Senior Claims Examiner

NJM Insurance Group is seeking a skilled Personal Injury Protection Representative to investigate and manage PIP claims under the guidance of a supervisor. Key responsibilities include evaluating coverage, detecting fraud, communicating with involved parties, documenting claims, managing medical treatment, establishing reserves, and calculating benefits. The...

{"About the Role": "We are seeking a highly skilled Senior Claims Representative to join our team at Plymouth Rock Assurance. As a key member of our claims department, you will be responsible for handling First and Third Party Bodily Injury claims in a Personal Lines/Commercial environment.Responsibilities:* Initiate prompt contact with insureds, claimants,...

Job Title: Complex Claims AdjusterCompany: Berkshire Hathaway GUARD Insurance CompaniesOverviewBerkshire Hathaway GUARD Insurance Companies fosters a supportive workplace environment with exceptional benefits and competitive pay. We are currently expanding our team and are in search of skilled professionals eager to build a fulfilling career with us.If you...

Job SummaryWe are seeking a highly skilled and experienced Senior Claims Representative to join our team at Plymouth Rock Assurance. As a Senior Claims Representative, you will be responsible for handling complex First and Third Party Bodily Injury claims in a Personal Lines/Commercial environment.Key ResponsibilitiesInitiate prompt contact with insureds,...

Job SummaryPlymouth Rock Assurance is seeking a highly skilled Claims Representative to join our team. As a Claims Representative, you will be responsible for handling First and Third Party Bodily Injury claims in a Personal Lines/Commercial environment.Key ResponsibilitiesClaim HandlingInitiate prompt contact with insureds, claimants, and witnesses to...

Job SummaryPlymouth Rock Assurance is seeking a highly skilled Claims Representative to join our team. As a Claims Representative, you will be responsible for handling First and Third Party Bodily Injury claims in a Personal Lines/Commercial environment.Key ResponsibilitiesClaim HandlingInitiate prompt contact with insureds, claimants, and witnesses to...

About the RolePlymouth Rock Assurance is seeking a highly skilled and experienced Claims Director to lead our Subrogation team. As a key member of our executive team, you will be responsible for overseeing the Subrogation process, driving innovation, and managing resources to achieve exceptional results.Key ResponsibilitiesDefine and Execute the Long-term...

Job OverviewWe are seeking a Senior Healthcare Rebate Analyst to join our team at Cynet Systems.Position Title: Senior Healthcare Rebate AnalystLocation: RemoteEmployment Type: ContractCompensation: $35/hr - $40/hrKey Responsibilities:The Senior Healthcare Rebate Analyst will oversee the processing of rebate claims for Managed Care Commercial, Medicare Part...

We are seeking a highly skilled and detail-oriented Senior Legal Administrative Assistant to join our Workers' Compensation Legal department at NJM Insurance Group. This role is based at our Parsippany office and offers a hybrid schedule with 3 days in the office and 2 days remote per week.The ideal candidate will be a team player who values diversity, seeks...

Opportunity OverviewThe Senior Analyst for Managed Care Reimbursement plays a crucial role in overseeing the reimbursement operations for Teva's primary Pharmacy Benefit Manager (PBM) clients. This position involves close collaboration with the Contracting team to ensure accurate terms and conditions are upheld, as well as analyzing utilization metrics and...

About the RoleThe Senior Managed Care Rebate Analyst is a key position within Teva Pharmaceuticals, responsible for managing the reimbursement process for our largest Pharmaceutical Benefit Manager (PBM) customers.Key ResponsibilitiesCollaborate with Contracting to negotiate and manage rebate contracts, ensuring compliance with terms and conditions.Analyze...

About The Ladders The Ladders is a platform where careers are built, ambitions are realized, and professional journeys are enhanced. We are a forward-thinking organization that values innovation, collaboration, and excellence. Our team is composed of dynamic individuals who are dedicated to achieving results and making a difference in the industry. At The...

Position OverviewThe Senior Analyst for Managed Care Reimbursement plays a crucial role in overseeing the reimbursement procedures for Teva's major Pharmacy Benefit Manager (PBM) clients. This role involves close collaboration with the Contracting team to negotiate terms and conditions, as well as analyzing utilization metrics, processing, and disbursing...

Position OverviewThe Senior Analyst for Managed Care Reimbursement plays a crucial role in overseeing the reimbursement operations for Teva's primary Pharmacy Benefit Manager (PBM) clients. This position involves close collaboration with the Contracting team to ensure compliance with contractual terms, thorough analysis of utilization metrics, and the...

Job OverviewDerex Technologies Inc is seeking a highly skilled Healthcare Business Analyst to join our team. As a key member of our organization, you will play a critical role in optimizing the development of our products, focusing on claims processing and pre-authorization.Key ResponsibilitiesAnalyze end-to-end claims workflows, from submission to payment,...

Company OverviewWyndham Hotels & Resorts is seeking a Senior Analyst, Global Sales Analytics to become a vital part of our team.Why Join Us?At Wyndham Hotels & Resorts, you will contribute significantly to our mission of making hotel travel accessible for everyone. As part of the largest hotel franchise organization globally, we are dedicated to providing...

Employment Type:Contract Division:Job Description: Staffing Resource Group, Inc. offers adaptable staffing solutions with a nationwide footprint. We provide contract, contract-to-hire, direct hire, and executive search services. Our innovative approach to talent acquisition is distinct within the staffing industry, utilizing a state-of-the-art platform that...

Position Overview:We are seeking a detail-oriented Chargeback Operations Specialist to join our team at Compunnel Inc. This role is crucial in ensuring the accuracy and efficiency of chargeback processes.Key Responsibilities:Examine and authenticate debit memos related to chargebacks utilizing Model N Flex.Address and rectify chargeback discrepancies while...

Position OverviewThe Chargeback Analyst will play a crucial role in the finance and insurance sector, focusing on the meticulous examination and validation of debit memos related to chargebacks. This position is essential for ensuring accuracy in the chargeback process, which significantly impacts the company's financial health.Key Responsibilities1....

Job DescriptionJob InformationJob Title: Chargeback SpecialistJob Duration: 9 months (possibility to extend)Schedule: Monday to Friday, 8:00 AM to 5:00 PM - Hybrid schedule with onsite presence required on select days.Core Responsibilities:The Chargeback Specialist will be accountable for the prompt examination and validation of debit memos submitted for...