114 Results for

Claims Specialist Jobs in New Jersey

Jobs

Passaic Park, NJ21 days ago

$110,000–$160,000 Per Year
Full-time
Employee

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobsDISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Diedre Moire CorporationEducation Requirements: Bachelor DegreeMinimum Experience Requirements: 5-10 yearsJob City Location: PassaicJob State Location: NJJob Country Location: USASalary Range: $110,000 to $160,000.

Hanover, NJ14 days ago

$19–$19 Per Hour

This role provides high-touch, concierge-level support by working directly with patients, physicians, and pharmacies to guide them through eligibility, reimbursement, and program enrolment processes. The Patient Support Specialist is responsible for helping patients gain access to prescription medications through copay assistance programs.

Union, New Jersey30+ days ago

$28–$28 Per Hour

A services organization in New Jersey is seeking a new Claims Specialist to manage insurance claims with a focus on detail and initiative in an on-site setting. Entering customer and claims data into database systems.

Jersey City, New Jersey30+ days ago

$100,000–$150,000 Per Year

We 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. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $100,000-$150,000 • Eligible to participate in annual discretionary bonus.

Jersey City, New Jersey30+ days ago

$110,000–$160,000 Per Year

We 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. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $110,000-$160,000 • Eligible to participate in annual discretionary bonus.

Jersey City, New Jersey29 days ago

$110,000–$160,000 Per Year

Responsibilities: The Senior General Liability Claims Specialist 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. We 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.

Egg Harbor Township, New Jersey30+ days ago

$53,300–$80,000 Per Year

Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. The expected base pay for this position ranges from $53,300 - $80,000 annually, and will be based on a number of additional factors including skills, experience, and education.

Princeton, NJ30+ days ago

$95,000–$130,000 Per Year

Primary products include but are not limited to: Employer Stop Loss, Leisure Travel, Accident Medical, Pet, Line of Duty, Limited Medical Benefits, Accident Medical, Critical Illness, Vision, Dental and Short-term Disability. This position provides senior claims handling expertise for all product lines of the Accident and Health division, both claims adjudicated in-house and by Third-Party Administrators (TPAs).

MORRISTOWN, New Jersey30+ days ago

Remote

What you will do: Accountable for the full handling and control of all claim matters assigned from inception to resolution including: timely coverage analysis and letter writing; investigation; incident response, evaluation; reserve adequacy and timeliness; diary maintenance; management of defense and coverage counsel; reinsurance reporting; and claim disposition. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.

Parsippany, NJ30+ days ago

Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals.

Parsippany, NJ30+ days ago

Newark, NJ30+ days ago

$73,824.56–$112,500 Per Year

Competitive candidates should reside within one of the listed zip codes and will service this same territory: 07003 07008 07009 07011 07012 07013 07014 07016 07017 07018 07028 07033 07036 07040 07041 07042 07043 07044 07050 07052 07055 07065 07079 07083 07088 07102 07103 07104 07105 07106 07107 07108 07109 07110 07111 07112 07114 07201 07202 07203 07204 07205 07206 07208 07424 07503 07512 07513 08879. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!

Tinton Falls, New Jersey8 days ago

Additionally, this role supervises third-party follow-up activities across all payers including but not limited to HMO, Blue Cross, Commercial, Government, and Managed Care payers, Specialty and Client billing ensuring accounts are resolved promptly and effectively. Responsibilities: A day in the life of a Supervisor of Specialty Claims & Accounts Receivable at Hackensack Meridian Health includes: Monitor daily pre-billing, billing and follow up operations across HMH network, providing leadership and guidance to analysts and team members.

Wayne, NJ30+ days ago

BHI helps connect all three to allow doctors to extend care beyond the office, provider staff to centralize management for greater efficiency, and patients to receive TDD right in their own home with experienced nurses. This role is responsible for reviewing and validating detailed claims spreadsheets prepared by the billing and follow-up teams, ensuring accuracy, compliance, and payer-specific requirements prior to submission or escalation.

