Claims Specialist Jobs in Iselin, NJ

Drive the grievance investigation process, ensuring compliance with regulations while promoting quality care. Collaborate with teams to resolve concerns and support policy adherence in a dynamic healt...

Elevate your career as a coverage attorney, providing strategic legal guidance on high-severity specialty and commercial claims while advising claims professionals and senior leaders on complex insura...

Unlock your potential by managing key AI legal applications, coordinating efforts across teams, driving adoption, and enhancing product value to support business objectives and technological standards...

Optimize healthcare cost-processing solutions by driving high-quality software delivery and analysis. Collaborate with stakeholders to implement APIs and database solutions while ensuring performance...

Grow your career with a premier actuarial rotational program designed to develop expertise in various life insurance departments. Collaborate on impactful projects while pursuing your FSA designation...

Lead the charge in managing complex eDiscovery projects, ensuring every phase from collection to production meets high standards. Collaborate with diverse stakeholders while driving quality and effici...

Shape the future of our actuarial practices by leading risk analysis, pricing strategy, and data infrastructure development. Collaborate cross-functionally to ensure compliance and enhance decision-ma...

The Field Case Manager at Sedgwick works directly with injured workers and medical providers to facilitate effective medical treatment and timely return-to-work. This role requires face-to-face intera...

Join our team to innovate actuarial reserving processes, analyze loss data, and lead cross-departmental financial projects while enhancing efficiency and collaboration with underwriting, claims, and l...

Lead strategic compliance initiatives for health plans, ensuring adherence to regulatory requirements while fostering cross-functional collaboration. Drive improvements in compliance programs and main...

Unlock potential by driving sales performance through effective management of incentive compensation programs that align with corporate goals and ensure operational scalability and compliance...

Help us manage and lead finance-related transactions while ensuring efficient workflows, coordinating closings, and preparing necessary documentation to support successful outcomes and client satisfac...

Join a team that's dedicated to ensuring compliance through thorough audits and analysis. Your role centers on evaluating clinical operations against regulatory standards, fostering continuous improve...

Elevate your career by driving client success as a Customer Program Manager. Use your healthcare expertise to deliver tactical project plans and enhance service quality for healthcare payer clients, o...

Shape the future of healthcare revenue management by leading vendor operations, enhancing patient engagement, and driving quality improvement across self-pay workflows while optimizing performance and...

Transform the landscape of surety underwriting by evaluating bonds, analyzing financials, and cultivating essential relationships. Your expertise will help drive business success while ensuring compli...

Join a team that's dedicated to underwriting surety bonds; evaluate applications, analyze financial data, and foster relationships with clients and agents to drive new business and ensure compliance w...

Engage with a dynamic team to assess financial risks and implement strategic underwriting solutions, fostering strong producer relationships while managing a diverse book of business to meet profitabi...

Lead the Appeals team in managing daily operations for Disability and Absence Management, ensuring compliant appeal determinations, coaching team members, and driving process improvements for exceptio...

Drive operational excellence in a fast-paced collision repair shop, ensuring efficiency, high production quality, and team performance. Foster a collaborative environment to meet revenue goals and KPI...

Join a team that's dedicated to managing complex Workers' Compensation claims, offering expert guidance to employees while ensuring compliance and timely resolution. Your role will be pivotal in creat...

Drive profitable growth by guiding underwriting efforts, identifying market trends, and enhancing collaboration with regional partners. Provide expertise in complex accounts and lead initiatives for n...

Lead the charge in providing exceptional legal representation for insureds, managing complex litigated claims, and ensuring compliance with all legal requirements while delivering strategic defense in...

Join a dynamic team as a technical expert, guiding healthcare solutions through discovery and design phases. Lead pre-sales efforts, craft proposals, and build client relationships, while staying ahea...

Empower growth by managing key client accounts, ensuring satisfaction, and fostering relationships. Collaborate with teams to deliver tailored solutions and drive strategic initiatives, all while enha...