- ManpowerGroup (Livingston, NJ)
- Our client is seeking a Claims Specialist to join their team. The ideal candidate will have excellent interpersonal, written, and oral communication skills which ... will align successfully in the organization. **Job Title:** Claims Specialist **Location:** Livingston, NJ **Pay : $** 75,000 - $80,000 **What's the Job?** The… more
- Zurich NA (Parsippany, NJ)
- Claims Specialist I (Medical and Lost Time Claims ) 119901 Zurich is currently looking for an Occupational Accident Claims Adjuster Specialist I to ... As part of our team, you will manage a claims caseload of low to moderate complexity, interpret policy...coverages and analyze medical time lost benefits, while resolving claims within set authority limits. You will build internal… more
- Zurich NA (Parsippany, NJ)
- Claims Specialist I, Auto Bodily Injury 119129 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... claims career as part of our Commercial Auto team. As an Auto Claims Specialist , you will work alongside a diverse group of experienced claims … 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
- Travelers Insurance Company (Morristown, NJ)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Travelers Insurance Company (Morristown, NJ)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... job does not manage staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Travelers Insurance Company (Morristown, NJ)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value.… 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
- Deloitte (Morristown, NJ)
- 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
- Sanofi Group (Bridgewater, NJ)
- **Job Title:** Specialist , Managed Care Operations **Location** : Bridgewater, NJ **About the Job** The Managed Care Specialist is responsible for contract ... across Sanofi's pharmaceutical portfolio in multiple systems including ECP (Electronic Claims Processor) and Revenue Manager (Model N administration system). This… more
- Walgreens (Bernardsville, NJ)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- Overview The Patient Support Specialist , under the direction of the Supervisor, is responsible for providing patient health care services enabling access to care for ... Responsibilities What You will Do: + Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, services… more
- South Jersey Industries (Green, NJ)
- …designed corporate objectives. These roles will also handle wage and time claims and any disciplinary appeals through the grievance process. Additionally, the role ... needed. This also involves responding to and preparing timely submissions for claims , grievances and disciplinary appeals in all procedural stages; conferencing … more
- Teva Pharmaceuticals (Parsippany, NJ)
- Brand Management Specialist , MCM - Parsippany, NJ Date: Dec 11, 2024 Location: Parsippany, United States, New Jersey, 07005 Company: Teva Pharmaceuticals Job Id: ... people to make a difference with. **The opportunity** As a Brand Management Specialist you will be responsible for delivering omni-channel marketing services to Teva… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + Works hospital claims to assure timely billing and appropriate reimbursement from Non-Govermental Insurance Companies. Primary Position ... and/or Advanced Specialied or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist … more
- Robert Half Finance & Accounting (Bridgewater, NJ)
- Description + Handle billing for Medicare patients, ensuring all claims are submitted correctly and promptly + Review and resolve any denials or underpaid claims ... + Research, correct, and resubmit rejected and/or denied claims + Communicate with Medicare and patients about any discrepancies or issues with billing + Understand… more
- Travelers Insurance Company (Morristown, NJ)
- …their partnerships with the company. Operational Support * Supporting the Operations Account Specialist (OAS): the CSEO works closely with the OAS to ensure that ... a quote strategy on new accounts. + Coordinate with the Operations Account Specialist on loss pick development, packaging of proposal and pricing, and all other… more
- Elevance Health (Morristown, NJ)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Robert Half Finance & Accounting (Parsippany, NJ)
- …* Administer the company's benefit plans, including handling inquiries, resolving claims issues, and managing the open enrollment process. * Conduct audits ... documentation to vendors for life, pension, disability, and workers' compensation benefits claims . * Manage an effective Employee Assistance Program (EAP). * Conduct… more
- Hunterdon Health Care System (Flemington, NJ)
- …for supervising, planning, organizing and coordinating the daily activities of the claims processing and accounts receivables for the Acute Care billings (hospital) ... coding with coder and interfaces with Charge Master (CDM) specialist to ensure that all required CPT codes are...Epic, Affinity, NextGen, Ingenious Med (Imed), and third party claims clearinghouse vendors. + License, Registry or Certification: +… more