• Claims Service Representative

    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
    Centers Plan for Healthy Living (12/03/24)
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  • Pharmacy Claims Representative

    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
    Humana (01/15/25)
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  • Liability Claims Representative

    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 (10/31/24)
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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 | 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 (12/12/24)
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  • Claims Representative - Auto

    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
    Sedgwick (01/04/25)
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  • Claims Representative I - Remote

    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
    Ryder System (01/15/25)
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  • Claims Review Specialist

    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
    City of New York (11/09/24)
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  • Claims Assistant

    Robert Half Office Team (Lakewood, NJ)
    Description We are seeking a Claims Assistant to join our team operating in the Healthcare, Hospitals, and Social Assistance industry. The Claims Assistant will ... actions when required * Acknowledging receipt of requests for claims via email * Requesting documents via email and...on the status of the claim with the Facility Representative or Insurance/Medicare * Intaking the Records request for… more
    Robert Half Office Team (01/14/25)
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  • Claims Auditor

    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
    Centers Plan for Healthy Living (12/03/24)
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  • Customer Service Representative

    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
    Brighton Health Plan Solutions, LLC (01/15/25)
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  • Claim Representative Trainee, Outside…

    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
    Travelers Insurance Company (12/10/24)
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  • Customer Service / Inside Sales…

    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
    CLEAR Employer Services (01/03/25)
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  • Senior Field Representative -NYC - 5…

    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
    New York State Civil Service (01/14/25)
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  • Jr-913599 Representative , Customer…

    Evolent (Trenton, NJ)
    …Stay for the culture. **What You'll Be Doing:** Job Description **Our customer service team offers candidates the opportunity to make a meaningful impact by ... to providing better health outcomes.** **Collaboration Opportunities:** + Customer Service Representatives (CSR's) will be working with and providing support… more
    Evolent (01/16/25)
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  • Provider Relations Representative

    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
    Molina Healthcare (12/05/24)
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  • Front Desk Representative

    Phoenix House (Long Island City, NY)
    **Front Desk Representative ** **Job Details** **Job Location** Long Island City Residential - Long Island City, NY **Position Type** Full Time **Education Level** ... weekly billing requirements with program staff and the billing department for claims generation. **COMPETENCIES (KSAs)** + Ethical Practices + Judgment + Critical… more
    Phoenix House (01/15/25)
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  • Retail Banking Representative

    Amalgamated Bank (New York, NY)
    Amalgamated Bank is seeking a Retail Banking Representative to be responsible for providing a high quality of Customer Service in a broad variety of activities. ... on to work in both the Teller and Customer Service areas, according to needs. This position is responsible...matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing… more
    Amalgamated Bank (01/18/25)
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  • Enterprise Accounts Support Representative

    B&H Photo (New York, NY)
    …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers… more
    B&H Photo (12/12/24)
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  • Provider Relations Representative , South…

    VNS Health (Manhattan, NY)
    …and operating requirements, Health Plan program and eligibility requirements, and service coordination. + Collaborates with the Network Development and Contracting ... and Service Operations departments to administer demographic changes and renewals...provider directories. + Assists providers in triaging billing and claims disputes. + Participates and collaborates with Compliance on… more
    VNS Health (12/17/24)
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  • Property Damage Rep (Entry/Level II/Sr) - West…

    NJM Insurance (Trenton, NJ)
    …family and neighbors. Why? Because NJM is committed to providing its customers with superior service , and great service goes a long way. Why else is NJM called ... Insurance Group (NJM), a top-rated insurance company, our General Claims department in West Trenton, NJ is looking for...West Trenton, NJ is looking for a Property Damage Representative candidate who has excellent communication skills as well… more
    NJM Insurance (12/20/24)
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