Global Head of Claims Management Information and Insights AXIS Capital Holdings LtdGlobal Head of Claims Management Information and InsightsNew York, NY$170,000–$200,000 / yearPart of AXIS Global Claims Shared Services, the Global Head of Claims Management Information & Insights is accountable for the design, delivery and governance of claims management information and insights to drive optimal claims performance, providing actionable insights that support loss cost improvement, severity reduction and management and developing in conjunction with various internal stakeholders, key performance reporting for Global Claims Shared Services, North America Claims, Global Markets Claims, and Reinsurance Claims. This role is the single, authoritative source of Claims MI & Insights, owning the global claims performance narrative, insights and commentary as well as developing and delivering consistent, accurate and decision-ready reporting for senior claims leadership, and key stakeholders (including, but not limited to: Data & Analytics, Actuarial, and Underwriting).
Investigator Ethos Risk Services LLCInvestigatorToms River, NJREQUIREMENTS: Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
Merchandiser Advanced Horizons FedwayMerchandiser Advanced HorizonsBasking Ridge, New JerseyWe offer a diverse range of products that span every category of the beverage alcohol industry and proudly represent some of the world's leading distillers, wineries, and importers. Fedway is New Jersey's premier distributor of wine and spirits, serving over 7,000 restaurants, clubs, taverns, and retail stores throughout the state.
Service Advisor & CSR - Quality Auto Glass Quality Auto GlassService Advisor & CSR - Quality Auto GlassSo Plainfield, NJFull timeQuality Auto Glass has been a trusted name in auto glass repair and replacement in the South Plainfield, NJ area, delivering top-notch service that keeps customers coming back time and time again. Success in this position demands a sharp intellect, acute attention to detail, top-tier problem-solving skills, and the ability to juggle multiple moving parts without missing a beat.
Cybersecurity Sales Executive, FSI DXC Technology CoCybersecurity Sales Executive, FSINew York, NYRemote$157,600–$236,400 / yearThe ideal candidate will be an assertive, self-directed seller with deep experience in cybersecurity services, not just products, and a track record of building deals from the ground up in complex, matrixed organizations. The world's largest companies and public sector organizations trust DXC to deploy services across the Enterprise Technology Stack to drive new levels of performance, competitiveness, and customer experience.
Cybersecurity Sales Executive- FSI DXC Technology CoCybersecurity Sales Executive- FSINew York, NYRemote$157,600–$236,400 / yearThe ideal candidate will be an assertive, self-directed seller with deep experience in cybersecurity services, not just products, and a track record of building deals from the ground up in complex, matrixed organizations. The world's largest companies and public sector organizations trust DXC to deploy services across the Enterprise Technology Stack to drive new levels of performance, competitiveness, and customer experience.
General Adjuster W. R. Berkley CorpGeneral AdjusterNew York, NY$100,000–$180,000 / yearCollaborative, you will coordinate with lead adjusters and managers on pending claim files requiring additional investigation and confirming coverage on our largest claims; you will also actively participate on CAT duty when needed and assist in overseeing the contractor referral program including re-inspections and quality reviews. What makes you stand out: Residency in or near Long Island, Northern NJ, NYC, Westchester County, Fairfield County, Litchfield County or CT is strongly preferred and will support territory success.
Customer Service and Billing Rep-FT-Home Care-DME- Eatontown Hackensack Meridian HealthCustomer Service and Billing Rep-FT-Home Care-DME- EatontownEatontown, New JerseyFull timeResponsibilities: Responsible for all functions of order taking, computer entry of orders, medical documentation, insurance verification, authorization, and billing as well as office support services within the business line. Assist other staff members as needed, by completing various tasks as requested (i.e., coordinates deliveries/pickups with Patient Service Techs).
NewCustomer Service and Billing Rep-FT-Home Care-DME- Eatontown Hackensack University Medical CenterCustomer Service and Billing Rep-FT-Home Care-DME- EatontownEatontown, NJResponsible for all functions of order taking, computer entry of orders, medical documentation, insurance verification, authorization, and billing as well as office support services within the business line. Assist other staff members as needed, by completing various tasks as requested (i.e., coordinates deliveries/pickups with Patient Service Techs).
NewPayer Healthcare Data Scientist, Manager PricewaterhouseCoopers LLPPayer Healthcare Data Scientist, ManagerNew York, NY$99,000–$232,000 / yearPreference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. Within our Operations practice, you will be at the forefront of modernizing payer systems, working directly with clients to deliver impactful solutions that enhance efficiency and drive innovation in the health services sector.
GTM Intelligent Automation Solutions - Financial Services Capgemini SEGTM Intelligent Automation Solutions - Financial ServicesNew York, NY$93,500–$262,740 / yearIs able to handle deep conversations on some parts of Capgeminis portfolio and to negotiate with CxOs for strategic dealsInfluences Capgemini portfolio evolution through insights on clients priorities and investmentsGoes beyond closing deals and tries to build long term relationships with clients, acting as an advisor vs. It delivers end-to-end services and solutions leveraging strengths from strategy and design to engineering, all fueled by its market leading capabilities in AI, generative AI, cloud and data, combined with its deep industry expertise and partner ecosystem.
