- Zurich NA (Trenton, NJ)
- Sr. Claims Specialist , Workers Compensation 121654 Zurich is seeking an experienced Workman's Compensation Claims Specialist to join our team! This will ... or remote in the US The Sr. Workers Compensation Claims Specialist will handle multi-party personal or... claims file by accurately capturing and updating claims data/information in compliance with best practices… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Regional Claims Specialist (I/II/Sr.). This is a full-time position and offers a hybrid schedule after ... training. The Regional Claims Specialist will be responsible for contacting...of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards, and laws applicable to… more
- Zurich NA (Trenton, NJ)
- Complex Liability Claims Specialist 121370 Zurich is currently looking for an experienced claims adjuster to join our Complex Liability Claims team. If ... involving bodily injury, property damage, personal injury and advertising injury. The Claims Specialist is responsible for proactively managing claims … more
- Sedgwick (Trenton, NJ)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Subrogation Claims Specialist Qualifications MUST have 5 + years' experience in ... property subrogation insurance claims handling. Must have complete knowledge of fair ...for subrogation potential, identifying responsible third parties. Maintaining full compliance with internal and external quality standards and state-specific… more
- Sedgwick (Trenton, NJ)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. + Uses appropriate cost containment… more
- Sedgwick (New York, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Medical Malpractice (Professional Liability) **PRIMARY PURPOSE** : ... To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
- FlexStaff (New York, NY)
- **Req Number** 150868 One of our high profile clients is seeking a Claims Specialist to support department operations related to provider communication, pending ... review, reporting, auditing, and oversight activities. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA, including the application of… more
- City of New York (New York, NY)
- …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...issuance of inaccurate SNAP benefits. It is responsible for compliance with USDA and OTDA mandated review of actions… more
- Fujifilm (Trenton, NJ)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure ... high ethical standards are observed and the compliance program is effective and efficient. The successful candidate...Claims Statute, and OIG's guidance of an effective compliance program) as well as applicable industry codes (eg,… more
- VNS Health (Manhattan, NY)
- OverviewReviews and audits claims for billing, coding, services and other compliance or reimbursement issues. Assists with non-clinical aspects of the claims ... claims coding. Applies coding skills to various initiatives to ensure compliance in claims submissions. Works under moderate supervision. Compensation… more
- CAIPA MSO LLC (New York, NY)
- Billing/Insurance Collections Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description We are looking for an ... experienced Billing/Insurance Collections Specialist to join our team. The ideal candidate will...including, but not limited to generating and billing out claims and benefits eligibility verification. Follow-up on claims… more
- Travelers Insurance Company (Trenton, NJ)
- …evaluating, reserving, negotiating and resolving assigned Specialty Property Damage claims . Provides quality claim handling throughout the claim life cycle ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Travelers Insurance Company (Trenton, NJ)
- …serious and complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... reserving, litigation management, negotiation, and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Travelers Insurance Company (New York, NY)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- QA/QI Review Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6269) Job Brief The QA/QI Review Specialist is responsible for completing internal quality reviews within… more
- Rescue Mission of Trenton (Trenton, NJ)
- Revenue Cycle Specialist (Trenton, NJ) Can you look into the eyes of someone who is struggling and see their pain - while also seeing their potential? Are you ... else to turn can live with dignity, experience hope and see new opportunities. Revenue Cycle Specialist We are looking for a person who wants to be part of a vibrant… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... Opportunity & Diversity (EEO&D) Office is responsible for ensuring compliance with the City's EEO Policy, and works in...& Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant Commissioner… more
- FlexStaff (New York, NY)
- **Req Number** 152920 FlexStaff is seeking an AR/Billing Specialist for our Client, a Prosthetics and Orthotics Lab. Schedule: Monday- Friday, 8:30am-5:30pm. You can ... least 4 (four) years of experience with medical insurance, billing guidelines, and compliance and knowledge of NY Medicaid and CT Medicaid portals. Knowledge of the… more
- Fedcap (New York, NY)
- …Business Intelligence and Fund Management Processes. Responsibilities + Validating Financial Claims for compliance with funding policies, procedures, and ... in NYC! Join us at Fedcap Inc. for an exciting career as a Finance Specialist . Wage/Salary: $26.35 to $29.76 per hour Job Summary The Finance Specialist is… more