Medical insurance claims jobs in Clifton, New Jersey - Page 2Create job alerts

Job Description ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for our clients. JOB SUMMARY: Our dynamic Ethos team is seeking an Experienced Field Investigator to conduct surveillance and investigative activities to identify potential fraudulent insurance claims. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients. KEY RESPONSIBILITIES: • Case Preparation: Prepare for surveillance assignment by reviewing Ethos' preliminary reports and case information., • Field Surveillance: Perform covert surveillance from your vehicle by tracking and capturing high-quality video evidence of surveillance targets., • Report Writing: Draft detailed and court-ready investigative reports summarizing activity and key findings., • Documentation: Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day., • Communication: Work closely with the field supervisor and operations teams, receiving regular guidance and mentorship. REQUIREMENTS: • Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports., • Driver's License: Valid driver's license and proof of automobile insurance., • Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows)., • Surveillance Equipment: A handheld camcorder with high-quality zoom and a covert camera device. Use of stabilization equipment (gimbals, tripods, etc.) is strongly encouraged., • Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks., • Private Investigator License: Active Private Investigator license or willingness to obtain one (where required by state). WORKING CONDITIONS: • While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be required, • Most surveillance cases start at 6:00AM. End time can vary depending on activity and a typical workday can vary from 3-12 hours., • Weekends/holidays are common workdays as claimants are more likely to be active., • This is an independent role often requiring long hours alone in your vehicle, regardless of weather conditions., • Must remain alert with no external distractions, ready to use videography equipment to document subjects. Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic. A background check will be conducted, in accordance to the local state law and regulations. Job Posted by ApplicantPro

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Bonus based on performance, • Company parties, • Competitive salary, • Free uniforms, • Health insurance, • Opportunity for advancement, • Paid time off, • Parental leave What Drives Us at Paul Davis: Our Core Values • Deliver What You Promise Integrity is non-negotiable., • Respect the Individual Every person, every time., • Take Pride in Your Work Own the outcome. Our Mission To create opportunities for great people to deliver best-in-class resultsand build lasting careers while doing it. QUICK OVERVIEW TL;DR We are hiring a Mitigation Crew Chief an experienced restoration technician who can lead field execution, run tight documentation, and set the standard for quality and professionalism on job sites. This role is the bridge between Technician and Project Manager, with a clear path into Associate PM for high performers. THE WHY The Crew Chief is the field leader who keeps jobs on track: safe work, clean sites, accurate documentation, and clear communication so PMs and estimators can bill correctly and close files faster. THE WHERE Opportunities in both New York and New Jersey (Metro NY/NJ). Field-based roles require travel across NYC and Northeast NJ as needed. THE ROLE WHAT YOU'LL ACTUALLY DO Lead a small crew in the field and execute the mitigation scope safely and efficiently. Drive Paul Davis vehicles and manage tools/equipment on jobs; ensure proper setup and tear-down. Perform and/or oversee moisture mapping, equipment calculations, and daily monitoring. Own job documentation quality: photos, notes, moisture logs, work authorizations, equipment logs, and job file completeness. Use technology comfortably (mobile apps; DocuSketch or similar; job documentation platforms). Coordinate closely with Project Managers and estimators provide field intel, documentation, and updates that support billing and claim compliance (TPA/carrier requirements). Communicate professionally with customers, building staff, and adjusters when appropriate; represent Paul Davis with empathy and confidence. Run small inspections and support emergency response as needed; participate in on-call rotation. WHO WE'RE LOOKING FOR 5+ years restoration/mitigation experience with residential and commercial exposure. IICRC certification required (WRT preferred; Fire/Mold certifications are a plus at least one certification required). Comfort leading technicians and holding standards without being heavy-handed. Strong judgment on safety, containment, and documentation discipline. Reliable, organized, and able to manage multiple moving pieces in the field. THE CAREER PATH Crew Chief (lead field execution) -> Associate Mitigation Project Manager (structured PM training) -> Mitigation Project Manager -> Senior PM / leadership. High performers will be considered for accelerated development into PM-track roles. REQUIRED / PREFERRED EXPERIENCE Required: Valid driver's license; ability to lead field teams; comfort with tech and job documentation; IICRC certification (at least one). Preferred: DocuSketch proficiency; experience with TPAs (Contractor Connection, etc.); knowledge of psychrometrics; experience supporting large-loss or complex commercial claims. COMPENSATION & BENEFITS Hourly pay range: $22-$30/hr (based on experience and certifications). Overtime opportunities, weekly pay, benefits eligibility, including PTO, 401(k) with match, medical reimbursement, and training/development support. NEXT STEPS Apply today. If you can lead in the field, run clean documentation, and want a real path into project management, we want to meet you. Paul Davis Restoration of Metro NY/NJ is proud to be an Equal Opportunity Employer and Veteran-Friendly Workplace.

