- Robert Half Accountemps (Voorhees, NJ)
- Description We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you ... play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to… more
- Sedgwick (Marlton, NJ)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program | Marlton, ... on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical... claims under close supervision. May be assigned medical only claims . + Adjusting low and… more
- Sedgwick (Marlton, NJ)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - General Liability and Auto | NY Licensing Preffered | ... brands?** + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Ryder System (Philadelphia, PA)
- …**Job Description** : **SUMMARY** This position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program. **ESSENTIAL ... FUNCTIONS** Investigates and resolves low to high exposure worker's compensation claims pursued against Ryder and our insured customers Ensures the most appropriate… more
- ICW Group (Philadelphia, PA)
- …purpose of this job is to oversee administrative processes within the Claims department. This position exists to alleviate the administrative responsibilities of the ... claims staff and to ensure that department inquiries are...W9 forms from vendors to process payments. + Reviews medical bills for potential new losses, required corrections, and/or… more
- Ryder System (Trenton, NJ)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and Auto Liability ... Claims , Physical Damage Repairs and Property and Cargo ...Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision, life insurance and disability insurance… more
- Robert Half Office Team (Blue Bell, PA)
- Description We are looking for an experienced Customer Service Representative to join a team on a contract basis in Blue Bell, Pennsylvania. In this role, you will ... using proprietary order management systems. * Manage product returns and warranty claims in compliance with company policies. * Address and resolve customer… more
- Ryder System (Trenton, NJ)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... issues, and complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow-up,… more
- Towne Park (Philadelphia, PA)
- …the policy guidelines. **Benefits:** Employees are eligible to enroll in medical , dental, and vision insurance, accident insurance, critical illness insurance, ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- Highmark Health (Trenton, NJ)
- …and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …to support workflow improvement **Cross-functional Integration** + Serve as the primary field medical affairs representative to the Rare Disease Medical ... oversight, and performance management of the Rare Disease Field Medical Affairs (FMA) team. This role manages the unique...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- NJM Insurance (Trenton, NJ)
- The Paralegal for the General Claims Legal department provides paralegal support to in-house staff attorneys for claims -based legal matters, assists attorneys' ... The GC Legal Paralegal develops reports to aid General Claims leadership through the analysis and assembly of data...self-funded plan that legally may enforce a lien for medical benefits, and provide a recommended conclusion to GC… more
- CDM Smith (Philadelphia, PA)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...sex (including pregnancy, pregnancy related conditions, childbirth and related medical conditions, sexual orientation, gender identity or gender expression),… more
- Stantec (Philadelphia, PA)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... - Proactive interface and communication with designated Client commercial representative , as appropriate - Prepare and issue Contractual written communications,… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …continuous improvement and compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews and/or other ad ... a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Trenton, NJ)
- …as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to ... any benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees and the… more
- AmeriHealth Caritas (Philadelphia, PA)
- …letters. **_Investigation and Resolution_** + Collaborate with internal departments such as Claims , Medical Management, Legal, and Compliance to obtain necessary ... Research and analyze case documentation, including benefit coverage, prior authorizations, claims , and regulatory guidance. + Communicate with members, providers, or… more
- Utilities Service, LLC (Cherry Hill, NJ)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... methods, operation of equipment, etc. + Furnishes General Foreperson and utility representative with reports of orders completed, units of work completed, crew time,… more
- PCI Pharma Services (Philadelphia, PA)
- …and follow up with CAPA's. + Assist in management of workers compensation claims . Assist in the completion and/or review of incident investigations to help coach ... team following PCI's Ergonomics program. + Participate in and assist the Medical Emergency Response Team meetings and activities. + Assist in collection of… more
- Highmark Health (Trenton, NJ)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary ... of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a… more