Claims Specialist Jobs in Jersey City, NJ

Drive the modernization of reserving processes and enhance portfolio management by leveraging your extensive P&C actuarial experience. Collaborate cross-functionally to ensure consistent frameworks an...

Elevate operational excellence by managing Utilization Management activities, ensuring compliance with policies and quality standards, and leading process improvements to enhance performance across cl...

Transform complex business needs into innovative solutions using Unqork. Collaborate with stakeholders to develop, configure, and deploy scalable applications while mentoring junior developers in a dy...

Unlock potential by assessing clinical risks and advising healthcare providers on effective risk management strategies to enhance patient safety and minimize claims...

Drive client success as a strategic advisor in health and benefits programs, leveraging expertise to enhance existing client relationships and generate new business. Lead project teams and mentor coll...

Elevate your career by leading client engagements in health and benefits program design. Drive strategies, grow relationships, and leverage expertise to enhance service delivery and generate new busin...

Drive client engagement by strategically designing and managing health and benefits programs. Lead service teams, grow client relationships, and capture new business opportunities through innovative s...

Champion security innovation by driving container application security initiatives across diverse teams. Lead risk assessments, implement scanning services, and cultivate a security-first culture to s...

Accelerate progress at the forefront of program account sales, driving revenue growth and customer retention. Build strategic relationships while identifying expansion opportunities and managing a str...

Lead the charge in innovative health care consulting projects, collaborating with clients and stakeholders to enhance outcomes through strategic planning, clinical redesign, and data analytics while m...

Unlock potential by leading complex procurement and contract administration efforts. Collaborate with executive leadership to manage solicitations and vendor negotiations, ensuring contract compliance...

Elevate technical solutions by designing client engagements, creating data models, system architectures, and integration patterns. Validate designs hands-on and streamline delivery paths, ensuring opt...

Lead the charge in optimizing outpatient facility coding audits, enhancing compliance, and educating coders. This remote role combines customer service with expert coding analysis to uplift healthcare...

Lead technical solutions at the value-stream level, shaping delivery architecture and ensuring strategic alignment with business needs while fostering collaboration across teams to create resilient te...

Join a dynamic team as a Solution Architect, shaping enterprise-scale technology solutions that align with business objectives while ensuring security and scalability through collaborative design and...

Shape the future of technology solutions through hands-on design and architecture, ensuring alignment with business needs and enterprise standards. Collaborate with cross-functional teams to deliver s...

Empower clients through tailored care plans, guiding their health journeys by assessing needs, monitoring outcomes, and collaborating with families and professionals to enhance quality and safety in h...

Champion the global tax and treasury functions, driving strategic tax initiatives while overseeing compliance and optimizing financial operations across multiple international jurisdictions...

Elevate the Workers Compensation actuarial strategy by leading analyses and guiding decision-making, collaborating with key stakeholders to drive profitable growth and enhance portfolio management acr...

Engage in high-level clinical site monitoring to ensure participant safety and data integrity during oncology trials. Leverage 5+ years of expertise to collaborate with diverse teams and manage evolvi...

Tackle IT SOX compliance by enhancing control processes, mitigating risks, and ensuring audit readiness while fostering collaboration across IT and business units for continuous improvement and busine...

Unlock potential by leading technical strategy and architecting custom solutions that address complex enterprise challenges, driving successful engagements with C-level executives to secure high-value...

Lead day-to-day oversight of FEMA recovery grants, ensuring compliance and facilitating project management processes. Collaborate with multiple agencies to optimize disaster recovery efforts and enhan...

Drive product enhancement initiatives for financial systems, ensuring optimal performance and data integrity. Collaborate across teams to implement solutions that meet business needs and support enter...

Bring your expertise to effectively oversee office services, ensuring smooth operations, vendor management, and operational efficiency while leading a dedicated team in a dynamic environment...