Job Description Welcome to Distinctive Living, we're seeking a Maintenance Assistant (Full-Time ) for our (Mira-Vie, Clifton) Here at Distinctive Living, we want our people to realize their full potential. We're passionate about personal and professional growth and will do everything we can to help you flourish. We deeply care about our team-members and partners and strive to provide a culture where people feel valued and inspired. The Maintenance Assistant performs the general operating maintenance, service, and repair of the interior and exterior of the assigned community in accordance with current federal, state, and local standards/regulations and company policies. Benefits when choosing a career with Distinctive: • Medical, Dental and Vision benefits, • Paid Time Off, • 401k Retirement Plan & Life Insurance, • Maintains scheduled and unscheduled maintenance on, but not limited to: HVAC, elevator, fire and sprinkler equipment, generator, landscape, kitchen equipment, and emergency pull cord equipment., • Performs general maintenance projects as scheduled or assigned, including installations and repairs involving plumbing and electrical equipment, carpentry work, painting, and equipment repair., • Responds to maintenance requests by residents for items needing repair in their rooms, including repairing plumbing, electrical, heating, and replacing light bulbs., • Repairs and maintains vacated rooms in a timely manner. This includes painting walls and cleaning carpets., • Ensures that walls, floor coverings, doors, and woodwork in the common areas of the community are properly maintained., • Maintains positive communication with local fire marshal, building inspector, state elevator inspector, and any other jurisdictions governing the community., • Repairs walls, floor coverings, doors, and wood work in the common areas of the community., • Assesses all plumbing and electrical problems within the community and determines the best course of action to correct the problem., • Works within the legal scope of local and state codes. Documents safety issues as well as physical plan deficiencies related to local, county, state and federal guidelines. Reviews safety data sheets (SDS) as requested for potential exposure to hazardous chemicals and takes necessary precautions., • Assesses property damage and file property damage claims in accordance with company policy., • Responds appropriately to management and/or community emergencies by assisting as needed., • High School Diploma or equivalent required., • Must have 1-3 years of related experience and/or training., • Knowledge of building equipment, building codes, HVAC, plumbing, electrical in healthcare facilities., • Excellent verbal and written communication skills. Job Posted by ApplicantPro

Download Explanation of Payments (EOPs) to post claim pa Processor, Claims, Medical, Coordinator, Insurance, Healthcare, Staffing, Payment.

DOE / Medical-Dental-Vision / PTO / 401(k) / HSA+FSA - As a FT - Billing Operations Associate - Work From Home at Lyra Health, you will: Review and reconcile billing reports for accuracy; Analyze and resolve billing discrepancies; Monitor and track reimbursement claims; Communicate with insurance pr

