- Sedgwick (Trenton, NJ)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
- Sedgwick (Trenton, NJ)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry… more
- Robert Half Accountemps (Allentown, PA)
- Description We are offering a contract to hire employment opportunity for a Claims Specialist in Allentown, Pennsylvania, United States. This role is primarily ... in the handling and processing of customer property damage claims that may arise from the operations or provision...chosen candidate will ensure the accurate, timely processing of claims in compliance with state regulations and company policies… more
- Guardian Life (Bethlehem, PA)
- …for you to grow and enrich your career and future as a Life Claims Specialist . We believe in your aspirations for purpose, leadership, and achievement ... help build the core proficiencies you will need to be a successful Life Claims Specialist . In your first year, we will provide extensive training in a highly… more
- Carrington (Cherry Hill, NJ)
- **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all ... FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform...**What you'll do:** + Prepare and file all HUD claims timely and accurately according to investor/insurer/CMS guidelines and… more
- Axis (Princeton, NJ)
- …candidates taking part in the selection process. AXIS is seeking a _Senior Claim Specialist -_ _Construction_ _Claims_ to join our North America Claims team and ... will report to the Head of Property Claims . As a direct report to the Head of Property Claims , the candidate should possess the ability to handle Large Complex… more
- Zurich NA (Trenton, NJ)
- Managed Care, Claims Vendor Management Sr Specialist 118916 Zurich North America is seeking a Managed Care, Claims Vendor Management Senior Specialist to ... anywhere in the United States. **About the Role** As a Senior Specialist in Managed Care and Claims Vendor Management, you will play a key role in administering… more
- MetLife (Bridgewater, NJ)
- …pending, ongoing and appeal reviews. . Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... proofs are needed to make a reasonable and logical claims determination based off the information available. . Collaborates...conduct information gathering to be able to articulate the claims decision upon the completion of an evaluation, as… more
- Axis (Princeton, NJ)
- …Reinsurance Claims Job Family: Claims The Accident & Health Reinsurance Claims Specialist is a key contributor to the reinsurance team at AXIS. Working ... claims handling and customer support as needed. As a Reinsurance Claims Specialist , you will proactively manage a diverse and interesting portfolio of… more
- Zurich NA (Trenton, NJ)
- … Specialist 118919 Zurich is currently looking for a CROP Design and Development Specialist for our Crop Claims division. This position may work out of one ... of the following North American offices: 100% Virtual. Develops support and supplemental material (user guides, tip sheets, self-support/on-the-job guides, release notes) for larger learning solutions and initiatives. Works with Program Managers and more… more
- St. Luke's University Health Network (Allentown, PA)
- …collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an appeal rationale ... based on clinical documentation, application of LCD, relative carrier policy and published Academy or Societal guidance + Provide coding guidance to providers and charge entry staff for single or low volume errors. Report high volume coding denial trends to… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Accounts Receivable Specialist is responsible for the day to day operations of accounts receivable for ... account resolution, credits workflow and processes. The Accounts Receivable Specialist II is focused on the accurate and timely...is focused on the accurate and timely submission of claims to third party payers, intermediaries, and guarantors in… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- Job Summary The Patient Account Specialist is responsible for accurate and timely billing of all services delivered as well as ensuring all revenue is collected. Job ... Duties + Ensure accurate and timely billing of claims to payers. Verify all services delivered are billed...Work all pre-billing/post-billing reports to ensure correct data on claims . Identify and resolve claim issues. Guarantee timely secondary… more
- Travelers Insurance Company (Blue Bell, PA)
- …reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... designed to support flexibility. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + The Accounts Receivable Specialist role and responsibilities include: monitoring all aspects of the collection of outstanding debts owed to the ... drafting and submitting technical appeals. In addition, the AR specialist is the subject matter expert for all billing...with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or payer portals. Responsible… more
- Aston Carter (Bedminster, NJ)
- Job Title: Administrative Services Specialist Job Description This position will have hybrid responsibilities. They will help with processing of the disability ... claims as well as providing back up support for...delivery of mail to USPS. * Examine and process claims forms, documentation and reports, etc. * Ensure compliance… more
- Deloitte (Philadelphia, PA)
- Manager/ Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager/ Specialist Master you will bring considerable technical expertise to deliver effective… more
- The Salvation Army (Philadelphia, PA)
- Overview TITLE:Leave Specialist , In-House Expert LOCATION/DEPARTMENT: Divisional Headquarters, Human Resources Department REPORTS TO: Directly:Divisional HR ... importantly - a job with a good purpose! Position Overview: The Leave Specialist (LS) is responsible for the in-house expert for the divisional communication of,… more
- Philadelphia Insurance Companies (Ewing, NJ)
- …AM Best. Philadelphia Insurance Companies is looking to add a Product Development Specialist to join our Compliance team. Product Development Specialist - ... and endorsements, and rate rule pages. Collaborate with Underwriting, Actuarial, Claims and Information Technology departments on Product Development projects. Be… more
- Merck (North Wales, PA)
- **Job Description** Overview: The Data Science & Analytics Senior Specialist role will collaborate with the Human Health Digital, Data and Analytics area to utilize ... + Analyze data using advanced analytical/statistical techniques from various databases/sources ( claims data/EMR data and other sources) to optimize and improve… more