Egg Harbor Township, New Jersey18 days ago

$59,200–$85,800 Per Year

Specialist is expected to assist Supervisor with tasks as assigned which could include; Supervision of files, Performing monthly SCORE audits, Internal claim reviews, Performing1:1 performance meetings with staff, New claim set up and documentation, Review and approve reserves, Training, Attend client meetings. Qualifications: Education: Associates or Bachelor’s degree, or five or more years of equivalent work experience required in an insurance/TPA or related industry; Experience: •At least 5-6 years of experience handling workers' compensation claims required; more experience may be required depending upon complexity of claim pending.

Trenton, NJ30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Jersey City, New Jersey30+ days ago

$90,000–$140,000 Per Year

We 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: The Senior Claims Examiner will 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 $100,000.00.

Jersey City, New Jersey15 days ago

$180,000–$220,000 Per Year

We 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. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $180,000-$220,000 • Eligible to participate in annual discretionary bonus.

Rutherford, NJ30+ days ago

Full-time

You will have the ability to make a meaningful impact by leveraging your claim handling skills, industry expertise, customer service skills, and ability to execute with a high degree of professionalism. Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company.

Berkeley Heights, NJ26 days ago

Full-time

Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. #LI-ET1Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

Berkeley Heights, NJ30+ days ago

Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. Duties:Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

New!

Trenton, NJ6 days ago

$23–$25 Per Hour

Our client is a long-standing and well-respected non-profit healthcare organization looking for an experienced Medical Billing Specialist to join and assist their ever-growing team! By applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners.

Parsippany, NJ12 days ago

This role is ideal for someone who understands insurance billing, thrives on accuracy and takes ownership of claims from submissions through reimbursement. We are looking for an experienced DME Billing Specialist to manage the full billing cycle for medical equipment.

Fort Lee, NJ30+ days ago

Remote

$22.39–$28.29 Per Hour

Candidate must demonstrate a strong customer service and patient focused orientation and the ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process. ColumbiaDoctors’ practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties.

Hackensack, New Jersey14 days ago

$20.35–$27.43 Per Hour

Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts. Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.

Vineland, New Jersey7 days ago

$40,000–$45,000 Per Year

Facilitates ongoing electronic health records training within assigned programs with focus on empowering program management to include electronic documentation in overall performance evaluation and counseling for supervisees; this includes but is not limited to timely submission of documentation that supports the services provided for claims reimbursement. Works closely with the Electronic Health Records Manager and Utilization Specialist to provide consistent reporting on status of program billing issues and concerns, ensuring adherence to all third party payer requirements, protocols and best practices.

Rutherford, NJ30+ days ago

Full-time

Most importantly, youwill have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company. This position will be located in Rutherford, New Jersey or Lake Mary, Florida, Responsibilities:Manage the collection of data, import reports, and review associated materials.

Montvale, NJ18 days ago

$85,000–$115,000 Per Year

Our corporate headquarters is located in Montvale, New Jersey, and we have a broad network of sales offices, manufacturing sites, and R&D centers, primarily located in the U.S. and Europe. Develop and deliver communications (e.g., emails, newsletters, presentations) to employees regarding benefit programs, open enrollment, and changes.

New!

Newark, New Jersey4 days ago

As the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. The expected hourly rate range for this position is TC/1925 -$27.95- $29.30 per hour, in accordance with the New Jersey Pay Transparency Law; final compensation will be commensurate with experience and qualifications.

New Jersey, NJ30+ days ago

$45–$50 Per Hour

The final pay for this position is determined based on several factors including but not limited to, relevant experience, skills and certifications, education and training, geographic location, market conditions, and internal equity. The Migration Support Specialist will play a critical role in supporting the migration of data, systems and processes during the transition to new platforms and technologies.

New Jersey, NJ30+ days ago

$45–$50 Per Hour

The final pay for this position is determined based on several factors including but not limited to, relevant experience, skills and certifications, education and training, geographic location, market conditions, and internal equity. This hybrid role supports business process improvement initiatives across key functions, including operations, underwriting, sales and claims.

New Providence, New Jersey30+ days ago

$21.38–$44.40 Per Hour

Complete required reports and assist with special projects as assignedRole and Responsibilities: • Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service. Education/experience: High School Diploma or General Education Degree (GED) with 3 years prior hands-on experience in a fast-paced medical billing environment.

