Senior Claims Examiner, Excess Construction Markel Group IncSenior Claims Examiner, Excess ConstructionRed 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. 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.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OPrinceton, NJ$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
NewComplex Claims Consultant - Hospitals , Allied Facilities And Physicians CNA Financial Corp.Complex Claims Consultant - Hospitals , Allied Facilities And PhysiciansPrinceton, NJ$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex healthcare claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Pharmacy Technician Azend PharmaPharmacy TechnicianDayton, New JerseyAssist pharmacists in verifying the accuracy and completeness of prescriptions and enter prescription and patient information accurately into the pharmacy's computer system. We specialize in empowering pharmacies to reach new heights of success through comprehensive pharmacy management consulting services.
NewGeneral Claims Legal Intern-Winter New Jersey ManufacturersGeneral Claims Legal Intern-WinterTrenton, New JerseyLocated at our West Trenton, NJ headquarters, this is a wonderful opportunity for a second-year law student to enjoy sharpening research and writing skills in this heavy research role, while collaborating with our fine legal team. This summer internship is part of a structured program that will provide the law clerk with challenging work assignments/projects, an overall view of the business and litigation, and networking opportunities.
Revenue Cycle Specialist Henry J. Austin Health Center IncRevenue Cycle SpecialistTrenton, NJ$48,500–$85,400 / yearProvider billing experience, preferably in an FQHC or similar setting (3-5 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 Director of Finance and Revenue Cycle, as well as the Revenue Cycle Manager and Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department.
NewSenior Claims Specialist, Cyber AXIS Capital Holdings LtdSenior Claims Specialist, CyberPrinceton, NJ$120,000–$150,000 / yearExercises critical thinking, proper judgment and decision making in a best practices claim environment to promptly analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion. Work closely with Insureds, Claimants, attorneys and brokers ensuring a premier and best practices claim service is maintained, escalating issues as appropriate.
Billing And Collections Specialist Henry J Austin Health CenterBilling And Collections SpecialistTrenton, NJ$42,600–$67,000 / yearProvider 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. FQHC is a federal designation from the Bureau of Primary Health Care (BPHC) and the Center for Medicare and Medicaid Services (CMS) that is assigned to private non-profit or public health care organizations that serve predominantly uninsured or medically underserved populations.
Billing and Collections Specialist Henry J Austin Health CenterBilling and Collections SpecialistTrenton, NJ$42,600–$67,000 / yearProvider 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. SALARY$42,600 - $67,000MAJOR FUNCTION 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.
AVP, Claims Client Services CNA Financial CorpAVP, Claims Client ServicesPrinceton, NJ$152,000–$242,000 / yearLeads or participates in claim/ broker meetings, national meetings (i.e. RIMS), mid-term account reviews, stewardship meetings, renewals and new business offerings by collaborating and partnering with Client Service team, Marketing, Sales and Distribution, Underwriters, Brokers/Agents to understand customer needs, and package claim capabilities, customer-specific trends and industry data, into a compelling story and/or proposition for existing and prospective customers. Acts as a key point of contact both internally and externally at senior levels for National Brokers, Agencies and CNA Branch Vice Presidents by representing CNA Claims, communicating claim strategies, and initiatives, promoting product and service capabilities, establishing proactive touchpoints, ensuring timely responses and problem resolution and gathering and sharing feedback throughout the organization.
Avp, Claims Client Services CNA Financial Corp.Avp, Claims Client ServicesWarren, NJ$152,000–$242,000 / yearLeads or participates in claim/ broker meetings, national meetings (i.e. RIMS), mid-term account reviews, stewardship meetings, renewals and new business offerings by collaborating and partnering with Client Service team, Marketing, Sales and Distribution, Underwriters, Brokers/Agents to understand customer needs, and package claim capabilities, customer-specific trends and industry data, into a compelling story and/or proposition for existing and prospective customers. Acts as a key point of contact both internally and externally at senior levels for National Brokers, Agencies and CNA Branch Vice Presidents by representing CNA Claims, communicating claim strategies, and initiatives, promoting product and service capabilities, establishing proactive touchpoints, ensuring timely responses and problem resolution and gathering and sharing feedback throughout the organization.