- NJM Insurance (Parsippany, NJ)
- …industry. Schedule: Monday through Friday, with work from home opportunities after training. PIP Claims Representative : Reporting to the immediate designated ... PIP Supervisor, the PIP claims representative is responsible and accountable for conducting complete and thorough investigation on assigned claims … more
- NJM Insurance (Hammonton, NJ)
- …NJM's General Claims Legal Department is currently seeking to fill a PIP Appeals and Litigation (PAL) Representative position. We are looking for talent ... and offers a hybrid schedule after training. The PAL Representative will conduct a complete and thorough investigation on...will conduct a complete and thorough investigation on assigned PIP Payment Appeal and Litigation claims and… more
- NJM Insurance (Trenton, NJ)
- …Services, the Precert Coordinator supports our Workers Compensation and Auto ( PIP /Medpay) lines of business by performing prospective and retrospective Utilization ... a review of the medical records, regulations, NJM Medical, WC, and PIP Policies, standard professional treatment protocols and evidence-based guidelines (ODG and/or… more
- NJM Insurance (Trenton, NJ)
- …+ Triaging and analyzing scorecards and outputs from predictive models for General Claims , Personal Lines, Personal Injury Protection ( PIP ) claims and ... and trends related to fraudulent Personal Lines and Commercial Lines policies and claims . + Conduct background research on available public databases to support the… more
- NJM Insurance (Trenton, NJ)
- …+ Triaging and analyzing scorecards and outputs from predictive models for General Claims , Personal Lines, Personal Injury Protection ( PIP ) claims and ... and trends related to fraudulent Personal Lines and Commercial Lines policies and claims . + Conduct background research on available public databases to support the… more
- Alameda Health System (Oakland, CA)
- …business objectives and overall strategic plan. Acts as AHS management representative in contacts with union representatives and/or departments on meet and ... by each individual in the classification. 1. Acts as AHS management representative in contacts with union representatives and/or departments on meet and confer… more
- Alameda Health System (Oakland, CA)
- …business objectives and overall strategic plan. Acts as AHS management representative in contacts with union representatives and/or departments on meet and ... re specific complex and escalated issues. 3. Acts as AHS management representative in contacts with union representatives and/or departments on meet and confer… more
- NJM Insurance (Trenton, NJ)
- …criteria are routed immediately for audit purposes. + Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and ... codes preferred + Multi-state knowledge for Workers' Compensation and/or Personal Auto ( PIP ) a plus + Strong communication skills, including writing, speaking and… more
Locations:
New Jersey,
California