New!

New Providence, New Jersey1 day ago

$21.38–$44.40 Per Hour

Education/experience: High School Diploma or General Education Degree (GED) with 3 years prior hands-on experience in a fast-paced medical billing environment. • Pursue reimbursement from carriers by placing phone calls and documenting all communication in Athenahealth to ensure progress is made on outstanding accounts.

Newark, New Jersey7 days ago

$57,952–$57,952

Billing Specialist will support our financial and program leadership and staff in the development, implementation, and management of Medicaid billing processes for housing support services. The Billing Specialist will develop a comprehensive reconciliation process to regularly compare billing records for Medicaid services with grant records to identify potential discrepancies.

Tinton Falls, New Jersey30+ days ago

Responsibilities: A day in the life of a Revenue Cycle Process and Quality Specialist at Hackensack Meridian Health includes: Documenting operational processes by developing and maintaining comprehensive, department-specific procedures for all areas of patient financial services, including claims submission, accounts receivable management, and patient financial interactions. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

Oradell, New Jersey21 days ago

$12–$18 Per Hour

READY TO ROUND LLC is seeking a detail-oriented Medical Billing Specialist to join our Revenue Cycle Management (RCM) Department. This role is responsible for ensuring accurate billing, timely claim submission, and maximizing reimbursement for healthcare providers.

Trenton, NJ30+ days ago

Full-time

Provider billing and collections experience (3 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. This position collaborates closely with the Revenue Cycle Manager & Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department.

Paramus, NJ30+ days ago

$49,000–$52,000 Per Year

The HR Specialist (TEMP) provides employee support for escalations, issues, and critical questions that cannot be addressed by shared services across the HR service areas; offers oversight and support for local site needs in the areas of employee engagement, employee relations, change management, hiring/staffing, and performance management. Acosta Group is a collective uniting the most trusted retail, marketing, and foodservice agencies—Acosta, ActionLink, CORE Foodservice, CROSSMARK, Mosaic, Premium Retail Services, and Product Connections.

Piscataway, New Jersey18 days ago

$61,000–$90,000 Per Year

Responsibilities: The Field Quality Specialist will work closely with our trade and retail accounts to provide quality audits, conduct product training, troubleshoot problem accounts and investigate job site installation/quality issues and recommend solutions. Lead and execute Root Cause Corrective Action (RCA) process for quality escalations, ensuring the use of structured methodologies like 5-Why Analysis to uncover systemic issues and prevent recurrence.

Mt. Laurel, New Jersey20 days ago

$50,000–$55,000 Per Year

Qualifications: Critical Thinking & Problem Solving: Demonstrates strong analytical skills with the ability to investigate, plan, and independently resolve issues in a dynamic, fast‑changing environment. Guide employees through leave of absence and disability claim processes, routing requests to appropriate departments.

East Brunswick, New Jersey7 days ago

In operation for more than 60 years, University Radiology staffs, manages and provides preliminary and final subspecialty interpretations and consultative support for hospitals, imaging centers and other medical facilities, and serves as the academic radiology faculty at Rutgers Robert Wood Johnson Medical School. University Radiology, the largest provider of subspecialty radiology and teleradiology services in NJ, is comprised of over 200 Board Certified radiologists with advanced U.S.-based training and expertise in all modalities and all subspecialty areas.

Whippany, New Jersey30+ days ago

$15.26–$21.50 Per Hour

This individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence.

Atlantic City, NJ7 days ago

Union, NJ30+ days ago

We provide compassionate, quality, and affordable health care services to adults with mental health, substance abuse, and co-occurring disorders, as well as to all individuals with disabilities-including children and the elderly. To excel as a Full-Time/Part-Time ABA/Behavioral Health Billing Specialist at Owen Health Care, you will need a robust skill set tailored for the nuanced demands of billing in the behavioral health sector.

Holmdel, NJ30+ days ago

Full-time

This is accomplished by engaging customer support requests via phone and help desk ticketing system, initiating screen-sharing sessions to help diagnose and resolve customer support issues, creating/updating technical documentation, gathering and translating customer feedback, and effectively communicating with team members within the company's Support Team. Unsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property.

