• 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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  • Customer Service Representative

    CAI (Trenton, NJ)
    **Job ID Number** R4641 **Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Customer Service ... Representative ready to take us to the next level!...services. This position is a **3+ month contract** and ** remote ** . **Must reside in North Carolina.** **What You'll… more
    CAI (01/29/25)
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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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  • Automotive Technical Service Representative

    Subaru of America (Camden, NJ)
    SUMMARY Join our team as a Technical Service Representative for Techline, where you'll play a pivotal role in supporting retailer technicians by providing expert ... and collaborating with departments like Customer Advocacy, Parts Information Coordinators, Claims , and more. This role offers opportunities to tackle special… more
    Subaru of America (01/09/25)
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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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  • ACA Exchange Customer Service…

    AmeriHealth Caritas (Philadelphia, PA)
    …assist members with premium billing inquiries and/or issues.; + Forwards claims requiring external department intervention to the appropriate department or person. ... in either English or in Spanish language. + Minimum 4 years' experience in claims and/or call center. + Associate degree preferred; Minimum 45 wpm typing preferred;… more
    AmeriHealth Caritas (01/10/25)
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  • Sr Data and Reporting Analyst - Remote

    Prime Therapeutics (Trenton, NJ)
    …decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for supporting ... levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team +...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
    Prime Therapeutics (01/29/25)
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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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  • Field Construction Manager - Paige Renewables

    GCG (Trenton, NJ)
    …guidelines and detailed manuals. These efforts will not only support warranty claims but also enhance customer satisfaction by delivering service that sets us ... related travel (50% to 75% depending on work volume) this role offers a remote work arrangement however preferred location for candidates would be within the state… more
    GCG (01/29/25)
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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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  • 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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