2mo
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Claims Supervisor
Clifton, New Jersey, United States
$70k-$80k/yr OnsiteFull Time
5+ YOE5+ years Medicaid/Medicare claims processing; CPT/ICD-10/HCPCS; COB/TPL; AS400; Excel; CPC/CPB/CBC preferred; eye care billing experience.
AS400, Excel, Microsoft Office, Billing systems
2w
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Claims Representative, Auto
Virginia Beach or Seven Hills or Rhode Island or Indiana or Texas or Delaware or Kentucky or South Carolina or Florida or West Virginia or Maryland or North Carolina or Ohio or District of Columbia or Illinois or New Jersey or Iowa or Tennessee or Pennsylvania or New Hampshire or Maine or Michigan or Wisconsin or Virginia or Georgia or Massachusetts or Connecticut
$50k-$55k/yr OnsiteFull Time
Experience processing auto/property damage and lower-level injury claims; familiarity with personal/commercial lines, ability to assess damage and negotiate claims, strong communication and PC skills, secure state adjuster licenses as required.
Microsoft Office
5h
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Claims Director, Property Damage
Mount Laurel, New Jersey, United States
$130k-$170k/yr OnsiteFull Time
15+ YOEBachelor's or tenured claim management background, 15+ years claims technical/management experience, strong auto property knowledge, regulatory knowledge (NJ, NY, PA, CT, MA), Excel/Tableau proficiency, leadership and process improvement skills.
Microsoft Excel, Tableau
1w
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Claims Payment Analyst
King of Prussia or Pennsylvania or New Jersey or Delaware
HybridFull Time
1+ YOEProcess and reconcile securities class action claim payments, prepare SWIFT/wire payments, maintain client instructions, and communicate payment details; Bachelor's degree and ~1 year professional experience preferred.
Microsoft 365, Microsoft Excel, Microsoft Word, Remote Deposit Capture (RDC), SWIFT
1mo
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Retailer Claims Support Manager - Operations
Camden, New Jersey, United States
$95k-$120k/yr HybridFull Time
6+ YOE6+ years experience managing multi-functional teams in claims operations; strong claims processing knowledge, data analytics and Excel skills; familiarity with Subarunet/RPM/EPC/NorthStar; Bachelor's degree or HS with equivalent experience; strong communication and training ability.
NorthStar, Subarunet, Retail Parts Management (RPM), Labor Time Guide (LTG), Electronic Parts Catalog (EPC), Microsoft Excel
3mo
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Group Insurance Team Lead, Claims
Newark, New Jersey, United States
$89k-$147k/yr HybridFull Time
3+ YOEMinimum 3 years in Group Insurance operations or claims; STD/Absence/Paid Leave knowledge; strong analytical, coaching and communication skills; ability to lead and improve processes.
Teams, MS Word, Excel
3mo
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Claims Transformation Domain Lead
Jersey City or Philadelphia or Whitehouse Station
$180k-$275k/yr OnsiteFull Time
7+ YOE7+ years in process engineering/operations/project mgmt with automation/AI integration; agile leadership; AI/ML knowledge; strong communication; claims ops a plus; engineering/business degree; certifications a plus.
AI, Machine Learning, Automation
2mo
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Supervisor, Claims Medical Only
Princeton, New Jersey, United States
$67k-$92k/yr HybridFull Time
5+ YOEBachelor's degree or equivalent; 5+ years in workers' compensation; valid adjuster license; leadership skills; ability to work with minimal supervision; strong process/quality focus.
Insurance Software, Microsoft Office, Data Analysis Tools
1mo
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Process Manager, Commercial Casualty Claims - Remote
California or South Carolina or Louisiana or Washington or Virginia or Utah or Texas or Tennessee or Pennsylvania or Oregon or Oklahoma or Ohio or Michigan or New York or West Virginia or New Jersey or Missouri or Massachusetts or Wisconsin or New Hampshire or New Mexico or Nevada or Kansas or Georgia or North Carolina or Montana or Arkansas or Maine or Maryland or Delaware or Rhode Island or Kentucky or Mississippi or Indiana or Alabama or Illinois or Idaho or District of Columbia or Colorado or Arizona or Florida or Iowa or Nebraska or Vermont or South Dakota or Connecticut or Minnesota or United States
$137k-$182k/yr RemoteFull Time
10+ YOE5+ MgmtBachelor's degree or equivalent, 10+ years in financial/business analysis or process design, 5+ years supervisory experience, project management skills, experience with business process analysis and budgeting, proficiency with Visio, MS Project and Excel.
