Medical Claims Examiner

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at CCMSI. As a Medical Claims Examiner, you will be responsible for investigating and evaluating contested medical-only claims and handling indemnity cases under close supervision.This is an excellent opportunity to work in a dynamic and fast-paced environment, where you will...

Job OverviewAs a Senior Claims Examiner at Corporate Law Firm, you will play a critical role in reviewing claims thoroughly for completeness and approving or denying payment. This position requires a strong understanding of claims handling principles and the ability to investigate claims in a timely and unbiased manner.Key ResponsibilitiesReceive and...

Job SummaryAt CESNA, we are seeking a highly skilled Senior Claims Examiner to join our team. As a key member of our claims handling process, you will be responsible for reviewing claims thoroughly, ensuring they are complete and accurate, and making informed decisions regarding payment. Your expertise in claims handling, combined with your bilingual...

Transforming Claims Management with ExpertiseSedgwick is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will play a critical role in analyzing complex liability claims, ensuring timely and cost-effective resolution, and providing exceptional service to our clients.Key Responsibilities:Analyze complex liability claims,...

Job Summary:As a Compensation Claims Specialist at Inficare, you will play a critical role in determining the compensability of Workers Compensation claims filed by State government employees against the State of New Jersey.Key Responsibilities:Determine compensability of Workers Compensation claims filed by State government employees against the State of...

Job SummarySedgwick is seeking a skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will play a critical role in analyzing and processing complex liability claims to determine benefits due.Key ResponsibilitiesAnalyze complex or technically difficult liability claims to determine benefits dueWork with high exposure claims...

At STRESS CARE of NJ, Inc., we are seeking a skilled Medical Claims Specialist to join our team. The ideal candidate will have experience with medical billing and insurance claims, as well as excellent communication and organizational skills.Responsibilities:Process and submit medical claims to insurance providers in a timely and accurate mannerReview and...

Job Summary:As a Medical Claims Adjustor at Volt Management, you will play a crucial role in evaluating claimant eligibility, communicating with attending physicians, employers, and injured workers. Your primary responsibility will be to work with claimants and their physicians to medically manage claims, from initial medical treatment to reviewing and...

Job Title: Regional Claims Specialist - Workers CompensationNJM Insurance is seeking a skilled Regional Claims Specialist to join our Workers Compensation Claims Team. As a key member of our team, you will be responsible for managing claims from initial contact to resolution, ensuring timely and accurate processing of claims, and providing exceptional...

Job DescriptionWe are seeking a Senior General Liability Claims Adjuster to investigate, analyze, and determine the extent of our liability in various claims. Our goal is to provide exceptional service to our clients by resolving disputes efficiently.The ideal candidate will possess strong negotiation skills, excellent communication skills, and the ability...

At Stress Care of NJ, Inc., we are seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in ensuring that all billing and collections are accurately completed in a timely manner.Responsibilities include:Posting payments, denials, co-pays, and deductibles to patient accountsReviewing and...

At NJM Insurance, we're committed to delivering exceptional customer service and providing innovative insurance solutions to our customers.The Medical Bill Processing Department is seeking a highly skilled and detail-oriented Bill Processor to join our team.The ideal candidate will have excellent communication skills, strong organizational and time...

At CVS Health, we're committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a Medical Director, you'll play a critical role in shaping our medical management programs to address member needs across the continuum of care.Key Responsibilities:Provide oversight for medical policy implementation and development,...

Job SummaryWe are seeking a highly skilled Billing Coordinator to join our team at Integrity Health Products. The successful candidate will be responsible for coordinating the day-to-day billing operations, ensuring accurate and timely submission of claims to payers.Key ResponsibilitiesAbstract and code patient data accurately and efficiently, adhering to...

Job Summary: We are seeking a highly skilled Medical Bill Auditor to join our team at NJM Insurance. As a Medical Bill Auditor, you will be responsible for auditing and processing medical bills within statutory timeframes, following medical coding guidelines and department policies and procedures.Key Responsibilities:Audit and process medical bills within...

Medical Bill Processor Job DescriptionNJM Insurance Group is seeking a highly skilled Medical Bill Processor to join our team. As a Medical Bill Processor, you will be responsible for auditing and processing medical bills within statutory timeframes, following medical coding guidelines and department policies and procedures.Key Responsibilities:Audit and...

Medical Bill Processor Job DescriptionNJM Insurance is seeking a highly skilled Medical Bill Processor to join our team. As a Medical Bill Processor, you will play a critical role in ensuring the accuracy and efficiency of our medical billing processes.Key Responsibilities:Audit and process medical bills within statutory timeframes, adhering to medical...

Medical Laboratory SpecialistAt MLee Healthcare, we are seeking a skilled Medical Laboratory Specialist to perform various laboratory tests and procedures to assist in the diagnosis, treatment, and prevention of diseases. The ideal candidate will have a strong understanding of laboratory safety protocols, accuracy in documenting and reporting results, and...

Job Summary:We are seeking an experienced Nurse Practitioner to join our team at i4 Search Group. As a key member of our healthcare team, you will provide high-quality patient care, working closely with physicians and other healthcare professionals to deliver exceptional patient outcomes.Key Responsibilities:Conduct thorough physical examinations and...

Job DetailsWe are seeking a highly skilled Personal Injury Paralegal to join our team at PrideStaff. The ideal candidate will have 5 years of experience in Personal Injury Protection and Litigation, with expertise in case management software and proficiency in Microsoft Office and Dropbox.Responsibilities:Prepare and file motions, briefs, and arbitration...