- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Service Representative 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #811 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to ... developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative assists local pharmacies with claims adjudication to support ... workflow and success of the Call Center * Assist Customer Service team with claims research/resolution *Assist with new hires training **Billing:** . Assist… more
- Sedgwick (Trenton, NJ)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client… more
- Sedgwick (Trenton, NJ)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Liability **PRIMARY PURPOSE:** To analyze mid- and ... higher-level general liability claims to determine benefits due; to ensure ongoing adjudication...a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration… more
- Sedgwick (New York, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Remote | NY Licensing Required **PRIMARY ... PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company… more
- Sedgwick (Trenton, NJ)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ;… more
- 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... is reached, and that a high level customer service is attained The position handles cases in compliance… more
- City of New York (New York, NY)
- …duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a ... APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives must be able to work in various shifts Monday to Friday… more
- South Jersey Industries (Union, NJ)
- …is not for immediate hire, rather it is for pipelining purposes for our Customer Service Representative training classes** A career in Customer Service will ... customers with information on programs available for energy assistance. The Customer Service Representative performs the following: + Address customer bill, … more
- Travelers Insurance Company (Manhattan, NY)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. +...with state regulations, where applicable. + Provides excellent customer service to meet the needs of the insured, agent… more
- CLEAR Employer Services (Fallsington, PA)
- The Griff Network, located in Fallsington, PA is looking for a Full-Time Customer Service / Inside Sales Representative General Description : This role will act ... as a liaison, to provide excellent customer service , manage inside sales activities, and help our customers...positive resolutions. * Manage product returns, exchanges, and warranty claims as required. * Assist in preparing reports and… more
- Atlantic Health System (Morris Plains, NJ)
- Patient Financial Services Representative - CMN Coordinator + Reviews prescriptions and progress notes for accuracy and compliance with durable medical equipment ... revenue and prioritizes work to ensure timely billing of claims and reduction of bad debt. + Review patient...- a private duty Nursing and Home Health Aide service provider, servicing the NJ counties of Morris, Essex,… more
- New York State Civil Service (New York, NY)
- …- Dormitory Authority of the State of New York Title Senior Field Representative -NYC - 5 Boroughs and Long Island Occupational Category Other Professional Careers ... NY Zip Code 10005 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
- TEKsystems (Piscataway, NJ)
- …of both the Brand and Generics divisions under the leadership of the Customer Service Manager, along with claims support. Essential Duties and Responsibilities * ... that are transferred to medical. * Ensure unsurpassed quality service to Lupin customers. * Interact with all levels...Associate degree in Business, related field or equivalent Customer Service related experience. * Three to five years related… more
- Molina Healthcare (New York, NY)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... equivalent **Required Experience** 1-3 years of call center or customer service experience **Preferred Education** Associate degree **Preferred Experience** + 3-5… more
- Molina Healthcare (Manhattan, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Travelers Insurance Company (Morristown, NJ)
- …is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement and payment ... regulations. **What Will You Do?** + Customer Contacts/Experience: + Delivers consistent service quality throughout the claim life cycle, including but not limited… more
- Leidos (Trevose, PA)
- …with MHS Genesis or civilian healthcare computer system and in processing medical claims + Experience in a customer service environment + **_Candidates residing ... education on TRICARE resources and benefits, enrollment/disenrollment information, and customer service to beneficiaries on the phone and in person + Collect,… more