis issuing companies and when Axis issuing companies are parties to such litigation; Collaborating across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims handling. Identifying, liability and coverage trends and issues with both individual and portfolio impact and formulating the processes and strategies for handling such claims as well as ensuring accurate and consistent claims management across impacted underwriting segments and lines of business.
Bill Processor New Jersey ManufacturersBill ProcessorTrenton, New JerseyWith a nationally ranked reputation for outstanding customer service and a history that spans more than a century, NJM is a leading provider of worker's compensation, automobile, and homeowners insurance in New Jersey. Our MCS (Medical Claims Services) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has excellent communication skills as well as strong organizational and time management skills.
Product Owner - Claims & Servicing Platforms MetLife IncProduct Owner - Claims & Servicing PlatformsBridgewater, NJ$107,000–$130,000 / 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").
Claims Specialist Sales MatchClaims SpecialistNewark, New JerseyRemoteIn this role, you will assist in processing and reviewing insurance claims, ensuring all necessary information is gathered, and helping resolve claims efficiently. If you have strong attention to detail and enjoy supporting customers through the claims process, this is a great opportunity for you.
Senior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsNJ$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
Field Property Claims Adjuster: Princeton, NJ Farmers Insurance GroupField Property Claims Adjuster: Princeton, NJEdison, NJRemote$23.22–$47.07 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidates Must be Willing and Able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.
Supervisor, Claims Medical Only AmTrust Financial Services, Inc.Supervisor, Claims Medical OnlyPrinceton, New Jersey$66,900–$92,000 / yearFull timeSalaries are based upon a wide range of factors considered in making the compensation decision, including, butnot limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property or casualty claims based on coverage, appraisal and verifiable injury or damage.