Claims jobs in Jersey City, NJ - Page 14Create job alerts

Job DescriptionWho is MedReview - Join our team at MedReview, a pioneering authority in payment integrity for over 40 years. As a physician-led organization, we are dedicated to ensuring healthcare claims accurately represent the care provided. Through timely and precise independent audits and cl...

Handling moderate complexity claims within assigned authority limits consistent with company policy and procedures. Create an accurate and detailed estimate/supplement/total loss report to both 1st and 3rd party material damage claims, utilizing the NYCM Appraiser Best Practices as a guide. Ident...

Duration: 6 12 months +++ Hybrid 3 Days a Week: Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Fargo, ND; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; Los Angeles, CA; Lubbock, TX; Morristown, NJ; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, K...

This role involves managing dedicated clients with a focus on aligning services to client goals, proactively addressing challenges, building strong broker and client rapports and ensuring customer satisfaction. The Client Relationship Manager role is a key enabler to promoting Arch claims as a co...

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Flexible schedule, • Health insurance, • Paid time off, • Training & development AZE Pharmacy Location: 4519 7th Ave, Brooklyn, NY - 11220 Position Type: Full-Time Immediat...

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Flexible schedule, • Health insurance, • Paid time off, • Training & development Brook Specialty Pharmacy 700 Brook Ave, Bronx, NY - 10455 (Suite 508 A E 156th) Position T...

Job DescriptionBenefits: • 401(k), • Competitive salary, • Paid time off, • Training & development, • Flexible schedule Position Type: Full-Time Immediate ...

Complex Director Severity Claims. Join us as a Complex Director Severity Claims to play your part in that transformation. Are you interested in handling some of the largest and most complex Casualty claims in the industry? Your deep technical claims expertise will be put to the test in the invest...

This individual will handle commercial excess casualty claims, including excess and umbrella liability of all varieties. Commercial excess casualty claims experience required. Ability to influence others and resolve complex, disputed claims.

Assistant Manager, Snap Claims. Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. Monitor and distribute cases in the Automation system for review and completion of staff in the Supplemental Nutritional Assistance Program-Claims and Re...

Demonstrates proven expertise and success as a risk manager, underwriter, broker, actuary, or claims manager providing managerial and strategic insurance risk management advisory and merger and acquisition due diligence service. Master's Degree in Business Administration/Management preferred. Pro...

Job DescriptionBenefits: • Competitive salary, • Opportunity for advancement, • Paid time off, • Training & development Sara Pharmacy 652 East 233rd St, Bronx, NY ,10466 Position Type: Full-Time Immediate Start Preferred Join Our...

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Flexible schedule, • Health insurance, • Paid time off, • Training & development Pharmacy Name: Sara Pharmacy Location: 652 East 233rd St, Bronx, NY - 10466 P...

Finalize consumer-facing claims in partnership with regulatory counsel before organizational release. Manage the regulatory budget, including testing, claims validation, international registration fees, and corporate brand spend. Strategic Thinking: Ability to develop long-term regulatory strateg...

Actively participate in the ongoing training and development of the claims examiners as indicated by Claims Manager. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist com...

Alaffia Health is an AI-enabled claim review engine, allowing health plans to review claims fast and accurately, reducing the cost of care for all by reducing medical billing fraud, waste, and abuse. The ideal candidate will have experience performing clinical reviews of facility claims on behalf...

Manage a diverse portfolio of high-severity cyber and Tech E&O claims, conducting investigations and interpreting insurance contracts effectively and efficiently. Senior Claim Technical Specialist - Cyber. The purpose of this role is to investigate, evaluate, and resolve complex and high severity...

Job DescriptionPharmacy Data Entry Technician (CPhT, NJ License Required) Location: East Rutherford, NJ Schedule: Mon–Fri, 9:00 AM–5:00 PM Company: PersonalRX – Modern Pharmacy with a Human Touch Ready to leave the retail grind behind and make a bigger impact in patients' lives? Join PersonalR...

Recommend methods to improve the dental logic to boost system efficiency to Dental Director. Collaborate with Dental Consultants to review and triage escalated claims, pre-determinations, and service requests. Integrate clinical expertise with industry knowledge to identify potential fraud patter...

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Flexible schedule, • Health insurance, • Paid time off, • Training & development Company: Haddy Pharmacy Location: 3050 White Plains Rd, Bronx, NY - 10467 Position Type: ...

Job DescriptionBenefits: • Hourly pay plus commission/bonus, • 401(k), • Bonus based on performance, • Competitive salary, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off

Working knowledge of Pharmaceutical data sets such as: claims data, prescription data, lab data, change/content data, engagement and experience data. The Principal role within the Data Strategy, Analytics and AI team will be responsible for advising clients on business strategy through data-drive...

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Flexible schedule, • Opportunity for advancement Position Type: Full-Time Immediate S...

Developing and maintaining relationships with internal and external partners as their lead contact within the claims department for assigned claims and the claims of his/her direct reports. Identifying, liability and coverage trends and issues with both individual and portfolio impact and formula...

Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service both pre- and post-claims.

Investigate, identify, and report fraudulent claims, utilize statistical data to identify claims that pose potential risks, and provide risk management recommendations to the Division Chief;. In resolving claims before litigation is commenced, BLA protects the fiscal interest of the City while en...

Legal Claims Professional- Management Solutions Group 81907 Zurich is currently looking for a Legal Claims Professional for our Management Solutions group to work out of one of our Claims Hub locations including: Parsippany, NJ 4 WTC, NY Rocky Hill, CT Schaumburg, IL Atla

They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate or overpayment, implement sanctions/disqualifications, and discontinue issuance of inaccurate SNAP benefits. SNAP-CR is recruiting for one (1) Principal Administrative Associate III to functio...

Skills: Claims Litigation, Dispute Resolution, Fraud Litigation, Legal Document Preparation, Legal Research, Legal Writing, Litigation, Property & Casualty Insurance, Risk Management, Special Investigations, Torts. Diverse Legal Challenges: In-house litigation roles at Allstate encompass a broad ...

Job DescriptionBenefits: • Competitive salary, • Opportunity for advancement, • Paid time off Pharmacy Name: E and M Pharmacy Location: 202 South Essex Ave, Orange, NJ - 07050 Position Type: Full-Time Immediate Start Preferre...

Develop and refine, in partnership with the Commercial Management Solutions and Financial Institutions Underwriting and North American Claim Operations, a best-in-class Panel for the middle market segments of Commercial Management Solutions and Financial Institutions Claims written on duty to def...

Acts as liaison for involved parties in the worker's compensation injury by communicating in person and telephonically with the patient/caregiver, attorneys, employer, claims examiners, telephonic nurse case manager, return to work specialists, vocational rehabilitation supervisor, provider(s), a...

As an experienced professional, in this role you'll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, construction defect, as well as environmental and toxic tort...

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Flexible schedule, • Health insurance, • Paid time off, • Training & development Pharmacy Name: Tower Drugs Location: 2272 3rd Ave, New York, NY - 10035 Posit...

The Claims Counsel, Professional Liability will focus on investigating, analyzing, and evaluating claims. We are looking for a Claims Counsel to join our Professional/E&O Claims Department. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and worl...

Your Role: Division of Tenant and Owner Resources (DTOR) Legal Support Unit reviews and recommends responses to Article 78 petitions, New York City Comptroller claims, reviews legal documents pertaining to legal guardianships and related documents, responds to complex subpoenas, appears in Housin...

Directs reimbursement to disability benefit carriers in controverted workers' compensation cases where award is made to claimant and where notice of lien is on file; orders reimbursement to employers where advance payment of compensation was made, and claim is made for reimbursement; orders reimb...

Leverage various commercial and real-world evidence datasets to drive insights that address client business problems, which include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care data, and EMR data. Experience utilizing large-scale commercial data...

Arch Insurance Group, AIGI, is looking for an experienced claims professional to join its growing Major Case Unit as a Technical Claims Supervisor.

Interpret the applicable insurance and reinsurance contract(s) and apply that to the exposures presented with each assigned reinsurance claim. Reinsurance Claims Experience and/or 10+ years of primary insurance claims experience. Experience handling Casualty and Property Insurance/Reinsurance cla...

The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department.

Responsible for analyzing notices of claims, making appropriate investigative assignments to claims managers and/or outside vendors, reserving claims, evaluating medical records and working with the Significant Litigation Unit to determine the course of the investigations on high exposure cases. ...

In this role, you will be responsible for applying reinsurance structures to claims, collaborating with internal claims professionals, coordinating audits, resolving reinsurance-related inquiries, and managing assigned tasks within ceded reinsurance operations. This is a hybrid position working 3...

The role also entails supporting the claims function in specific insurance classes to drive operational efficiency, efficient claims settlement, and fair resolution of claims disputes in line with company guidelines and philosophy. Adaptability, Claims Settlement, Commercial Acumen, Conflict Reso...

Presents at roundtables to senior claims leaders and underwriters on cases going to trial and provides advice/insight on others claims going to trial. Ability to influence claims stakeholders and to effectively direct claims strategy. Confirms coverage of claims by reviewing policies and document...

Amazon is seeking an experienced Paralegal who will work with the Corp Auto Team and Amazon Defense Counsel on litigated complex bodily injury (BI) claims for Amazon's expanding worldwide delivery fleet. Basic Qualifications - Bachelor's degree or equivalent - - 3+ years of experience as a parale...

The Entertainment Underwriter has responsibility for new and renewal business for his/her own book of business based in New York City. Collaborating with underwriters, operations, claims, risk engineering, marketing, and home office management is necessary.

The City of New York's Human Resources Administration/Department of Social Services is looking for a full-time Assistant Center Manager. The Assistant Center Manager will oversee the review of Food Stamp cases for claims determination and computer match resolution, ensuring timely processing to a...