Claims Specialist Jobs in Princeton, NJ

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...

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

Join a dynamic team to manage and expand a profitable commercial insurance portfolio, focusing on diverse industries. Leverage underwriting expertise, develop broker relationships, and identify growth...

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...

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...

Transform clinical appeals processes by leading medical necessity reviews, conducting in-depth analyses of denials, and collaborating across teams to enhance patient care and optimize revenue cycle op...

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...

Tackle third-party vendor risks through comprehensive assessments and strategic mitigation plans. Collaborate with cross-functional teams to ensure compliance and enhance risk management practices, su...

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...

Transform the claims department by leading a team, enhancing compliance, and optimizing performance metrics. Drive strategic initiatives that foster development, improve productivity, and ensure quali...

Join a team that's dedicated to optimizing complaint resolution across departments. Oversee a skilled group focused on member satisfaction and regulatory compliance while promoting process improvement...

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...

Lead the end-to-end claims process for trade credit and political risk, ensuring fair resolutions and maintaining strong relationships with stakeholders. Drive risk analysis, operational excellence, a...

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...

Join a team that's pivotal in executing ceded reinsurance placements across various product lines, ensuring compliance and fostering strong relationships with reinsurers while managing numerous comple...

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...

Lead the charge in optimizing claims management, collaborating with stakeholders to assess and settle claims effectively while ensuring compliance and quality standards are met. Drive improvements in...

Join us to drive optimal outcomes by expertly managing claims, collaborating with teams, and implementing best practices. Leverage your technical competence and analytical skills while ensuring compli...

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...

Inspire growth as part of a dynamic team supporting actuarial valuation activities. Contribute to process improvements and collaborate on diverse projects to enhance reporting and analysis in the livi...

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...