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Operations Management Jobs in Cliffside Park, NJ

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Independent Insurance Claims Adjuster in West Hills, California MileHigh Adjusters Houston

West Hills, California

How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.

30+ days ago

Independent Insurance Claims Adjuster in Agoura Hills, California MileHigh Adjusters Houston

Agoura Hills, California

30+ days ago

Claims Advocate Next Insurance Inc

Remote

$60,000–$80,000 / year

Communication and Negotiation Skills: Proven ability to communicate effectively and negotiate with a range of stakeholders, including third-party insurers and legal representatives. You can find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission''s website ( https://consumer.ftc.gov/articles/job-scams ), or you can contact your local law enforcement agency.

30+ days ago

Property Claims Specialist Field II Mercury Insurance Company

Los Angeles, CA

$98,568–$120,473 / year

Knowledge and Skills: As a Property Claims Field Adjuster 2, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.

30+ days ago

Claims Assistant HCC Life Insurance

Los Angeles, CA

$20.26–$27.85 / hour

We offer competitive compensation, great benefits, a hybrid schedule, and the strength, stability, growth, and profitability that comes from being a member of the Tokio Marine Group of Companies. Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an opportunity for a Claims Assistant at our office in downtown Los Angeles.

30+ days ago

Express Claims Advocate Next Insurance Inc

Remote

$55,000–$72,000 / year

You will join a team of experienced claims professionals and will investigate and resolve general liability claims within your authority to provide the best possible claim outcome and employ best efforts to ensure that the customers' interests are protected while adhering to our claims philosophy and policies. Communicate with policyholders, witnesses, and claimants in order to gather information regarding claims, refer tasks to auxiliary resources as necessary, and advise as to proper course of action Respond to various written and telephone inquiries including status reports.

30+ days ago

Claims Specialist II - Provider Claims Short-Term Assignment Inland Empire Health Plan

California, CA

Additional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. The Claims Specialist II - Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.

30+ days ago

Supervisor - Claims Delegation Oversight Astrana Health Inc

Monterey Park, CA

This role will be responsible for the development and execution of department strategies, overall Audit program, Audit process optimization, and management, identifying and leveraging technology and data to improve the quality and minimizing process cost of Claims. About the Role: The Supervisor, Claims Delegation Oversight, is responsible for the management and oversight of all Claims Delegation Audits, including health plan and governing agencies audits, i.e., DMHC, CMS, and DHCS.

8 days ago

Claims Trainer Next Insurance Inc

Remote

$75,000–$98,000 / year

At ERGO NEXT, we are dedicated to building a diverse, inclusive and respectful workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. We're doing that by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience.

9 days ago

Claims Development Specialist Xifin Inc

Westlake Village, CA

$20–$24 / hour

The Claims Development Specialist is responsible for specific geographic locations, ensuring accurate conversion of files, demographic posting, charge posting and clean up, and review of all outstanding data is completed daily. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.

30+ days ago

Director, Claims Management & Excellence Venbrook Group LLC

$95,000–$130,000 / year

Reporting to the Head of TPA Claims, this leader will evaluate claim processes end to end, find where workflow and technology can raise quality and efficiency, own claims quality assurance and performance KPIs, oversee a claims handling team, and help design new claims products we can take to market. 5 or more years of progressive leadership experience in claims operations, including managing claims supervisors and examiners, plus experience in operational excellence or process improvement, ideally in a TPA, carrier, or self-insured setting.

16 days ago

Subrogation Claims Service Specialist Arsenault

Los Angeles, California

$17–$20 / hour

Handles claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.). For more than 89 years weve thrived by staying a step ahead of whatevers coming next to give customers peace of mind no matter what changes they face.

30+ days ago

Workers Compensation Claims Adjuster - West Region Liberty Mutual Holding Company Inc

Los Angeles, CA

Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.

30+ days ago

General Liability Adjuster Canon Recruiting Group

Los Angeles, CA

Quick Apply

By promoting inclusion with the same enthusiasm, we devote to quality and competency, and using the experience from a diverse assortment of backgrounds and experiences, Canon is able to improve the services and value we deliver to clients, employees, and customers. The ideal candidate will have strong experience handling complex, litigated, and high-exposure claims, with excellent investigative, negotiation, and analytical skills.

3 days ago

Pharmacy Claims and Rebates Audit Consultant Marsh & McLennan Companies Inc

Los Angeles, CA

$102,500–$204,500 / year

We will count on you to: Lead end-to-end pharmacy claims and rebate audits for complex, high-visibility clients, applying deep working knowledge of pharmacy claims data and every claim field and component (e.g., NDC, days' supply, quantity, ingredient cost, dispensing fee, copay/coinsurance, DAW code, prior authorization, and plan/formulary edits) to manually and analytically identify claims that were mispriced, misadjudicated, or paid outside of contract or plan terms. As a Pharmacy Claims and Rebates Audit Consultant, you will lead complex pharmacy claims and pharmacy rebate audits from planning through final report, applying deep expertise in pharmacy benefits, PBM contracts, and rebate economics.

22 days ago

Sr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance Group

Remote

$74,295–$99,050 / year

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.

25 days ago

Assistant Claims Adjuster - Workers' Compensation Gpac

Long Beach, CA

50000–75000
Quick Apply

Instead, the Assistant Claims Adjuster serves as a liaison between the insured, insurance carriers, and claims adjusters to ensure clear communication, timely follow-up, and exceptional client service throughout the life of each claim. We are seeking a detail-oriented and customer-focused Assistant Claims Adjuster to support the management of Workers' Compensation claims for a select group of commercial clients.

30+ days ago

Independent Insurance Claims Adjuster in San Pedro, California MileHigh Adjusters Houston

San Pedro, California

30+ days ago

Sr Claims Clerk Crawford & Co

To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford.

30+ days ago

Attorney - Personal Injury The Advocates Injury Attorneys

Los Angeles, CA

$150,000–$200,000 / year

Los Angeles Office Growth: Work alongside firm leadership to help establish and develop The Advocates' presence in Los Angeles, including contributing ideas, identifying opportunities, and helping build a strong local reputation. Our Pacific Coast team includes more than 20 personal injury attorneys, along with experienced legal assistants, paralegals, and support staff who share a deep commitment to guiding clients through some of the most difficult periods of their lives.

5 days ago

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Operations Management Jobs in Cliffside Park, NJ

Independent Insurance Claims Adjuster in West Hills, California MileHigh Adjusters Houston

Independent Insurance Claims Adjuster in Agoura Hills, California MileHigh Adjusters Houston

Claims Advocate Next Insurance Inc

Property Claims Specialist Field II Mercury Insurance Company

Claims Assistant HCC Life Insurance

Express Claims Advocate Next Insurance Inc

Claims Specialist II - Provider Claims Short-Term Assignment Inland Empire Health Plan

Supervisor - Claims Delegation Oversight Astrana Health Inc

Claims Trainer Next Insurance Inc

Claims Development Specialist Xifin Inc

Director, Claims Management & Excellence Venbrook Group LLC

Subrogation Claims Service Specialist Arsenault

Workers Compensation Claims Adjuster - West Region Liberty Mutual Holding Company Inc

General Liability Adjuster Canon Recruiting Group

Pharmacy Claims and Rebates Audit Consultant Marsh & McLennan Companies Inc

Sr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance Group

Assistant Claims Adjuster - Workers' Compensation Gpac

Independent Insurance Claims Adjuster in San Pedro, California MileHigh Adjusters Houston

Sr Claims Clerk Crawford & Co

Attorney - Personal Injury The Advocates Injury Attorneys

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