Workers Compensation - Claims Specialist BerkleyWorkers Compensation - Claims SpecialistJersey 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. Analyze and process workers’ compensation claims by investigating and gathering information to determine compensability and exposure on claims, handling multiple jurisdictions.
Manager Data Administration Rutgers The State University of New JerseyManager Data AdministrationNew Brunswick, NJAligned with Rutgers University-New Brunswick and collaborating university wide, RBHS includes eight schools, a behavioral health network, and five centers and institutes that focus on cancer treatment and research, neuroscience, advanced biotechnology and medicine, environmental and occupational health, and health care policy and aging research. Under Policy 100.3.1 Immunization Policy for Covered Individuals, if employment will commence during Flu Season, Rutgers University may require certain prospective employees to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless the University has granted the individual a medical or religious exemption.
Manager, Data Analytics WebMD Health CorpManager, Data AnalyticsNY$110,000–$120,000 / yearThe candidate will be responsible for hands-on development of various analytical models as well as for collaborating with external and internal analytical partners to measure impact of WebMD's HCP and DTC campaigns and Medical Affairs programs. Responsibilities: Serve as a subject matter expert on statistical analysis and AI, develop, test and deploy machine learning and deep learning algorithms to digital marketing campaign design and evaluation, and provide coaching to an offshore analytic team.
Water Mitigation Tech RytechWater Mitigation TechHamilton, New JerseyWe want to find individuals who have a passion for helping people, a desire to give back to the community, and teamwork skills that will help make our restoration services a success. Job Summary A Water Mitigation Technician is responsible for the daily service of mitigation assignments, New referrals, and existing, as well as customer and manager communications to accomplish their duties.
SIU Claims Director Plymouth Rock Management Company of New JerseySIU Claims DirectorWoodbridge, NJ$137,000–$200,000 / yearReporting to the Vice President of Claims, the Director of Special Investigative Unit (SIU) provides strategic leadership for Plymouth Rock's enterprise fraud program across the Personal Lines Property & Casualty Claims organization. Provide oversight of fraud investigations involving Auto Physical Damage, Homeowners, Casualty, PIP, Appraisal, provider fraud, organized fraud rings, staged accidents, and Major Case initiatives.
Liability Claims Coordinator Student Transportation IncLiability Claims Coordinatorwall township, NJ$60,000–$80,000 / yearThe Claims Coordinator will assist in designing workflow processes, provide reporting to management and risk management, and ensure data integrity and compliance with internal and external audit controls. Qualifications: Associates or bachelor's degree majoring in Risk Management, Safety or legal field or related experience for three years of relevant experience in risk management or similar role.
Commercial Claims Specialist II New Jersey ManufacturersCommercial Claims Specialist IITrenton, New JerseyA minimum 3-8 years of claims experience, this should include handling litigated and non-litigated property damage and bodily injury claims related to BOP, CA and CGL policies. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
Avp, US Healthcare Claims Sompo InternationalAvp, US Healthcare ClaimsNew York City, NY$145,000–$195,000 / yearThe successful candidate will be able to provide insight and analysis on US Healthcare claims across various product lines, including primary medical liability, excess and surplus lines, and allied healthcare. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
NewSenior General Liability Claims Specialist Selby Jennings LtdSenior General Liability Claims SpecialistJersey City, NJRemoteKey Responsibilities: Oversee the full lifecycle of complex claims, including fact-finding, document analysis, and review of legal filings to determine overall exposure. Supervise external legal partners and vendors, ensuring counsel strategy, risk transfer opportunities, and indemnification positions are properly executed.
Manager - Construction Claims Markel Group IncManager - Construction ClaimsRed Bank, NJ$97,520–$134,090 / 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. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Senior Claims Examiner Markel Group IncSenior Claims ExaminerRed Bank, NJRemoteThis 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. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Senior Manager, Construction Claims Markel Group IncSenior Manager, Construction ClaimsRed Bank, NJThis 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. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Claims Director-Med Risk Chubb LtdClaims Director-Med RiskNJ$83,600–$119,900 / yearThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or trial strategies.
AVP, US Healthcare Claims Sompo International Holdings LimitedAVP, US Healthcare ClaimsMorristown, NJ$145,000–$195,000 / yearThe successful candidate will be able to provide insight and analysis on US Healthcare claims across various product lines, including primary medical liability, excess and surplus lines, and allied healthcare. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
NewShort Term Disability Unit Leader MetLife IncShort Term Disability Unit LeaderNY$59,000–$99,300 / 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").
Front Office Coordinator - Periodontics United Dental CorporationFront Office Coordinator - PeriodonticsNew York, NY$25–$32 / hourWe are seeking a highly organized and personable Front Office Coordinator- Periodontics to oversee daily administrative operations, manage patient flow, and ensure exceptional customer service. Location: Smile Central Park- A Modern, Established Dental Practice – Manhattan, NY (Central Park South) .
Bilingual Lead Operational Risk Consultant MetLife IncBilingual Lead Operational Risk ConsultantNY$100,000–$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").
Medical Biller / Reimbursement Coordinator McKesson CorporationMedical Biller / Reimbursement CoordinatorEdison, NJ$17.44–$23.53 / hourResponsibilities Key Responsibilities:- Submit and follow up on insurance claims (commercial, Medicare, Medicaid)- Verify patient insurance eligibility and benefits- Review and resolve claim denials and rejections promptly- Manage accounts receivable and aging reports- Post payments and reconcile accounts accurately- Coordinate prior authorizations for chemotherapy, infusions, and specialty medications- Ensure compliance with coding and billing regulations (ICD-10, CPT, HCPCS)- Communicate effectively with patients, providers, and insurance companies regarding billing inquiries- Maintain accurate and up-to-date patient billing records Qualifications Qualifications:- Minimum 2+ years of medical billing experience (oncology/hematology preferred)- Strong knowledge of insurance guidelines, reimbursement processes, and prior authorizations- Relevant certifications such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) are preferred but not required.- Familiarity with oncology-specific billing (infusion services, J-codes, drug billing) is highly desirable- Experience with EHR/PM systems (e.g., Athena, Centricity, ONCOEmr)Preferred Skills:- Experience handling high-dollar claims and specialty drug reimbursement- Knowledge of Medicare guidelines for oncology services- Ability to work independently and as part of a team in a fast-paced environmentPHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Pharmacy Technician ICARE PHARMACY PLUSPharmacy TechnicianPaterson, NJFull timeJob Description: Icare Pharmacy Plus in Paterson, NJ is looking for a highly motivated and detail-oriented Pharmacy Technician to join our dynamic team. The successful candidate will support the pharmacist in preparing and dispensing medications, delivering exceptional customer service, and ensuring full compliance with all relevant laws and regulations.
FT Pharmacist Technician ICARE PHARMACY PLUSFT Pharmacist TechnicianPaterson, NJFull timeIcare Pharmacy Plus in Paterson is on the lookout for a motivated and detail-oriented Pharmacy Technician to become a vital part of our dynamic team! Provide outstanding customer service by assisting patients with inquiries and resolving concerns.