Job Description Position Summary The Senior Commodity Trader is responsible for developing and executing profitable trading opportunities in the North American market. This role manages the end-to-end trading cycle—from sourcing and pricing to contract negotiation and logistics coordination. We are looking for a high-potential professional who can grow into an independent P&L contributor while maintaining strong relationships with suppliers and customers. Key Responsibilities Trading & Business Support • Identify and execute trading opportunities across various commodities in the North American market., • Build and maintain active communication with vendors, traders, and end-users to support sales growth., • Manage the full trading cycle, including sourcing, pricing, contracting, and shipment coordination., • Prepare, review, and maintain import/export documentation (PO, Invoice, Packing List, Bill of Lading, etc.)., • Monitor order status and coordinate with logistics partners to ensure timely and efficient shipment flow., • Maintain accurate inventory and order records and coordinate with accounting on AP, AR, and inventory reconciliation., • Serve as a bilingual liaison between North American operations and Korean headquarters to support business development and operational alignment. Qualifications • 3 to 5 years of commodity trading or international trading experience, • Strong understanding of international trade practices and Incoterms., • Experience with import/export processes, contract negotiation, and logistics coordination., • Strong negotiation, analytical, and relationship management skills., • Ability to work independently in a fast-paced trading environment., • Willingness to travel domestically and occasionally internationally for supplier meetings and business development., • Fluency in both English and Korean is required. Preferred Qualifications • Experience working with global trading companies or commodity trading organizations., • Familiarity with freight markets, risk management, or hedging tools. Benefits • Medical, Dental, Vision (100% covered by the company), • HRA and DCFSA, • 401k Matching up to 5%, • Life insurance, • Company holidays, • 7 Sick day and Vacation (10 to 23 days), • Education support and EAP program, • Pet insurance

Job DescriptionJob Title: Assistant Dental Office Manager Department/Location: Operations Reports to: Regional Vice President FLSA Status: Exempt Company Overview ProSmile is one of the fastest-growing dental organizations, with a vast network of multi-specialty practices across New Jersey, Pennsylvania, Virginia, Michigan, Illinois, Wisconsin, Indiana, Washington D.C., and Maryland. Our practices are led by top-tier dentists who are committed to providing exceptional patient care while offering a supportive environment for dental professionals to thrive. We focus on delivering personalized, gentle care to our patients and creating a collaborative workplace with opportunities for mentorship, growth, and ongoing training. Position Summary ProSmile is in need of an Assistant Dental Office Manager who is looking to join a practice with a strong culture, compassionate and skilled dentists, and a support structure that creates an environment of learning and the autonomy to create change at the practice that brings about growth and success. We offer competitive pay based on experience with a great benefit package. As an Assistant Dental Office Manager, we give you the tools and support needed to ensure you are in the best position to be successful. A ProSmile Assistant Dental Office Manager is a unique opportunity to join a practice that is part of a larger growing organization and offers the ability to move up and take on higher positions within the company. Duties and Responsibilities: • Maintains control of patient scheduling, • Addresses and resolves patient complaints, • Reviews patient charts making corrections with posting if needed, • Takes on the responsibility of the Treatment Plan Coordinator in some offices, • Has working knowledge of all insurances; handling of claims, attachments for claims, • Maintains collection controls and systems, • Oversees daily closeout functions as well as daily deposit with the corporate office, • Coordinates end-of-month functions with the corporate office & Dental Practice Manager, • Monitors patient A/R, • Ensures compliance with all company Policies and Procedures in office and communicates any changes in same to staff, schedules office staff meetings, • Coordinates staffing needs, scheduling, recruiting, interviewing, hiring, performance reviews and terminations in consultation with HR Department and Dental Practice Manager, • Contacts maintenance for all office equipment in need of repair for optimum function, • Following up on unresolved task, • Performs miscellaneous job-related duties as assigned, • Coordinating office needs with Dental Practice Manager, • Assistant Dental Office Manager - Qualifications, • High School diploma or GED required, • Experience using Outlook, Word Excel preferred, • Easily able to learn new technologies and systems required, • Work experience in an administrative function and/or customer facing role required, • Working knowledge of dental or medical front desk duties and responsibilities preferable, • Previous dental office management work experience preferable, • Requires some flexibility in scheduling, such as the ability to work evenings and weekends as needed Benefits Summary At ProSmile, we are committed to supporting the health and well-being of our employees and their families. We offer the following benefits for Full Time Benefits Eligible Positions (35+ hours per week) and Part Time Benefits Eligible Positions (30-35 hours per week): • Medical Insurance: Choice of five comprehensive Aetna medical plans, including options with low copays, deductible-sharing, and national provider networks., • Dental Insurance: MetLife plans offering preventative, basic, major, and orthodontic coverage options., • Vision Insurance: Davis and UHC vision plans with annual exams, eyewear allowances, and contact lens benefits., • Flexible Spending & Health Savings Accounts: Pre-tax savings accounts for medical, dependent care, and healthcare expenses., • Life & Disability Insurance: Employer-paid basic life and AD&D insurance, with voluntary life, short-term, and long-term disability plans., • Additional Perks:, • Employee Assistance Program (EAP), • Identity Theft & Fraud Protection, • Legal Support Services, • Discount Programs (including pet insurance, travel, theme parks, electronics, etc.), • Wellness Programs The Company reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee. Equal Employment Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence, and leads in provider and patient satisfaction. Prosmile values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining a staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged. ProSmile is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply. Company Safety We believe that the best care for our patients starts with the best care for our employees. ProSmile is committed to proactively creating and maintaining an environment that is safe for our team and patients. Employees are required to wear Personal Protective Equipment (PPE) including face masks, gloves, gowns, and more as needed and in accordance with CDC standards. Powered by JazzHR ohSMAjupE0

