Claims jobs in Englewood, NJ - Page 2Create job alerts

This position will process and analyze Specialty Pharmacy, Distributor, Managed Markets Insight & Technology (MMIT) data sets, including reimbursement claims, formulary coverage, pharmacy and medical ...

Leading law firm with a national practice is seeking a Professional Liability Associate Attorney for their New York City office to assist in defending claims of legal mal-practice and lawsuits ...

Perform benefit reviews for existing clients, as well as help with any necessary claims or adjustments * Provide attentive customer service and any necessary administrative support in response to ...

Manage asylum claims and refugee protection applications. * Prepare and present appeals to the Board of Immigration Appeals (BIA). * Conduct bond hearings and manage release from detention. * Submit ...

Appraising performance Addressing complaints and resolving problems. · Knowledge of provider network development, provider contracting and management theory. · Knowledge of health care claims ...

We are entrusted by multi-national conglomerates to serve as National Coordinating Counsel in the defense of their claims and litigation both in the United States and abroad. Our clients have been ...

Review of outstanding claims in a timely manner to meet applicable regulations and company's policies. * Tracking of dispute status and decisioning to support required regulatory and legal ...

You will represent these clients in a wide array of litigation and claims, including professional malpractice, construction defects and delays, insurance disputes and indemnification obligations. You ...

Experience as a first-chair handling litigation concerning discrimination and/or wage and hour claims. * Experience counseling on New York State and New York City employment matters. * Some ...

Advising clients on claims involving delays, defects, and performance matters What they need: * J.D. & Admission to practice law in NY * 3+ years of experience in construction litigation and ...

This role is ideal for an Associate eager to take on significant responsibilities in representing clients across the legal and other industries in matters involving malpractice claims and other ...

... claims review. · Assist with the monthly administration of coordinating with Employer Group entities as it pertains to the handling of enrollment and/or termination of health coverage for their ...

Analyze anonymized patient-level claims data to answer important business questions. * Perform quality checks on dashboards, reports, third party data and internal data. Qualifications * Must be an ...

Reconciles, researches and resolves high volume of customer deductions/chargebacks pertaining to shipping violation claims, allowances, discounts, damages, pricing, shortages and returns * Creates ...

You'll collaborate with the Benefits and Rewards teams on disability claims and executive compensation. Overseeing litigation, managing legal risks, and ensuring compliance with labor laws.

Lead a diverse range of litigation cases , representing clients in premises liability and automobile accident claims in both state and federal courts. Draft and argue motions, conduct depositions ...

Handle the initial calls and inquiries (Web, Email, Chat) from new prospecting clients seeking out a firm to represent them regarding potential injury claims. We provide best-in-class service and ...

Investigate and evaluate claims to determine the extent of insurance coverage and potential liability. * Prepare legal pleadings, motions, briefs, and other court documents in compliance with ...

Strong understanding of healthcare revenue cycle processes, including billing, coding, insurance claims, payer relationships, and reimbursement methodologies. Skills & Competencies: * Experience ...

Investigate and reconcile any unknown deductions and file claims with our customers and vendors.Reconcile inter-company accounts as required.Generate and analyze reports on accounts payable activity ...

Collaborate with underwriting, claims, operations and finance departments to address legal issues and provide solutions that align with business objectives. * Conduct legal research and stay abreast ...

Collaborate closely with the Contract Management and Project teams to assess and mitigate claims during the pre-litigation phase. * Uphold and promote Lane's core values of excellence, respect, trust ...

Collaborates with corporate risk management on developing strategies to close workers compensation open claims * Recommends ideas and processes to reduce costs in the area of Workers' Compensation

A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities, required; OR * Three years of ...