Claims jobs in Elizabeth, New Jersey - Page 6Create job alerts

Certified Professional Coder / Bill Review Expert.Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds.Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned.Assign proper codes as needed based on review outcome.Use various r

As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met.

The Medicaid Health Plan Claims Business Process Consultant is responsible for reviewing, and analyzing claims submitted under the Medicaid program. The Claims Business Process Consultant collaborates closely with internal partners across the Health Plan and National support team to resolve discrepa

In this fast-paced role, PIP Claims Representatives adjust first party personal injury claims according to state compliance requirements and guidelines. This position will handle Personal Injury Protection claims in multiple states, including NJ and PA. Adheres to privacy guidelines, law and regulat

Establish and maintain good working relationships with internal and external business partners Maintain proper documentation on all claims and claims diaries in EPIC in accordance with Best Practices. Ad hoc projects to support the Claims Director. Technical proficiency in one or more of the followi

Submit claims for approval to supervisor when over his/her authority or for guidance, review and/or referral when appropriate. Adhere to privacy guidelines, law and regulations pertaining to claims handling. This individual is responsible for the handling of Auto Property Claims in accordance with N

Support the Head of Claims and manage the claims process for all assigned responsibilities. Maintain claim file documentation and claims diaries in accordance with Best Practices on all assigned claims. This position will be a claims advocate for assigned accounts across multiple lines of business,

This position is responsible for the handling of Auto Property Total Loss Claims in accordance with NJ Unfair Practices Act. Settle claims within individual authority; escalate or seek supervisor approval when appropriate. Adhere to privacy guidelines, laws, and regulations pertaining to claims hand

Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years. Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.

Provides technical guidance and direction of Personal Injury Protection / No Fault claims. The Personal Injury Protection (PIP) Claim Supervisor oversees the operation of 5-7 Claim Representatives devoted to the handling of PIP Claims in multiple States. You will partner with management in review of

Patriot Claims , we do things differently.

The Administrative Claims Specialist will be responsible for performing administrative and other duties as assigned. Keying of Claims checks including expenses, arbitration settlements, interest, etc. Perform other duties as assigned to support the various units within the claims department.

False Claims Act (qui tam) litigation. Senior Associate - FLSA / False Claims Act (Qui Tam) Litigation. We are a nationally recognized litigation firm focused on high-stakes plaintiff-side matters, including whistleblower (False Claims Act), wage & hour (FLSA) class and collective actions, mass tort

In this fast-paced role, PIP Claims Representatives adjust first party personal injury claims according to state compliance requirements and guidelines. RESPONSIBILITIESThis position will handle Personal Injury Protection claims in multiple states, i.

Proven record in process improvement, claims operations, and service delivery excellence. CTG is seeking a results-driven PBM Service Delivery Manager to lead claims adjudication and governance operations for a leading healthcare client. Lead PBM service delivery and governance for claims adjudicati

The Casualty Claim Representative will be responsible for the handling of First- and Third-Party Bodily Injury and Physical Damage claims in a Personal Lines /Commercial environment for the Plymouth Rock Operation. These investigations might require the representatives take in depth recorded stateme

CTG is seeking a results-driven PBM Service Delivery Manager to lead claims adjudication and governance operations for a leading healthcare client. Lead PBM service delivery and governance for claims adjudication, formulary rules, benefit hierarchies, and pricing logic. Analyze claims performance da

Owns and manages claims-related risk, developing and executing mitigation strategies tailored to the Claims function. Represents Claims in the Enterprise Risk Committee and partners closely with Enterprise Risk Management to align enterprise-wide risk practices with Claims-specific needs. Keeps Clai

Patriot Claims , we do things differently.

Key responsibilities encompass: generating and reporting new claims; examining insurance policies and confirming coverage; analyzing and/or investigating all coverage position letters, following up as necessary for resolution; overseeing open claims and aiding their resolution; communicating with cl

Negotiates resolution of claims and makes payments within authority. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the sta

The Property Damage Claims Supervisor will oversee the operation of a unit of claim representatives with varying levels of experience who handle first and third party property claims. Direct and coach the work of Property Damage Claims Adjusters. Plan unit workflow and monitor assignment of claims t

Insight Global is assisting a legal marketing client of ours in identifying Claims Investigators for net new openings they have. The position is part of the Case Management department working on all phases of injury claims. Interprets and disseminates information concerning claims and casework to su

The Medicaid Health Plan Claims Business Process Consultant is responsible for reviewing, and analyzing claims submitted under the Medicaid program. The Claims Business Process Consultant collaborates closely with internal partners across the Health Plan and National support team to resolve discrepa

The Claims Business Process Consultant collaborates closely with internal partners across the Health Plan and National support team to resolve discrepancies and support optimal claims management. The Medicaid Health Plan Claims Business Process Consultant is responsible for reviewing, and analyzing

The individual will manage claims by investigating, analyzing, and evaluating coverage for Employment Practices and Third Party Liability claims. AXIS is hiring a Senior Claims Specialist EPL and Fiduciary Claims for its North America Claim Team. Senior Claims Specialist - EPL/Fiduciary.

Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims. Seven to ten (7-10) years of working experience with a primary and or excess carrier supporting commerci

The Medicaid Health Plan Claims Business Process Consultant is responsible for reviewing, and analyzing claims submitted under the Medicaid program. The Claims Business Process Consultant collaborates closely with internal partners across the Health Plan and National support team to resolve discrepa

As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met.

Evaluate, negotiate, and settle assigned property damage or severe GL and/or complex bodily injury claims within authority granted, or seek authority for those claims in excess of authority. We are currently seeking a Claims Specialist. This individual would be responsible for reviewing, processing,

The Long-Term Disability (LTD) Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. Long-Term Disability Claims Examiner. You will be part of the Long-Term Disability (LTD) Claims team whi

Senior Claims Partnership Manager. At Verisk, we are developing a best-in-class ecosystem, focused on developing innovative ways to drive industry-wide collaboration by seamlessly integrating service providers within the ClaimSearch environment. The Senior Claims Partnership Manager will play an ess

SageSure, a leader in catastrophe-exposed property insurance, is seeking a Claims Operations Intern who will support the Director of Claims Initiatives in driving strategic projects that improve efficiency, service quality, and scalability in home insurance claims. Domo, Excel) to measure claims per

Accurately administer and validate claims in the e-claims system, including application of claims reserves, documentation, and recovery. The Senior Logistics Liability Claims Analyst is responsible for professionally managing logistics liability claims across the U. Advanced proficiency in reading a

Evaluate, negotiate, and settle assigned property damage or severe GL and/or complex bodily injury claims within authority granted, or seek authority for those claims in excess of authority. This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and th

Responsible for the analysis, investigation, negotiation, compromise and settlement of assumed reinsurance claims within granted authority level, and also responsible for assigned claim reviews, special reports, and assisting with routine department administrative tasks as assigned. Also, when assig

We are seeking a highly skilled and experienced Claims Manager to lead and manage complex and high-severity recovery claims, including subrogation, litigation, and attorney-managed claims. The Manager, Specialty Claims will report to the Vice President, Specialty Claims. Additionally, the Claims Man

The Senior Claims Specialist will have direct experience in handling first- and third-party environmental liability claims, professional liability claims arising out of the construction industry, as well as general liability and excess claims arising from contractors, oil and gas industry, auto, tru

Evaluate, negotiate, and settle assigned property damage or severe GL and/or complex bodily injury claims within authority granted, or seek authority for those claims in excess of authority. The Senior Claims Examiner will be responsible for reviewing, processing, investigating, evaluating, negotiat