New!

Short Hills, New Jersey5 days ago

$50–$60 Per Hour

Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences – and empowers employees to contribute new ideas that support our continued and growing success.

Cherry Hill Township, NJ30+ days ago

$18–$25 Per Hour

About Our Client: Addison Group is partnering with a growing healthcare organization seeking a detail-oriented Credentialing Specialist to support accurate and timely provider enrollment. Job Description: The Credentialing Specialist will be responsible for managing the full lifecycle of credentialing and enrollment for healthcare providers across multiple payers.

Englewood Cliffs, NJ14 days ago

The role supports customer reporting and claims management, chassis utilization analysis, and non-conformance case handling under the direction of the team manager. Prepare and respond to reports based on requests from Our Client customers, following task allocation and direction from the team manager.

NJ, NJ30+ days ago

Worker's Compensation: Oversee and manage the worker's compensation program, ensuring compliance with relevant laws and regulations, and providing support to employees throughout the claims process. Vendor Management: Manage relationships with benefits vendors, including health insurance providers, retirement plan administrators, and other third-party vendors.

Edison, NJ30+ days ago

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Claims Specialist Jobs in New Jersey

Jobs

Insurance Claims EnvironmentalDiedre Moire Corp.

Patient Support SpecialistCareers Integrated Resources Inc

Claims SpecialistTandym

Claims SpecialistBerkley

Sr. Claims SpecialistBerkley

Senior General Liability Claims SpecialistBerkley

Senior Liability Claims SpecialistEnlyte

Senior Claims SpecialistAxis Capital Holdings

Executive Specialist, Claims - Remote or Hybrid/Any C&F LocationCrum & Forster

General Liability Litigated Claims Specialist (Construction)Zurich NA

General Liability Claims Specialist IZurich NA

Claim Specialist - Property Field InspectionState Farm

Supervisor, Specialty Claims & Accounts ReceivableHackensack Meridian Health

Claims Reimbursement Specialist (Payer Relations)BHI, LLC

Senior Claims AnalystEnlyte

Medical Director - Claims ManagementHumana

Sr. Claims ExaminerBerkley

AVP, Claims ManagerBerkley

New York Labor Law Claims ExaminerRaphael and Associates

Sr Claim Examiner-LiabilityCrawford & Company

Sr Claim Examiner-LiabilityTPI Global (formerly Tech Providers, Inc.)

Medical Billing SpecialistAtrium

DME Billing SpecialistEBI Holdings, LLC

Accounts Receivable Specialist I #Full Time #Remote61st Street Service Corp

Patient Account SpecialistRegional Cancer Care Associates

Documentation SpecialistElwyn

Client Support SpecialistRaphael and Associates

HR Benefits SpecialistBalchem Corporation

Billing Specialist, Patient AccountsUniversity Hospital, Newark NJ

Migration Support SpecialistThe Jacobson Group

Operations SpecialistThe Jacobson Group

Revenue Cycle SpecialistPrism Vision Group

RCM Specialist-Routine VisionPrism Vision Group

Billing SpecialistCovenant House New Jersey

Revenue Cycle Process and Quality SpecialistHackensack Meridian Health

Medical Billing SpecialistReady to Round LLC

Billing and Collections Specialist Per DiemHenry J Austin Health Center

HR Specialist (TEMP)Acosta

Field Quality SpecialistAmerican Standard

Intake Coordinator/Compliance SpecialistAlera Group

Accounting SpecialistUniversity Radiology

Patient Support SpecialistConnectiveRx

Billing SpecialistCovenant House of NJ

ABA/Behavioral Health Billing SpecialistOwen Health Care

Saas Support SpecialistFLEXIBLE ARCHITECTURE & SIMPLIFIED TECH INC

Contract Talent Acquisition Specialist/SourcerSelective Insurance Company of America

Credentialing SpecialistAddison Group

(Korean Bilingual) Logistics Customer Service SpecialistHarmonious Hiring LLC

Benefits SpecialistDiverse Linx

Human Resources - Benefits SpecialistDiverse Linx

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