- Atlantic Health System (Morristown, NJ)
- …authorization for hospital admissions - urgent and treatment-related. 3. Update insurance companies with any changes/updates as needed. 4. Acquire pre-certification ... 8. Obtain authorizations for specialty pharmacy medications. 9. Follow up with insurance companies for all denials and appeals. 10. Coordinate peer-to-peer or… more
- Deloitte (Morristown, NJ)
- Manager/ Specialist Master, Operations & Technology Transformation, Insurance , Guidewire Integration & Configuration What we do Operations and Technology ... Life Sciences, Digital Banking & Payments, Investment & Wealth Management , Insurance , Telecom, Media and Energy &...the development of junior staff. Your role As a Manager/ Specialist Master you will bring considerable technical expertise to… more
- NJM Insurance (Parsippany, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The Claims ... Account Specialist will be responsible for contacting all parties involved...and service commitment to interested parties . Ensure quality management of claims in accordance with claims best practices… more
- Kelly Services (Mahwah, NJ)
- **QMS Specialist ** **-** **_(NO C2C OR THIRD PARTY)_** + **Location:** Mahwah, New Jersey (07430) + **Duration:** 12+ month contract until 11/2025 (contract ... document and product related changes in accordance with company's change management procedures and relevant regulatory requirements for medical devices. **Duties… more
- Bayer (Whippany, NJ)
- …Code:** 834817 **Contact Us** **Email:** hrop_###@bayer.com **Job Segment:** Data Management , Database, Claims, Manager, Pharmacy, Data, Technology, Insurance , ... difference, there's only one choice.** **Associate Director, Market Access Data Specialist ** **Associate Director, Market Access Data Specialist - Commercial… more
- Travelers Insurance Company (Morristown, NJ)
- …cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance ... (CFA) for adherence to quality standards. + Utilizes diary management system to ensure that all claims are handled...+ Communication - Advanced + Negotiation - Advanced + Insurance Contract + Knowledge - Advanced + Principles of… more
- Travelers Insurance Company (Morristown, NJ)
- …cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance ... to quality standards and trend analysis. + Utilize diary management system to ensure that all claims are handled...+ Communication - Advanced + Negotiation - Advanced + Insurance Contract Knowledge - Advanced + Principles of Investigation… more
- Travelers Insurance Company (Morristown, NJ)
- …cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance ... (CFA) by adhering to quality standards. + Utilizes diary management system to ensure that all claims are handled...+ Communication - Intermediate + Negotiation - Intermediate + Insurance Contract + Knowledge - Intermediate + Principles of… more
- New York State Civil Service (Thiells, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... Duties Description TRAVEL PERCENTAGE:PRIMARY DUTIES AND RESPONSIBILITIES:As a Medical Specialist , you would actively participate in diagnosing and treating patients… more
- WMCHealth (Port Jervis, NY)
- Authorization Specialist Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Clerical/Administrative Support Department: Coordination Of ... Now External Applicant link Internal Applicant link Job Details: The Authorization Specialist plays an intricate role in procuring payment for outpatient services by… more
- Stryker (Mahwah, NJ)
- …We are currently seeking a **Senior Regulatory Affairs Specialist ** to join our **Joint Replacement** **Division** based **Hybrid** ... future issues. **What you will do** As the **Senior** **Re** **gulatory Affairs Specialist ** for Market Continuity, you will have an integral role in ensuring… more
- Zurich NA (Parsippany, NJ)
- …and 2 or more years of experience in the Claims and/ or Litigation Management area.OR + Zurich Certified Insurance Apprentice, including an associate degree with ... Senior Claims Specialist Construction Professional Liability Claims 118830 Zurich North...insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Elevance Health (Morristown, NJ)
- The **Wellness & Recovery Specialist ** is responsible for care coordination activities focused on the Wellness and Recovery of members. **Location:** Remote. The ... states: Washington, Iowa, Louisiana, New Jersey, West Virginia, Wisconsin. Peer Specialist Certification required **How you will make an impact:** + Identifies… more
- Genesis Healthcare (Cedar Grove, NJ)
- …is responsible for supporting marketing, business development and sales, and intake management within Genesis. The Marketing Specialist ensures that business ... development requests are fulfilled timely, in accordance with brand management standards and are synchronized with sales and business development activity, which… more
- Zurich NA (Parsippany, NJ)
- …commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 ... Occupational Accident Claims Specialist 119902 Zurich is currently looking for an...Zurich North America's Life, Accident, and Health program provides insurance coverage to help financially protect both the on-the-job… more
- Blue Foundry Bank (Parsippany-Troy Hills, NJ)
- …comprehensive compensation package includes; medical, dental, and vision coverage; life insurance , short- and long-term disability insurance ; 401(k)/Roth with ... and educational reimbursement. Position Summary The Consumer Banking Operations Support Specialist is essential to the Operations team, focusing on the follow-up… more
- Suburban Propane (Whippany, NJ)
- …and customers for over 90 years. As a **Human Resources Service Center Specialist ** , you will responsible for Human Resources, Payroll and Benefit related task ... from employees regarding various Human Resources areas. The HR Service Center (HRSC) Specialist should have a broad subject matter expertise in the areas of human… more
- New York State Civil Service (West Haverstraw, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade ... and business. Competitive Qualifications:1. Permanent service as a Habilitation Specialist 1OR2.70.1 transfer eligible candidates. For eligible 70.1 transfer… more
- Zurich NA (Parsippany, NJ)
- …commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 ... Claims Specialist I, Auto Bodily Injury 119129 At Zurich...of experience in Claims or InsuranceOR + Zurich Certified Insurance Apprentice (including an Associate Degree) with 2+ years… more
- New York State Civil Service (Middletown, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... Code 10941 Duties Description Primary Duties and ResponsibilitiesAs a Medical Specialist , you would actively participate in diagnosing and treating patients within… more