- Centers Plan for Healthy Living (Staten Island, NY)
- …developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for ... further resolution of the callers issue while adhering to CPHLs policies. + Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends + Prepares correspondence, maintains phone and contact logs, and documents… more
- Sedgwick (New York, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - General Liability and Auto | NY Licensing Preffered | ... valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client… more
- Sedgwick (New York, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are ... valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client… more
- Ryder System (New York, NY)
- …**Job Description** : **SUMMARY** This position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program. **ESSENTIAL ... Investigates and resolves low to high exposure worker's compensation claims pursued against Ryder and our insured customers Ensures... is reached, and that a high level customer service is attained The position handles cases in compliance… more
- IQVIA (New Providence, NJ)
- **Patient Support Medical Claims Processing Representative ** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team....Explanation of Benefits (EOB) + HIPPA certified + Customer Service Experience preferred + **Must currently be working on… more
- Zurich NA (New York, NY)
- …complex non-complex accounts with regional scope. + Researching and responding to the claims service needs of prospective and current customers by developing and ... Claims Concierge Service Executive - Northeast...excellence, customer satisfaction and retention. Acts as an account representative by handling customer service issues for… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- NJM Insurance (Parsippany, NJ)
- …with 3+ years of workers' compensation litigation experience to defend formal claims venued in central/southern New Jersey. Job Responsibilities: + Defend the ... case recommendations, updates, and analysis to clients and internal Workers' Compensation Claims staff + Build and maintain strong internal and external client… more
- Travelers Insurance Company (Morristown, NJ)
- … are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process. **What Will You Do?** + ... + Strong analytical and problem-solving skills. + Proven ability to handle complex claims and negotiate settlements. + Exceptional customer service skills and a… more
- Robert Half Finance & Accounting (Metuchen, NJ)
- …100% Company Paid, 401K, and Employee Discounts. We are looking for a dedicated Customer Service Representative to join our team in the Metuchen, New Jersey. In ... Resolve customer inquiries by troubleshooting product issues and processing warranty claims and return authorizations. * Identify opportunities to boost revenue… more
- NJM Insurance (Parsippany, NJ)
- …a top-rated insurance company, is looking for a Personal Injury Protection Representative who has excellent communication skills as well as strong organizational and ... make a determination as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and process appropriate referrals.… more
- Atlantic Health System (Morristown, NJ)
- Patient Access Representative Responsible for patient-facing registration and other associated tasks like information collection, validation, and requisitioning of ... (including but not limited to) + The Patient Access Representative (PAR) plays a vital role in the patient...contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of … more
- Atlantic Health System (Hackettstown, NJ)
- Patient Access Representative Responsible for patient-facing registration and other associated tasks like information collection, validation, and requisitioning of ... (including but not limited to) + The Patient Access Representative (PAR) plays a vital role in the patient...contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of … more
- Amalgamated Bank (New York, NY)
- Amalgamated Bank is seeking a Licensed Retail Banking Representative ! Under general supervision, but following established policies and procedures, this position ... will provide potential and existing customers with high quality customer service in a broad variety of activities (including, but not limited to, life insurance… more
- 32BJ Benefit Funds (New York, NY)
- …Range: 52763.36 To 54964.76 (USD) Annually Job Title: Member Services Representative (Benefits Specialist) Department: Member Services The 32BJ Benefit Funds is ... a problem in real time, at high volume standards. + Provide customer service to participants to resolve eligibility or Fund benefit issues. + Displayed proficiency… more
- MTA (New York, NY)
- Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Date Posted: Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington Ave FULL/PART-TIME FUL… more
- Hackensack Meridian Health (Aberdeen, NJ)
- …transform healthcare and serve as a leader of positive change. The **Account Representative ** is responsible for billing and Revenue Cycle follow up. Ensures the ... the knowledge of ICD-10 and CPT codes to ensure accurate processing claims and denials. **Licenses and Certifications Preferred:** + Certified Professional Coder. If… more
- Sedgwick (New York, NY)
- …Services | SIU **PRIMARY PURPOSE** : To manage accounts of multiple client service programs or single large national program; to maintain client, client broker and ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs client renewal and Client Service Instruction preparation for assigned clients. + Coordinates pricing and… more
- Otsuka America Pharmaceutical Inc. (Princeton, 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 ... reviewing, drafting, and augmenting existing Quality agreements with external service providers to assure that full compliance and best...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Utilities Service, LLC (Piscataway, NJ)
- …all employees/contractors on required training, managing, and mentoring. **Nelson Tree Service provides utility companies with line clearance services, upholding a ... be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims...of equipment, etc. + Furnishes General Foreperson and utility representative with reports of orders completed, units of work… more