• Liability Claims Representative

    Sedgwick (Trenton, NJ)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
    Sedgwick (10/31/24)
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  • Claims Representative I…

    Ryder System (Trenton, NJ)
    …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
    Ryder System (01/15/25)
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  • Workers Compensation Claims

    Sedgwick (New York, NY)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | NY Jurisdiction | Dedicated Client We are ... seeking a highly motivated and experienced Workers' Compensation Claims Representatives to join our team. The ideal candidate will have at least 2 years of claims more
    Sedgwick (01/17/25)
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  • Provider Relations Representative

    Molina Healthcare (Manhattan, NY)
    **_ Remote and muct live in the New York metropolitian area _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are ... monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
    Molina Healthcare (12/05/24)
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  • TRICARE Beneficiary Services Representative

    Leidos (Trevose, PA)
    …In Processing, Out Processing, Maternity, pre-separation/retirement, and others + Provide basic claims support such as providing information on the status of ... claims + Collect and record Other Health Information (OHI)...proper handling of Protected Health Information (PHI) + Provide remote support to Leidos BSRs at other sites +… more
    Leidos (11/06/24)
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  • Grievances & Appeals Representative II

    Humana (Trenton, NJ)
    …and other associates who have been assigned different case types. This position is permanent Remote /Work at Home. Work hours are Monday - Friday (8 - 4:30 with a ... and/or Service Read Only + Previous experience in medical claims processing + Previous inbound call center or related...+ Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Ability to manage large… more
    Humana (01/28/25)
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  • HR Compliance Specialist - REMOTE

    Ryder System (Trenton, NJ)
    …reporting; I-9 compliance; Pre-employment services; Unemployment Insurance claims ; Immigration Services; Leave Administration; Workplace Accommodations; Drug ... to the established policies and procedures, and established governance process. REMOTE work from HOME **Essential Functions** + Experience completing Federal and… more
    Ryder System (01/27/25)
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  • Health Care Navigator - Evernorth Heath Services…

    The Cigna Group (Trenton, NJ)
    …have a background in customer service or experience in healthcare, specifically benefits and claims processing, you might be the perfect fit to join our team as a ... Care Navigator Representative . As a Care Navigator, you'll proactively support customers and help them understand their Cigna Healthcare medical plans and educate… more
    The Cigna Group (01/28/25)
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  • Senior Payment Integrity Analyst

    HealthEdge Software Inc (Trenton, NJ)
    …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
    HealthEdge Software Inc (01/15/25)
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  • Senior Manager, Product Operations

    HealthEdge Software Inc (Trenton, NJ)
    …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
    HealthEdge Software Inc (12/20/24)
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  • Business Consultant

    HealthEdge Software Inc (Trenton, NJ)
    …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
    HealthEdge Software Inc (12/18/24)
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  • International Service Specialist

    Zurich NA (New York, NY)
    …of moderately complex accounts, as assigned. + Act as an account representative by responding to customers service issues and coordinating with the appropriate ... business partner for resolution (ie claims adjusters, underwriters). + For new and existing customers,...Portal for resume submission. Location(s): AM - New York Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
    Zurich NA (01/14/25)
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  • Network Engineer

    HealthEdge Software Inc (Trenton, NJ)
    …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... and deliver excellent software and services to our customers._ **Geographic Responsibility:** Remote but ideal candidate would live within the driving distance to… more
    HealthEdge Software Inc (11/27/24)
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  • Assistant Safety Director

    RailWorks (New York, NY)
    …vision coverage, 401(k) with company match, and additional performance incentives **This is a remote position that can sit anywhere in the US and will require travel ... the RailWorks Drug & Alcohol program as a Corporate Designated Employer Representative (DER). * Works closely with risk management and the company's insurance… more
    RailWorks (01/09/25)
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