Claims processor jobs in Bayonne, NJCreate job alerts

Make your mark in Information Technology At AIG, technology is at the heart of everything we do, from underwriting risks to processing claims. The Information Technology team equips our colleagues ...

Consulting on medical, behavioral health, and accommodation claims as needed, if within the scope ... Supporting team in driving return to work process from beginning of case to closure. Requirements ...

The Claim Administrator (CA) is responsible for the timely processing and management of clients' Victim Compensation Fund (VCF) claims. The CA ensures all claims are accurately recorded in internal ...

The incumbent assists the client in fulfilling its obligation to policyholders and maintaining the client's claims processing functions, including evaluating potential coverage issues, liability and ...

To evaluate and process in an accurate and timely manner, claims estimates and paid claims values in accordance with policy terms and conditions to provide the level of service and meet obligations ...

Understanding of New York No-Fault Arbitration, and the No-Fault Claims process. Must be a true team player genuinely interested in working in a supportive, collaborative team environment

... claims processing. * Identifies and reports quality of care issues. * Assists with Complex Claim review including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient ...

The Director of Claims Integrity and Analytics is responsible for leading the comprehensive management of claims payment processes, ensuring the accurate and timely execution of claims. This includes ...

Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management. * Demonstrated understanding of Utilization ...

Facilitates claims processing for services rendered by physicians. Assists with responses to problems or questions on benefit eligibility and reimbursement procedures. Independently engages or ...

The Account Executive, Commercial Lines Will: * Assist clients in the claims process and follow up to ensure timely resolution. * Act as the primary point of contact for client inquiries, policy ...

Understanding of payer healthcare systems, including claims processing, member services, and provider management. * Knowledge of regulatory compliance standards relevant to the healthcare industry ...

Responsibilities: * Review and submit medical claims to insurance companies * Verify insurance ... hiring process. If you are passionate about healthcare and have a strong background in medical ...

... processes under applicable bankruptcy laws. * Handle matters involving cross-border insolvency situations, including coordination with foreign counsel and navigating competing jurisdictional claims

Continuously improve the delivery of process performance information to all business partners ... Experience in claims data modeling is a plus. * Experience with Athenahealth EMR a plus

... claims; (c) developing methods for assessing contractor performance; (d) dispute resolution and (e) implementing the appropriate processes and controls for protecting and preserving the Company ...

Process orders, returns, and exchanges efficiently. * Collaborate with internal teams to improve customer satisfaction. * Maintain accurate records of customer interactions. * Various ad-hoc ...

Process the day to day administrative tasks for assigned benefit plans. * Weekly and quarterly ... Coordinate administration of liability and workers' compensation claims. * Oversee the ...

Work alongside the Product, Marketing and Data teams to execute process improvements. * Collaborate with other program and product team members to bring new claims and awards to market. * Work ...

Bodily Injury Claims Examiner - Property & Casualty Insurance New York, NY Come join this well-established NYC based insurance company that has been serving the New York Personal and Commercial ...

Respond to unemployment claims and participate in virtual claim hearings. Receive and process requests for leaves of absence, ADA accommodations, and workers' compensation. General Administrative ...

Cultivate expertise in the False Claims Act and other niche areas * Manage multiple cases ... Experience with client intake and retention processes * Proactive approach to case management and ...

... the basis of Claims and Variation orders during project execution * Provide guidance/support as required for the project scheduler and project planner * Contribute to process improvement by ...

Forensic Construction Claims Manager New York, New York This role is Hybrid. Interested in the legal/dispute side of construction projects? CPMI is seeking Financial Forensic Claims Managers and ...

Data Strategist Job Overview Specializing in Claims Data, Cohort Design, Marketing Performance ... Develop tools, processes, and visualizations to simplify and communicate complex data, making it ...

Evaluate SE customer support processes, devise improvements, measure results, and iterate * File claims for lost packages with carriers and communicate updates and resolutions with brands

... claims. * Recovery & Remittance: Oversee the recovery of unclaimed property and ensure proper reporting and remittance to authorities or owners. * Process Improvement: Recommend and implement ...

Our AI-powered platform helps healthcare providers recover millions in denied claims by automating the entire appeals process. We're trusted by leading healthcare practices across the country ...

... for process improvement. * Participate in monthly physical inventory count supporting Production. * Document customer and report customer claims. * Work with shipping carriers to actively solve ...

Implement process and organizational efficiency through automation. * Demonstrated experience in analyzing healthcare administrative claims data, social media data, graph data, and time series data

Establish best practices, processes, and standards for regulatory compliance and excellence. Global ... Review and approve product claims to ensure accuracy, substantiation, and compliance with ...

... processes. Validates and ensures accuracy of planograms. * Responsible for reviewing and ... claims for warehouse and vendor overages (merchandise received, but not billed), shortages ...

... processing of claims. * Take accurate and detailed statements from all involved parties. * You will be required to investigate and determine responsibility, confirm coverage, establish damages, and ...

KYC Claims adjustment/Administration. Manuel claims. * Claim responses, analysis of documents. * Receiving and reviewing claims, processing financial transactions. * Starts fully on-site, open to ...

End-to-end claims lifecycle from a business process standpoint * Post claim adjudication (general reprocessing, disputes, OPR) Qualification: * Certified Pega Business Architect Process Modelling and ...

Prepare and submit accurate claims (both paper and electronic), ensuring timely reimbursement from payers. * Process rejections and denials, post payments from insurance and patients, and reconcile ...

Application Process: 1. Submit Your Application: No stringent qualifications needed. We believe in potential. 2. Company Overview: Once your application is in, you'll receive an invite to an ...

... claims of global financial institutions in foreclosure actions. With a portfolio of about 750 ... PROCESS Biolsi Law Group does not sponsor work visas or provide relocation assistance. All ...

Evaluate clinical and other data (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes * Participate in ...

Manage a caseload of workers compensation claims . * Conduct legal research, draft pleadings ... litigation process. Qualifications: * Juris Doctor (J.D.) from an accredited law school

... other processes in healthcare, both monetarily and physically. These issues can be Optimized And ... Medical Coding, RCM, Insurance Reimbursement, Claims, Patient Billing, etc. Job Details: We are on ...

Manage a caseload of personal injury claims , including motor vehicle accidents, slip and falls ... litigation process. Qualifications: * Juris Doctor (J.D.) from an accredited law school

... claims/related risk management matters. Human Resources * Work with HR to manage and prevent any and all employment related legal matters. * Ensure that appropriate processes are in compliance with ...

Help process customer overage, shortage, and damage claims. * Assist in keeping the office supplies stocked. * Provide administrative support to the operations team, including following up with ...

Oversee revenue recognition processes, ensuring we account for sales, distributor claims, and other financial elements correctly. * Finance Team Support: With a small team, you'll wear multiple hats ...

... and processes. Labor Relations: * Assist managers in interpreting the collective bargaining ... Respond to unemployment claims and participate in Department of Labor hearing * Stay updated on ...

... reports, and claims disbursements. Prepare daily balance sheet (loan and share) analysis ... Develop and implement processes to streamline credit union accounting procedures. * Develop and ...

... and retaliation claims. * Handle all phases of litigation, including pleadings, discovery ... Application Process: Please submit your resume and cover letter. We will not review applications ...