Claims Specialist Jobs in Warren, NJ

Unlock potential by conducting thorough MLR examinations, ensuring compliance with federal and state regulations. Collaborate with teams to analyze data, review documentation, and enhance audit proced...

Advance strategic partnerships with major oncology centers and KOLs. Drive business growth through detailed planning, client engagement, and collaboration across teams. Analyze market trends to enhanc...

Elevate your career as a key player in global collateral management, driving process improvements and supporting strategic initiatives. Utilize your analytical skills to enhance operational efficiency...

Join a team that's transforming home and specialty insurance solutions through data-driven analysis and innovative project management, delivering value to customers and driving growth in a dynamic env...

Champion digital transformation initiatives in the Life Insurance sector. Lead teams in process optimization and modernization efforts while engaging with senior client executives to drive impactful s...

Join a team that's dedicated to optimizing privacy management processes and compliance technology. This role supports platform administration, user engagement, and operational improvements, ensuring e...

Drive commercial performance by engaging healthcare providers and executing territory plans. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative...

Take ownership of medication management to enhance patient outcomes, ensuring safety and cost-effectiveness. Collaborate with healthcare teams to optimize therapy, educate members, and drive quality i...

Transform healthcare analytics by leveraging advanced statistics and machine learning to uncover insights from complex datasets. Collaborate with experts to innovate and develop data-driven solutions...

Empower the fight against insurance fraud by leveraging your litigation expertise. Collaborate with SIU departments to defend against fraudulent claims and engage in complex legal matters, ensuring ju...

Optimize paid search campaigns through strategic analysis, collaboration, and implementation of innovative strategies to enhance performance and ROI, while managing client interactions and deliverable...

Drive pre-award clinical trial activities, leading a team to ensure efficient study startup, budget development, and compliance. Collaborate with stakeholders to protect institutional interests while...

Lead the charge in business development for financial institutions, driving client engagement and strategic growth. Collaborate across teams to deliver innovative cash management solutions while navig...

Unlock potential by leading innovative clinical documentation initiatives that enhance quality, compliance, and revenue cycle outcomes. Collaborate with cross-functional teams to redefine workflows an...

Lead the charge in optimizing business processes and technology solutions, serving as the primary liaison between stakeholders and technical teams to enhance operational efficiency and customer experi...

Drive your career with this intermediate role, overseeing business administration, financial tracking, and strategic analysis. Collaborate across teams to enhance reporting, ensure data integrity, and...

Champion the future of risk management by leveraging your actuarial expertise in a remote role focused on regulatory consulting, pricing, reserving, and reinsurance strategies, while advancing your pr...

Unlock client success by managing complex Risk Management accounts, coordinating teams, and driving service delivery. Collaborate with clients to ensure expectations are met and explore opportunities...

Oversee the quality assurance of case reviews, ensuring accuracy and completeness in documentation while collaborating with clinicians to uphold high standards in healthcare determinations and workflo...

Drive strategic client engagements by combining advanced benefits consulting with actuarial analysis. Lead teams to deliver innovative solutions, enhance client relationships, and ensure project succe...

Lead and optimize the accounts receivable function, ensuring accurate invoicing, collections, and reporting. Collaborate with cross-functional teams to enhance cash flow and maintain strong internal c...

Shape the future of project estimating by leading comprehensive cost analyses, collaborating with diverse teams, and driving strategic initiatives to enhance project success and client relationships i...

Drive procurement excellence by supporting the Chief Procurement Officer and enhancing operational efficiency through strategic initiatives, effective communication, and comprehensive administrative s...

Drive procurement excellence by supporting the Chief Procurement Officer and team. Coordinate activities, maintain records, prepare reports, and enhance operational efficiency while managing multiple...

Join a team that shapes global regulatory strategy in a fast-paced environment. You will lead comprehensive regulatory plans, ensuring alignment and execution from development to post-marketing, impac...