¿Eres empresa? Contrata claims processing candidatos en Hoboken, NJ
The Claims Manager is responsible for overseeing and optimizing all aspects of the organizations claims process. This role involves developing strategic guidelines, ensuring efficient claim handling ...
... for processing No-Fault claims in compliance with Regulation 68. - Ensure investigation of claim and organize claim file during investigation. - Interact/response to inquiries made by medical ...
Preparation of submissions involving large volumes of individual claims; * Run and analyze client ... development of processes and technological systems for addressing large volumes of client ...
Manage and oversee all insurance claims and related processes for affordable and market-rate multi-family residential and commercial properties. * Support the Director of Risk Management with ...
Needs to understand claims processing Job Description * Ensure provider contracts are configured timely and accurately * Oversee functions performed by delegated vendor(s) as it relates to benefit ...
Prefers specific knowledge of claims processing and customer service systems (NASCO adjustment and pend processing, UPS, UCSW, Research Station, Cognos, and Image). * Prefer knowledge of ITS/Blue ...
Managing functions performed by delegated vendors related to benefit configuration, claims processing, provider setup, and accounts payable * Coordinating activities and communications between key ...
Develop and implement training programs for staff to enhance their skills in payment posting and claims processing. * Collaborate with other departments to streamline processes and improve overall ...
Claims Manager/Claims Oversight Property & Casualty Insurance Industry Addition to staff position has created this IMMEDIATE need for a NYC based specialty program insurance Senior Claims / TPA ...
Knowledge of the processing of lost wage claims * Knowledge of retrieving police reports * Knowledge of personal injury threshold * Knowledge of Motor Vehicle Indemnification Corp procedures
... defending claims. * Compile and submit underwriting data used to market renewal. * Manage competitive bidding process for insurance renewals. * Assist in the implementation of the contracts ...
... processing and strategic business goals. The analyst will interact with all Underwriting end users, as well as business subject matter experts in Claims, Accounting, Actuary, Loss Control, and ...
Resolve escalated health and insurance program claims and advocate for employees in benefits ... Coordinate annual open enrollment process. * Review open enrollment elections for accuracy and ...
Process Worker's Compensation claims including entering claims in NavRisk Portal, following up with managers, liaise with insurance carriers and updating reports in a timely manner. * Respond to ...
Processes Manual Payments/ACH transactions * Handle unemployment claims and verifications forms as needed performing other job-related duties and ad-hoc projects as assigned Skills You'll Need
Manage Workers' Compensation claims and ensure compliance with safety and health regulations. * Administer 401(k) plans, including processing enrollments, changes, and contributions, while ensuring ...
You'll work with terabytes of data processed through our Rust-based ETL pipelines and ensure that ... claims charts for inter-partes reviews. Leading companies and law firms are already seeing huge ...
... of encounters processing and submission issues and develop recommendations based on data and ... Experience with manipulating large amounts of clinical and medical claims data while working in ...
... Claims Act, Foreign Corrupt Practices Act (FCPA), PhRMA Code, OIG Compliance Guidance, FDA ... continuous process improvement. Why Join Us? This role offers the chance to make a meaningful ...
... processing HL7 messages, CCD documents, and EDI X12 Claims files. * 4 years' experience with various modern languages such as Python, Java, Scala, Go, C#, JavaScript, etc. * 5 years' experience ...
The ideal candidate will have deep expertise in Salesforce applications, claims functionality, and ... Drive continuous improvements in test processes, practices, and automation frameworks. * Lead and ...
... processes and workflows is always welcomed and valued. We work on an agile schedule with ... claims, to ensure compliance with laws, self-regulatory bodies and brand policies as well taste ...
... claims, and issues. - Ensure compliance with federal, state, and local regulations related to ... accurate and timely processing of payroll for all employees. - Ensure compliance with federal ...
