Claims Specialist Jobs in Iselin, NJ

Champion accurate data through the oversight and validation of data requests. Collaborate with end-users to enhance reporting, ensure data integrity, and optimize team efficiency while supporting anal...

Elevate risk management by partnering across teams to create tools mitigating fraud. You'll gather requirements, drive collaboration, and influence operational processes, ensuring successful project d...

Oversee and enhance DRG coding audits, drive compliance initiatives, and lead a talented team to ensure accurate medical record audits. Collaborate across departments to optimize strategies and maximi...

Take ownership of comprehensive audits on construction projects, focusing on compliance and cost control. Utilize your expertise to mentor others, communicate findings, and support procurement process...

Support members by coordinating care and resources for specialty populations, ensuring effective transitions and fostering independence through collaborative interventions with healthcare teams and ta...

Innovate legal operations through project management and continuous improvement. Take ownership of key initiatives, facilitate cross-functional collaboration, and enhance processes in a remote work en...

Engage in crafting and executing customer engagement programs to enhance retention and satisfaction. Drive data-driven initiatives through multi-channel campaigns, leveraging insights to optimize cust...

Drive efficient U.S. tax compliance and reporting by leading efforts to modernize and automate processes. Collaborate with finance and tech teams to ensure accurate documentation and adherence to regu...

Transform tax compliance and reporting processes by leveraging technology and data expertise, while ensuring accuracy in federal, state, and local tax filings for the financial services sector. Collab...

Lead the design and implementation of robust property and casualty claims management strategies, overseeing national claims staff while driving client solutions and fostering new business opportunitie...

Lead the development and management of clinical appeals teams, driving operational excellence, quality assurance, and strategic initiatives to improve service delivery and client engagement in a fast...

Drive the responsible and ethical use of AI across the enterprise by managing the governance workflow, facilitating stakeholder collaboration, and ensuring compliance with evolving regulations while s...

Optimize legal strategies in the medical device sector by advising executives on complex agreements and regulatory matters, driving innovation with a focus on risk management and corporate compliance...

Engage in strategic risk assessment and underwriting for large accounts, focusing on profitable insurance solutions. You'll build relationships with brokers and enhance client retention while driving...

Manage complex commercial claims, coordinating resolution strategies, ensuring excellent customer service, and maintaining compliance with industry regulations while mentoring junior team members and...

Manage and resolve highly complex commercial claims, ensuring quality service and compliance with protocols. Collaborate with stakeholders to develop effective resolution strategies and mentor junior...

Shape the future of commercial claims management by leading complex case resolutions. This role involves strategic oversight, exceptional customer service, and collaboration with various stakeholders...

Engage with a dynamic team to facilitate regulatory operations for novel therapeutics. Drive submissions to FDA/CVM while collaborating across multidisciplinary teams to set new regulatory standards i...

Unlock potential by serving as a key legal advisor on sales transactions, drafting and negotiating contracts while collaborating with stakeholders to ensure compliance and address client management is...

Shape the future of financial excellence by ensuring accurate execution of ceded reinsurance accounting. Collaborate within a dynamic team to support financial reporting and compliance, driving impact...

Elevate our project management capabilities by leading cross-functional teams to deliver innovative products efficiently, ensuring clear communication and collaboration throughout the process from pla...

Oversee proactive case handling for insurance defense litigation, utilizing strong legal expertise while maintaining client relationships, ensuring optimal outcomes for insured customers across variou...

Join a dynamic SIU team where you'll investigate complex fraud cases through thorough analysis, field inspections, and strategic evaluations, supporting fraud prevention and ensuring the integrity of...

Investigate and analyze complex fraud cases in insurance, guiding less senior staff while conducting field investigations, interviews, and surveillance to validate claims and support legal action...

Unlock potential by leading complex investigations into claims for potential fraud. Engage in thorough research and analysis, guide less senior team members, and shape outcomes in a dynamic, field-bas...