Microsoft Visio, Microsoft Project, Microsoft Excel
4w
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Solution Owner II – General Claims
Trenton, New Jersey, United States
$105k-$122k/yr OnsiteFull Time
1+ YOE1+ years analyzing business processes, basic agile knowledge, ability to translate business needs into solutions, strong communication, stakeholder influence, requirement definition, and experience supporting delivery teams.
2w
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Expert Claims Review Business Analyst
St. Louis or Missouri or New Jersey or Massachusetts or Florida or Texas
$71k-$90k/yr HybridFull Time
4+ YOEBachelor's degree,4+ years business analysis/process engineering,healthcare/payment integrity experience preferred,SQL preferred,strong analytical and communication skills,SAFe certifications preferred,no visa sponsorship available.
SQL
1mo
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Senior Analyst Claim Reporting and Special Services
Hartford or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or Arizona or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or Indiana or New Jersey or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware or United States
$47k-$112k/yr HybridFull Time
2+ YOE2+ years processing claims through ACAS, knowledge of Aetna claim and provider systems, project coordination and root-cause analysis skills, data analysis ability, strong communication and composure under pressure.
Aetna claim and provider systems, ACAS, USQA reporting, Microsoft Excel, Microsoft Word, Microsoft Access
3mo
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Omnichannel Customer Representative
Secaucus, New Jersey, United States
OnsiteFull Time
Respond to customer emails, provide order updates, track orders, process claims, maintain FedEx claim logs, strong communication, multitask in a fast-paced environment.
Email, CRM, FedEx tracking
6d
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OON Mandate Negotiation Analyst-1
Newark or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$58k-$77k/yr RemoteFull Time
5+ YOE5+ years business experience with 2+ years customer correspondence/phone service; claims processing experience; knowledge of claims systems, medical terminology, and Microsoft Office; strong communication and investigative skills.
Microsoft Office Suite, Blue 2, UCSW
1mo
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Medicaid Reconciliation Analyst - North/Central, New Jersey, United States
New Jersey, United States
$55-$70/hr HybridContract
2+ YOEMedicaid claim processing experience with pharmaceutical/medical device sectors; 2+ years healthcare data/claims exp; Model N/Revitas/Flex Medicaid or similar systems; strong Excel skills; knowledge of CMS Medicaid rules.
Model N, Revitas/Flex Medicaid, Flex Validata, Microsoft Excel
3d
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Account Associate - State Farm Agent Team Member
Montclair, New Jersey, United States
$60k-$80k/yr OnsiteFull Time
Manage customer accounts, assist with policy changes and inquiries, process claims, coordinate with underwriters, strong organization and customer service skills.
2mo
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Member Advocate - Insurance Specialist
Hamilton Township, New Jersey, United States
$40k-$50k/yr OnsiteFull Time
Experience in health insurance administration and claims processing; strong interpersonal and communication skills; proficiency in Microsoft Office; ability to work independently and in a team.
3w
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Account Associate - State Farm Agent Team Member
Middletown, New Jersey, United States
$50k-$75k/yr OnsiteFull Time
Strong organizational and customer service skills; previous insurance or related experience preferred; ability to manage accounts, assist with policy changes, and process claims.
4d
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Warranty Administrator
Fairview, New Jersey, United States
$25-$30/hr OnsiteFull Time
Prepare and process warranty claims, reconcile receivables, track and ship warranty parts, maintain service records; requires high school diploma and technical truck knowledge.
2w
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Customer Service Representative - State Farm Agent Team Member
Blackwood, New Jersey, United States
$38k-$55k/yr OnsiteFull Time
Customer service experience preferred; strong communication, interpersonal, and multitasking skills; detail-oriented; ability to provide policy information, process claims, and maintain accurate records.
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