Claims Specialist Jobs in Red Bank, NJ

Elevate clinical outcomes by serving as the key pharmacist liaison among partners, translating real-world issues into actionable insights, driving resolution of clinical concerns, and enhancing produc...

Drive compliance validation and enhance data security practices while overseeing PCI assessments, managing risks, and ensuring adherence to complex regulatory frameworks in a dynamic financial environ...

Contribute to regulatory excellence by coordinating U.S. submissions, ensuring compliance with FDA standards, and maintaining vital documentation for the Obesity Therapeutic Area, while collaborating...

Lead the charge in SPP Settlements, partnering cross-functionally to ensure compliance and enhance product features. Use your expertise to drive solutions and deliver exceptional support that meets cu...

Shape financial operations by streamlining invoicing and enhancing process efficiency across diverse health service lines. Collaborate with internal and external partners to ensure accurate billing wh...

Champion tax excellence as you lead a team in tax strategy optimization, compliance, and reporting. Drive accurate financial documentation and influence stakeholders while ensuring regulatory alignmen...

Manage outside counsel engagement and performance to optimize legal services, focusing on workers' compensation claims and expense management, ensuring compliance with guidelines and enhancing operati...

Support our underwriting team by efficiently processing and managing inland marine policies. You'll ensure accurate submissions, provide vital assistance to underwriters, and maintain compliance acros...

Elevate the Promotional Review Committee's effectiveness by leading the compliant review process of promotional materials. Drive cross-functional collaboration, enhance operational workflows, and ensu...

Shape the future of workforce management by providing strategic legal counsel on employment law, guiding HR and business leaders in achieving objectives while managing legal risks across global operat...

Join a team that's dedicated to enhancing healthcare efficiency by analyzing the revenue cycle. Your expertise will drive improvements in billing operations, perform detailed assessments, and ensure s...

Join a team that's dedicated to delivering innovative data analysis and support for public health research. Leverage your skills in SAS, R, and database management to provide valuable insights and con...

Unlock your potential as a Clinical Reviewer, overseeing utilization reviews, ensuring quality and accurate processes while supporting a dedicated team of healthcare professionals in delivering except...

Join a team that's dedicated to conducting comprehensive clinical reviews, ensuring high-quality standards in utilization and quality assessments. Collaborate with healthcare professionals to enhance...

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...

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...

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...

Join a dedicated team conducting critical investigations into fraud within federal disability programs, ensuring integrity and compliance through thorough research, interviews, and collaboration with...

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...

Transform your career by managing essential claim accounting functions while collaborating across teams to ensure accurate financial reporting and analysis. Drive results through effective communicati...

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...

Elevate healthcare data analysis by conducting advanced statistical evaluations and collaborating with public health professionals to support infection control programs and drive impactful decision-ma...

Elevate application development by spearheading the design, coding, and testing of high-quality software solutions. Integrate database management expertise to enhance user experience and ensure applic...