Claims Specialist Jobs in Jersey City, NJ

Drive transformative technology solutions by bridging Claims stakeholders and IT delivery teams, ensuring initiatives are aligned, operationally efficient, and have measurable impact on global busines...

Tackle the challenge of driving sales growth through strategic acquisition of new business for Payment Integrity Services. Engage with senior executives, leverage market insights, and enhance customer...

Join a team that's driving growth in specialized commercial insurance. As a Program Underwriter, you'll evaluate risks, manage broker relationships, and identify opportunities, making an impactful con...

Analyze and underwrite diverse commercial insurance programs while fostering broker relationships and driving portfolio growth. Contribute to strategic development, enhance market visibility, and ment...

Drive actuarial efforts for Stop Loss and Level Funded groups, supporting pricing, reserving, forecasting, and strategic initiatives. Collaborate with stakeholders while performing in-depth trend and...

Deliver comprehensive actuarial support, including pricing, reserving, and forecasting for Stop Loss and Level Funded groups, ensuring alignment with corporate strategies and effective stakeholder col...

Develop and standardize regulatory filing processes to ensure compliance and support product initiatives, while managing filings, maintaining records, and coordinating with cross-functional teams to m...

Unlock potential by determining risk acceptability and pricing for complex insurance accounts. Collaborate with brokers, analyze claims, and foster relationships to achieve production goals in a fast...

Advance operational excellence by overseeing EGWP activities, ensuring compliance with CMS regulations while meeting financial objectives and providing member support and issue resolution in a dynamic...

Join a team that focuses on enhancing healthcare quality through precise HCC coding. You'll analyze physician documentation, mentor peers, and engage in risk adjustment projects to support compliance...

Pioneer effective risk adjustment coding strategies to enhance healthcare quality. Collaborate with teams to optimize compliance with CMS guidelines and improve documentation accuracy, mentoring staff...

Shape the future of legal compliance by negotiating contracts and providing strategic legal advice. Collaborate with teams to enhance risk management and ensure adherence to security protocols while b...

Develop expertise in underwriting fine art coverage by analyzing submissions and creating profitable policies while maintaining strong client relationships and supporting company objectives in a colla...

Lead the ceded reinsurance placement process, managing multiple treaties across product lines while collaborating with stakeholders, maintaining compliance, and ensuring timely execution of contracts...

Shape the future of reinsurance as you lead treaty placements, manage relationships, and ensure compliance across product lines. Utilize your expertise to innovate strategies, communicate effectively...

Transform data into actionable insights that drive business performance and risk outcomes. Collaborate with stakeholders to analyze complex claims data, identify trends, and deliver strategic recommen...

Join a team that cultivates effective sales relationships to drive growth and profitability in a dynamic commercial territory, focusing on innovative sales strategies and agent engagement to achieve f...

Tackle complex ceded reinsurance operations, ensuring data accuracy, managing contract placements, and collaborating cross-functionally to develop solutions and support a dynamic, global team. Drive y...

Unlock potential by managing ceded reinsurance placements and ensuring data accuracy. Collaborate with teams to analyze and resolve issues while maintaining controls and supporting global business fun...

Engage in strategic oversight of operations in Balance Billing, Fee Negotiation, and Contracting within the Provider Relations department to ensure compliance and drive operational efficiency while ef...

Join a team that's shaping healthcare through innovative legal counsel. You'll oversee commercial contracting, guide compliance, and streamline legal operations for critical partnerships in health sys...

Lead the charge in financial strategy and analysis, directly influencing decisions for a dynamic reinsurance business. Collaborate with leaders to drive performance and governance for high-impact fina...

Unlock your potential by fostering strong, collaborative customer relationships, executing tailored account plans, and ensuring successful business agreements in a dynamic sales environment...

Unlock potential by leading sales initiatives for ACA's Regulatory Compliance unit. Build trusted relationships, engage clients, and drive sales success through innovative strategies and solutions ali...

Elevate patient care by partnering with audiologists and surgeons to provide clinical support, education, and guidance on bone conduction hearing solutions, fostering strong relationships to enhance o...