- Zurich NA (Parsippany, NJ)
- Litigated Claims Specialist , Auto 118693 Zurich North America is currently hiring a Litigation Claims Specialist to join our Auto Bodily Injury team. At ... CA + New York, NY **Job Responsibilities:** Under moderate supervision, the **Auto Litigation Claims Specialist II** will manage commercial line auto claims … more
- Zurich NA (Parsippany, NJ)
- Claims Specialist I, Auto Bodily Injury 119129 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... claims career as part of our Commercial Auto team. As an Auto Claims Specialist , you will work alongside a diverse group of experienced claims … more
- Zurich NA (Parsippany, NJ)
- Senior Claims Specialist Construction Professional Liability Claims 118830 Zurich North America is seeking a **Senior Construction Professional Liability** ... ** Claims Specialist - Hybrid** to support Claims organization, with moderate direction, handles single and multi-party litigated and non-litigated commercial… more
- Robert Half Accountemps (Allentown, PA)
- Description We are offering a contract to hire employment opportunity for a Claims Specialist in Allentown, Pennsylvania, United States. This role is primarily ... in the handling and processing of customer property damage claims that may arise from the operations or provision...chosen candidate will ensure the accurate, timely processing of claims in compliance with state regulations and company policies… more
- Guardian Life (Bethlehem, PA)
- …for you to grow and enrich your career and future as a Life Claims Specialist . We believe in your aspirations for purpose, leadership, and achievement ... help build the core proficiencies you will need to be a successful Life Claims Specialist . In your first year, we will provide extensive training in a highly… more
- MetLife (Bridgewater, NJ)
- …pending, ongoing and appeal reviews. . Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... proofs are needed to make a reasonable and logical claims determination based off the information available. . Collaborates...conduct information gathering to be able to articulate the claims decision upon the completion of an evaluation, as… more
- St. Luke's University Health Network (Allentown, PA)
- …collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an appeal rationale ... based on clinical documentation, application of LCD, relative carrier policy and published Academy or Societal guidance + Provide coding guidance to providers and charge entry staff for single or low volume errors. Report high volume coding denial trends to… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Accounts Receivable Specialist is responsible for the day to day operations of accounts receivable for ... account resolution, credits workflow and processes. The Accounts Receivable Specialist II is focused on the accurate and timely...is focused on the accurate and timely submission of claims to third party payers, intermediaries, and guarantors in… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- Job Summary The Patient Account Specialist is responsible for accurate and timely billing of all services delivered as well as ensuring all revenue is collected. Job ... Duties + Ensure accurate and timely billing of claims to payers. Verify all services delivered are billed...Work all pre-billing/post-billing reports to ensure correct data on claims . Identify and resolve claim issues. Guarantee timely secondary… more
- Travelers Insurance Company (Morristown, NJ)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Travelers Insurance Company (Morristown, NJ)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... job does not manage staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Travelers Insurance Company (Morristown, NJ)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value.… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + The Accounts Receivable Specialist role and responsibilities include: monitoring all aspects of the collection of outstanding debts owed to the ... drafting and submitting technical appeals. In addition, the AR specialist is the subject matter expert for all billing...with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or payer portals. Responsible… more
- Aston Carter (Bedminster, NJ)
- Job Title: Administrative Services Specialist Job Description This position will have hybrid responsibilities. They will help with processing of the disability ... claims as well as providing back up support for...delivery of mail to USPS. * Examine and process claims forms, documentation and reports, etc. * Ensure compliance… more
- Deloitte (Morristown, NJ)
- Manager/ Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager/ Specialist Master you will bring considerable technical expertise to deliver effective… more
- Sanofi Group (Bridgewater, NJ)
- **Job Title:** Specialist , Managed Care Operations **Location** : Bridgewater, NJ **About the Job** The Managed Care Specialist is responsible for contract ... across Sanofi's pharmaceutical portfolio in multiple systems including ECP (Electronic Claims Processor) and Revenue Manager (Model N administration system). This… more
- Deloitte (Morristown, NJ)
- Manager/ Specialist Master, Operations and Technology Transformation, Guidewire Data Architect What we do Our Operations and Technology Transformation team (OTT) ... on January 31, 2025 Work you'll do As an OTT Insurance Transformation Manager/ Specialist Master, you will bring technical expertise to deliver effective solutions to… more
- Phoebe Ministries (Allentown, PA)
- Skilled Nursing Biller - AR Specialist Full-time - Allentown, PA Phoebe Ministries is hiring a Skilled Nursing Biller - AR Specialist to join our long-term care ... + Service Awards & Recognition Gift Cards. Requirements for a SNF Biller/AR Specialist with Phoebe Allentown: + Degree or some course work in Business Administration… more
- Walgreens (Bernardsville, NJ)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- Overview The Patient Support Specialist , under the direction of the Supervisor, is responsible for providing patient health care services enabling access to care for ... Responsibilities What You will Do: + Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, services… more