Claims Specialist Jobs in Jersey City, NJ

Transform clinical oversight by leading case reviews and ensuring compliance with quality care standards. Collaborate with healthcare providers for effective medical necessity evaluations and enhance...

Grow your career with a leading market research agency as a Senior Consultant, driving impactful engagements by leveraging your expertise in healthcare across diverse client needs, while managing stra...

Join our dynamic Advisory Services team, delivering impactful consultancy to healthcare clients. Tackle diverse projects, utilize deep therapy area knowledge, and develop strategies that optimize comm...

Shape the future of operational excellence by leading cross-functional process improvements, optimizing workflows, and driving strategic initiatives that enhance performance across diverse teams. Empo...

Transform operational workflows by leading process optimizations, collaborating with stakeholders, and implementing effective solutions to enhance efficiency and member satisfaction across projects...

Shape the future of healthcare finance by managing contracts in Epic, recovering underpayments, and collaborating with teams to refine reimbursement strategies for hospital and ASC operations...

Empower success by managing a diverse portfolio of commercial lines business. Analyze risks, advise teams, and cultivate agent relationships to drive growth in the nonprofit human services and educati...

Collaborate with executive leadership to optimize financial performance and drive profitability for North America Specialty Risk business through analysis, budgeting, and reporting. Enhance decision-m...

Lead customs and export compliance initiatives, ensuring regulatory adherence across all operations. Collaborate with cross-functional teams and external partners to enhance processes and drive improv...

Transform the landscape of child care assistance by leading integrity and compliance initiatives. Oversee application reviews and data analysis, ensuring adherence to regulations while engaging with k...

Lead operations for a diverse portfolio of healthcare practices, driving performance, growth, and efficient patient care while mentoring staff and creating actionable strategies for success in the evo...

Unlock potential by leading the effective management of Insurance Broking Accounts, ensuring compliance, improving cash collection, and fostering collaboration across finance and operations for optima...

Empower commercial lines growth and profitability for nonprofit organizations, guiding underwriting processes while cultivating strong agency relationships for enhanced business flow and strategic ris...

Accelerate your career by leading mock regulatory examinations and compliance reviews, enhancing ACA's service offerings, and building client relations while driving brand awareness through impactful...

Engage with a diverse commercial client portfolio by managing accounts, enhancing retention, and driving new business initiatives. Utilize expertise in transportation and trucking to provide outstandi...

Drive success by providing dedicated PA support to senior executives in a fast-paced environment. Manage diverse administrative functions, ensuring seamless operations and communication across global...

Champion the development and analysis of commercial insurance products, collaborating with stakeholders to define and document system requirements while leading improvements and ensuring alignment wit...

Drive the analysis and documentation of commercial insurance requirements by collaborating with stakeholders to ensure alignment with business needs, while enhancing system design and performance thro...

Analyze and drive operational excellence within a cutting-edge payer partnership organization, ensuring timely insights and coordination in commercial reporting while leveraging AI tools and solving c...

Partner with us to ensure compliance in market data management, overseeing licensing agreements, audit readiness, and policies while collaborating with technology and business teams for effective data...

Lead operational excellence in underwriting processes to drive profitability and enhance service delivery. Collaborate across teams to implement continuous improvement initiatives and ensure complianc...

Champion exceptional client outcomes by leading claim service strategies and managing key partnerships within a National Accounts territory. Engage collaboratively to drive successful account renewals...

Lead the charge in developing and executing claim service strategies by forging strong partnerships with underwriting branches and agency relationships to ensure superior client service and retention...

Lead operational enhancements by evaluating and optimizing Core systems across diverse departments, ensuring alignment with business objectives and efficient workflow management in a dynamic healthcar...

Engage in clinical leadership and oversight as you guide Care Managers to deliver exceptional member-centered care that adheres to regulatory standards and promotes best practices in coordination and...