Job DescriptionJob Summary: We are currently seeking a Client Support Specialist to join our growing team. The work of our Client Support Specialists contributes to the success of our organization and will allow you to make a meaningful impact. In this role you will provide support to our field adjusters and examiners. The optimal candidate will be a team player who excels in a fast-paced environment. This position allows the right candidate to expand their career and grow with a forward-thinking organization. This position will be located in Rutherford, New Jersey or Lake Mary, Florida, Responsibilities: • Manage the collection of data, import reports, and review associated materials., • Schedule inspection appointments for clients., • Manage vendor assignments., • Assist with client communications (contact and acknowledgment letters). Key Requirements:, • Insurance claims experiences is preferred., • Prior customer service experience is a plus., • Strong written and verbal communication skills., • Ability to work independently or in a team setting., • Excellent human relations and customer service skills., • Ability to multitask in a fast-paced environment., • Strong organizational skills., • Can-do attitude, no job is too small.About Raphael and Associates Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and we tailor our services to our client’s specific needs. As a claim’s organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry! As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and self-reliant professionals. Benefits and Perks We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, paid time off, medical/dental/vision/life insurance and 401k (with matching!). Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company. Powered by JazzHR 1t5odvcRF1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

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Billing Specialist for a Great Legal Firm! This Jobot Job is hosted by: Sharon Brown Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Salary: $65,000 - $95,000 per year A bit about us: We are seeking a dynamic and detail-oriented individual to join our team

Senior Data Analyst Needed - $165K-$245K - Growing AI Firm - Great Benefits! This Jobot Job is hosted by: Steven Zacharias Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Salary: $165,000 - $245,000 per year A bit about us: We are a growing AI powered tech

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Knipper Health, you will: Promote meaningful relationships and brand loyalty through engaged and informed conversation with customers (health-care providers, office staff, patients, pharmacists, and pharmaceutical

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Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Planet Home Lending, you will: Respond to borrower inbound calls concerning their account, ensuring high quality service and adhering to productivity and regulatory requirements; Research customer issues and work

Health, dental & vision / 401k match / PTO - As a Customer Service Rep at The Doctors Company, you will: Receive, research, document, and resolve inbound inquiries efficiently and accurately; Process high volume, time sensitive transactions accurately, with attention to detail; Maintain accurate and