Auto Adjuster I, II or Sr. Allstate Insurance CompanyAuto Adjuster I, II or Sr.NJ$50,000–$74,350 / yearAuto Collision (Inactive), Auto Collision Repair, Auto Insurance, Auto Insurance Claims, Automobile Accidents, Automobile Liability, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, De-Escalation, Insurance Administration, Insurance Claims, Insurance Coverage, Insurance Policies, Investigative Skills, Multitasking, Negotiation, Task Organization, Time Management. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
NewGrievance & Appeals Specialist VNS HealthGrievance & Appeals SpecialistNew York, New York$66,300–$79,800 / yearFull timeMinimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management in a Managed Care setting required Proficient verbal/written communication skills required Proficient computer and typing skills and knowledge of Microsoft Office (Word and Excel) required Ability to work in a fast paced environment and effectively manage multiple grievances and appeals simultaneously. Overview: Resolves grievances, appeals and external reviews for VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), Fully Integrated Dual Advantage (FIDA) and Select Health.
Field Canvasser - Sales - Elizabeth, NJ Velaz Solar & RoofingField Canvasser - Sales - Elizabeth, NJElizabeth, NJWe are looking for a Client Acquisition Specialist (Setter / Opener) to generate new opportunities by connecting with homeowners and setting qualified appointments for our sales team. Client Acquisition Specialist – Base Pay + Commission | $250K+ Total Earning PotentialWhy Choose Velaz Solar? .
Billing Representative (FGP), Manhattan, Psychiatry (hybrid) New York University School of MedicineBilling Representative (FGP), Manhattan, Psychiatry (hybrid)New York, NY$35,846.53–$56,180 / yearIn this role, the successful candidate under general direction submits claims, follows-up on unpaid balances (insurance or patient), corrects errors, enters claim information, submits authorization/precertification requests with insurance companies, follows up on denied claims and/or authorizations, and submits appeals as necessary. Utilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe.
Technical Engagement Manager / Account Manager (AI / SaaS) EvolutionIQTechnical Engagement Manager / Account Manager (AI / SaaS)New York, NY$140,000–$175,000 / yearAbout Us: EvolutionIQ’s mission is to deliver state of the art technology that helps insurance claims teams make claims handling more accurate, fair, and efficient, so that more people impacted by injury or illness can continue their lives with dignity and stability. What You'll Achieve (Performance Outcomes) : Provide quality technical & business service delivery for a select group of clients, provide backup support to Senior TEM’s on top-tier client accounts as needed.
Claims Operations Assistant Core Specialty Insurance ServicesClaims Operations AssistantLong Beach, New YorkMulti-state commercial insurance carrier is seeking a Claims Operations Assistant to provide support to the Claims department and perform other office tasks as needs dictate, based in the Long Beach, NY location. Index policies to determine if a new claim needs to set up or if there is an existing claim forward the call to the correct Examiner.
Hudson Inventory Management Specialist AvoltaHudson Inventory Management SpecialistSpringfield Gardens, NY$26.06–$29.31 / hourSpecialized Skillset/Competencies/Traits: Working knowledge of retail inventory management, stock control procedures, and loss prevention principles; proficiency in inventory management software (SAP), basic reporting tools, and data entry systems with ability to understand inventory metrics including turnover rates, stock levels, and basic shrink analysis. Minimum Qualifications, Knowledge, Skills, and Work Environment: Education and Experience: The combination of education and professional experience must exceed 3 years: In a technical role: Requires 2+ years of inventory management, warehouse operations, or retail stock control experience engaged in executing inventory control and stock management activities.
Point of Care Specialist - Respiratory Sales Becton Dickinson and CoPoint of Care Specialist - Respiratory SalesNJ$130,000–$200,000 / yearAs directed by the Regional Business Manager, the POC Specialist focus is on but not exclusively limited to the activities outlined below: Focus on identifying and pursuing opportunities in a defined region to drive revenue and accelerate growth across the ABG business. Effectively support the Top 50 regional accounts, answer clinical questions with portfolio expertise, spearhead SKU rationalization projects, collaborate with field sales, clinical and National Accounts on shared growth targets.
Manager Data Administration Rutgers The State University of New JerseyManager Data AdministrationNew Brunswick, NJDo you have aMaster's degree in a related scientific field with a minimum of 3 years of experience working with large claims datasets, electronic health record data, or other large healthcare datasets, including data management and analysis; OR a Bachelor's degree in a related scientific field with a minimum of 5 years of experience working with large claims datasets, electronic health record data, or other large healthcare datasets, including data management and analysis. Master's degree in a related scientific field with a minimum of 3 years of experience working with large claims datasets, electronic health record data, or other large healthcare datasets, including data management and analysis; OR a Bachelor's degree in a related scientific field with a minimum of 5 years of experience working with large claims datasets, electronic health record data, or other large healthcare datasets, including data management and analysis.