Claims jobs in Nutley, NJCreate job alerts

This position has the primary responsibility of managing the Medicaid Drug Rebate Program (MDRP) and reconciling the Medicaid claims. Performs Medicaid and Govt Pricing system testing to ensure proper function when any upgrades are completed. Knowledge of the Medicaid Drug Rebate Program (MDRP). ...

Manage a caseload of personal injury matters, including auto accidents, slip and falls, premises liability, and other negligence claims. * Conduct client consultations and maintain ongoing ...

Responsibilities: • Advise and guide clients on claims including slip & fall, construction, and motor vehicle accidents. • Conduct thorough investigations to assess and build strong cases. • ...

Responsible for all aspects of the client's account including providing ongoing client service, claims data analysis and cost projection modeling. Candidate will have 5+ years of experience in one of ...

This role will involve overseeing federal grant compliance, ambulatory care licensing compliance, Federal Tort Claims Act (FTCA) compliance, and maintaining board minutes for monthly meetings. The ...

Overview Selective Insurance is looking for a Liability Claims Specialist-E&S Garage. This is a fully remote position. The purpose of this position is to provide direct handling of the company ...

Interprets and disseminates information concerning client claims and casework to the legal team. * Consults with medical or legal staff in the development of pertinent evidence to support claims

File warranty claims with manufacturer * Assist A/R with invoicing questions * Provide information about the products and services * Troubleshoot and resolve product issues and concerns * Document ...

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 ...

Legal Intake Specialists 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 ...

Manages Transportation related escalations and claims resolution.Drives root-cause analysis and the successful implementation of corrective actions with causing parties to improve service or cost, or ...

Generate and process claims accurate, post payments and send timely invoices for services rendered to clients. * Respond to client inquiries regarding billing issues and discrepancies in a ...

Manages billing, collections, and payment processes, ensuring timely claims submission and effective accounts receivable management. * Identifies and implements process improvements to minimize ...

Manage, investigate, and dispute chargeback claims. * Perform other duties as assigned. THE RIGHT CANDIDATE The ideal candidate is a proactive organizer, professional and problem-solver. The role ...

We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS ...

Support in providing business advice to ensure compliance with applicable US laws and company policies, including federal and state anti-kickback and false claims laws, anti-bribery/anti-corruption ...

Handle customer complaints promptly and effectively, and report potential claims Keep management informed of local competition and market conditions by analyzing market trends to identify growth ...

Partner with Dearborn groups to share best practices, participate in claims review processes and attend recommended workshops. * Assist in creating and maintaining safety policies to reduce the risk ...

... claims or complaints occurring in performance of contracts. • Continually monitors and evaluates contractors' performance against contract specifications and recommends appropriate remedial action ...

Although our attorneys are skilled in handling diverse legal matters, our expertise lies in litigating and trying complex cases related to product liability (including asbestos and talc claims ...

Responsible for investigating and recommending responses to customer complaints regarding material shipments and/or material claims. Recommendation may require mill review and/or negotiation with ...

Coordinates worker s compensation claims in conjunction with insurance companies or service companies.Implements fire protection and security systems to protect property from lossSkill/Experience ...

Manage a caseload of mass tort claims from intake to resolution, including discovery, settlement, and trial. * Conduct thorough legal research and analysis to build compelling cases for plaintiffs

Work closely and proactively with our Actuarial, Claims, Reinsurance Operations teams to drive GWP, GEP, Loss Ratios, Expenses, and Underwriting profit * Networks internally and externally to promote ...

Responsible for submitting freight claims and disposition of products damaged in transit across the distribution network * Working with other departments in the organization to implement logistical ...

With a focus on safety, quality, and project success, the Construction Manager will be on-site from the agreement through final acceptance, resolving disputes and claims. Qualifications: * Bachelor ...

May also assist in problem solving with providers, claims or service issues. * Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, ...

... claims; reviewing and taking action on orders on hold: responding to internal and external customer inquiries; creating reports and analysis: assessing and changing procedures to incorporate new ...

Duties include but are not limited to reporting insurance claims, calendar coordinating, drafting pleadings, routine correspondence, meeting with clients, trial preparations etc. Must have AT LEAST ...

Collaborate closely with Marketing and Sales teams to translate consumer insights and market trends into product concepts and marketing claims. * Work with Operations and Supply Chain to facilitate ...

Enter and process customer estimates, orders, shipments, invoices and warranty claims * Packing, lifting and shipping * Investigate and resolve customer complaints and warranty issues Qualifications

Stout is seeking an Associate to join our Intellectual Property practice within our Disputes, Claims, and Investigations group. The selected candidate will focus the large majority of their time on ...

Strong leadership qualities Company Description Expert Exam Services is an independent medical evaluation company that works closely with attorneys who handle litigation for personal injury claims

This individual will be responsible for ensuring accurate coding, timely claims submissions, and efficient resolution of billing issues for neurosurgical procedures. Responsibilities: * Manage ...

... claims, and distributor information. - Analyzes reimbursement claims, evaluates contract performance with PBMs and GPOs, creates executive dashboards, and presents findings to senior leadership ...

About the job Claims Cash Processor. Cash Claims Processor needs 3 years experience. Cash Claims Processor requires:.

These team members will work closely with Principals of the firm in preparation and evaluation of financial construction claims on a variety of construction projects. Our professionals regularly address complicated multipart claims in all sectors of the construction industry – from commercial bui...

Attorney will be assigned to the Claims and Litigation Division of the Office of Legal Affairs. The chosen candidate will be an integral part of a team of litigation associates who manage and handle a case load of complex medical malpractice claims filed against the largest municipal health care ...

We are seeking an experienced Product Owner specializing in Smart Claims Engine (SCE) to lead the design, delivery, and optimization of claims management solutions. Proven experience in configuring and optimizing the Smart Claims Engine (SCE) for healthcare or insurance claims processing. Knowled...

Train agency attorneys and other legal staff on claims review and the claims processes, as needed;. Reviewing complex construction claims and contract disputes, including breach of contract and other high-exposure and high-profile claims;. Investigating, evaluating, negotiating, monitoring, and a...

Overall US HC and Claims experience (EDI 837, 835), good test automation using Selenium, SQL skills.

SourceProSearch is seeking a Claims Specialist with 1-2 years of experience to work in our New York office. Preparation of submissions involving large volumes of individual claims.

Comprehensive knowledge of claims including the investigation adjustment and disposition of claims;. The Real Property Division investigates and resolves tax assessment claims brought against the City. Reviewing and investigating Real Property claims against the City of New York including reviewi...

Accounting Clerk (Commercial Claims Follow-up) Full-Time M-F 9AM to 5PM East 42nd Street. Transmits all clean claims daily to Clearing House and other direct payers. Bill claims to third party payers either electronically or manually.

You will work in the field and report to the Property Claim Manager and handle homeowner property field claims. Investigates origin and cause of claims by contacting the appropriate parties including insureds, agents, attorneys, contractors, experts, special investigation unit, other adjusters, p...

Launch Potato is a digital media company with a portfolio of brands and technologies.As The Discovery and Conversion Company, Launch Potato is a leading connector of advertisers to customers at all parts of the consumer journey, from awareness to consideration to purchase.The company is headquart...

Monitor and distribute cases in the Automation system for review and completion of staff in the Supplemental Nutritional Assistance ProgramClaims and Recovery program. Assign evaluate review and approve claims cases for accuracy referred to SNAPCR from HRA programs throughout the agency such as C...

The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.