Claims Specialist Jobs in Jersey City, NJ

Lead and optimize performance within the Out-of-State Medicaid function, driving operational excellence across teams to enhance client outcomes and achieve strategic revenue goals through effective le...

Lead the charge in tax insurance solutions by evaluating and structuring policies for clients. Collaborate with experts to navigate complex transactions and enhance client advisory services across Nor...

Shape our compliance program, ensuring regulatory compliance across HIPAA, HITRUST, and SOC 2. Drive policy creation, audit readiness, and vendor risk management while supporting M&A integration effor...

Drive impactful legal representation for individuals with mental health diagnoses. Engage in litigation, investigate abuse, and monitor compliance while fostering self-advocacy and coalition-building...

Advance your career by fostering a robust Data Governance program. Lead initiatives to ensure data integrity, compliance, and culture transformation while collaborating across teams to drive strategic...

Manage program strategies and execution to enhance financial performance by coordinating cross-functional teams and external partners, ensuring alignment and delivering exceptional results in the prop...

Partner with us to manage complex P&C insurance products, optimizing performance through data analysis, market insights, and collaboration with underwriting leaders. Leverage analytics and operational...

Unlock the power of data analytics by developing insights to enhance business strategies and optimize contract performance across diverse customer segments while collaborating with teams to drive oper...

Elevate your career as you advise life insurance clients on actuarial modernization and business transformation, driving analytical initiatives and collaborating with cross-functional teams to deliver...

Unlock potential by advising life insurance and annuity clients on modernization and analytics, enhancing operations and delivering innovative solutions to streamline processes and accelerate value in...

Partner with us to drive actuarial modernization and innovation for life insurance and annuity clients. Advise on analytical strategies, redesign business functions, and enhance stakeholder experience...

Empower your career by leading a dynamic claims team, driving strategy and operational excellence in Financial Lines and Professional Liability, while ensuring compliance and enhancing the client expe...

Transform clinical risk into opportunity by assessing and mitigating challenges in healthcare. Utilize your medical expertise to enhance risk strategies and ensure compliance, while educating provider...

Engage as a key Actuary, supporting commercial initiatives with advanced statistical modeling and collaboration across teams. Leverage your expertise in predictive analytics to enhance product develop...

Transform legal operations by providing comprehensive support to senior leadership and the legal team, overseeing corporate governance, contracts, and compliance in a dynamic environment while enhanci...

Empower your legal career by providing expert litigation defense for insurance claims in New Jersey. Utilize your knowledge to analyze laws, prepare briefs, and represent clients effectively across va...

Manage legal defense for insurance cases, including research, pleadings, and trials while collaborating with the Claims Department to ensure effective case outcomes and compliance with legal requireme...

Take ownership of actuarial analysis by reviewing data, drafting reports, and presenting findings, while supporting pricing projects and client needs. Collaborate within a dynamic team to refine skill...

Lead the charge in ensuring compliance with financial services laws by conducting complex investigations, providing legal advice, and shaping regulatory strategies in a dynamic legal environment...

Analyze complex healthcare data to provide insights that enhance the Veterans Health Administration's Specialty Care Program. Collaborate across teams to drive operational improvements and deliver imp...

Elevate medical affairs through expert coordination and strategic collaboration in investigator-initiated research, medical education, and post-market activities to enhance compliance and internal ope...

Join a team that's dedicated to optimizing claims management for property, ensuring top-notch service and compliance. Leverage technology and enhance your career while resolving moderate complexity cl...

Elevate your impact by joining our team to combat cyber fraud. You'll analyze threats, triage incidents, and lead investigations while collaborating across teams. Shape fraud prevention with your expe...

Oversee the design and quality assurance of prior authorization criteria, ensuring clinical intent is accurately configured. Collaborate with teams to optimize workflows, maintain compliance, and enha...

Lead the development of innovative insurance solutions, coordinating with stakeholders to drive product initiatives and ensure successful implementations in various states, focusing on process documen...