- UpvoteDownvoteShare Job
- Suggest Revision
Assess the impact of crash-avoidance technology on Auto insurance claims. Conduct trend analysis to track changes in claims frequency and severity. Assess the impact of crash-avoidance technology on Auto insurance claims.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Experience with pharmaceutical data sources such as IQVIA, SHS, Claims, and other syndicated resources; strong understanding of Patient/Claims data (APLD) preferred. These claims are fraudulent and you are strongly advised to exercise caution when you receive such an offer of employment.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Assist with the review of monthly GP utilization files (GP rebate claims), 340B | PHS program, GTN accrual summary file, and GTN reporting package. Key Responsibilities Manage GP models, review, parallel calcs, and analyze reporting of programs requiring price reporting, per legislative requirements, including Average Manufacturers Price (AMP), PHS Price, Best Price (BP), VA/FSS (Federal Supply Schedule), Average Sales Price (ASP), non-Federal Average Manufacturer Price (nFAMP), Federal Ceiling Price (FCP), Industrial Funding Fee (IFF) and Unit Rebate Amounts (URA.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Broad knowledge of secondary pharmaceutical data sources such as Retail & Non-Retail data, Medical & Pharmacy Claims, EMR, Lab Test/Diagnostics, Chart Audits, Patient Hub & Specialty Pharmacy Data, 852/867 EDI and Health System/Payer – Plan hierarchies.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
In-depth knowledge of claims, litigation, arbitration, and trial processes as well as excellent analytical, investigative, and negotiating skills. xperience practicing law as well as claims management (both directly managed and TPA managed claims.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Claims Specialist will manage an assigned pending of various types of contract surety bond claims. The position will report directly to the AVP or Senior Manager of Surety Claims and can be a remote position.
RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Strong Experience with pharmaceutical data sources such as IQVIA, Symphony, Claims, and other syndicated resources; strong understanding of Patient/Claims data (APLD) preferred. Strong Experience with pharmaceutical data sources such as IQVIA, Symphony, Claims, and other syndicated resources; strong understanding of Patient/Claims data (APLD) preferred.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Proficient with Microsoft Suite, Adobe Creative Suite, and Veeva Vault PromoMats Proficient in understanding creative assets files and linking medical references to claims structure. Experience managing and maintaining a global library of references and core claims preferably within Veeva PromoMats.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
10+ years of Insurance and/or Reinsurance experience in underwriting, accounting/finance, claims, actuarial, or equivalent client/account management experience preferred. Knowledge of MR US insurance & reinsurance operations, claims & accounting systems a plus.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
We provide high quality and cost-effective “hands-on” restoration services with appropriate turnaround times that contractors, claims professionals, and homeowners require. As we strive to accommodate our customers and their restoration needs, Prism Specialties expanded into art restoration, document restoration, and textile restoration.
$15 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Understanding of health plan operations, including contracting, claims processing, encounter data processing, and Medicaid eligibility and enrollment. The Behavioral Health Senior Manager of Network Relations will report to the Executive Director of Network Management and will work in close partnership with the ABHNJ Behavioral Health Medical Director, Behavioral Health Administrator, CEO, COO, CMO, CFO, and all matrixed growth partners to expand the ABHNJ provider network to effectively manage behavioral health benefits and care.
$190,700 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Summary: The temporary Claims Eligibility Specialist will work under the supervision of the Billing Unit, focusing on adjudicating and processing fee-for-service claims, as well as managing billing and eligibility inquiries.
$26 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
This will include but is not limited to distributor notifications and claims, membership management, GPO fees and rebate payments. The Pricing Manager must have pharmaceutical and/or life science experience.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Works closely with Product Management, UW & Claims to drive flow small and middle market business, build, and execute growth and profit strategies and to secure key accounts, managing account pipeline end-to-end.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Claims Specialist will also direct the adjusting and litigation process, strategically partner with counsel, experts and vendors, and drive optimal claim resolutions. The Opportunity Future focused and always one step aheadThe Claims Specialist in the Property team is a critical role in our growing Claims Department, and will be responsible to direct all aspects of file handling on both in-house and third-party administered property claims, with growth opportunity in depth of technical handling and multi-faceted professional development.
$134,600ExpandApply NowActive JobUpdated Today
claims examiner jobs in West Windsor, NJ
FEATURED BLOG POSTS
Learn How to Respond to an Interview Request With Templates
Job interviews are an inevitable part of any job search. So, handling them well is key to building a fulfilling career. Regardless of whether you’re looking at a more junior role or strive for a role as a business executive, you need to maintain your professionalism every step of the way in order to stay in the game.
How to Write an Address Correctly: Explained with Examples
It's hard to imagine a scenario where a text or phone call just won't do these days. With communication at our fingertips, you may think learning how to write an address is a superfluous skill. But it's a skill that will come in handy when you need to fill out healthcare forms, ship a package, order food delivery, or even apply for new jobs.
5 Common Interview Mistakes
Everyone's interview process is unique in some form or fashion. Like most, your interview process is crafted so you can get the most information out of your candidates to increase hiring confidence and make the right hiring decisions. However, there are often small problems in interview processes that could ultimately affect the success of hiring decisions.
What is Employment Participation Rate
According to economists, there are four factors of production that go into creating higher quality goods at lower prices. These are
How to Get Pay Stubs (From Previous Employee Also!)
Pay stubs are an important piece of document which shows your earnings in a given period, as well as any deductions made towards your health insurance or pension contributions. They’re also excellent for finding out how much your recent salary raise has bumped up your monthly net income.
How to Write a Job Description?
It might be tempting to overlook the importance of a well-written job description. After all, if you’ve posted job ads before and ended up with tons of resumes in hand, it’s easy to assume that this will always be the case, regardless of how your job ad reads. But, in reality, you really can’t take getting an influx of resumes for granted.
How to Get a W2 From Previous Employers
When tax time rolls around, the last thing you want to worry about is having to track down a W-2 from your former employer. Many times you won’t have to because the IRS requires companies to send these forms to all current and former employees who have earned more than $600 in the last year. Unfortunately, there are employers who don’t do what they’re supposed to. There are even times where something else may happen that prevents the W-2 from getting where it’s supposed to go.