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As a Claims Analyst at Plymouth Rock Assurance, you will play a vital role in supporting the Claims Department's Operations and Management Teams. Your primary responsibility will be to develop/maintain or support business reports, applications, and analytical solutions that stren ...
Woodbridge $50,000 - $85,000 (USD) per year12 hours ago
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Claims Analyst · Premier, global reinsurance firm seeking a Claims Operations professional. This role requires extensive claims processing experience. · About the Role · This is a hybrid position in midtown NYC that reports to the Assistant Manager-Operations. The successful cand ...
New York $50,000 - $85,000 (USD) per year Part time4 days ago
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We are looking for a highly experienced Claims QA/Business Analyst with good attitude and flexibility to situations in working with client. · Highly experienced in working as Claims QA/Business Analyst. · ...
Teaneck1 month ago
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The Claims Analyst supports the Claims Department's Operations and Management Teams by developing/maintaining or supporting business reports, applications, and analytical solutions. This role participates in systems implementations, data management initiatives, and analytics work ...
Woodbridge $50,000 - $85,000 (USD) per year2 hours ago
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The Claims Analyst supports the Claims Department's Operations and Management Teams by developing/maintaining or supporting business reports, applications, and analytical solutions. · This role participates in systems implementations, data management initiatives, and analytics wo ...
Woodbridge Township $63,500 - $88,000 (USD) Full time2 weeks ago
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The Claims Analyst supports the Claims Department's Operations and Management Teams by developing/maintaining or supporting business reports, applications, and analytical solutions. · ...
Woodbridge, NJ2 weeks ago
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Works directly with management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative solutions to meet those needs. · ...
New York1 month ago
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Premier, global reinsurance firm seeking Claims Operations Assistant. Claims processing experience is REQUIRED. · The position involves processing all aspects of claims information in risk and accounting systems globally. · ...
New York1 month ago
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Premier, global reinsurance firm seeking a Claims Operations Assistant. Please read the full description, claims processing experience is REQUIRED for this role. · A high number of candidates may make applications for this position, so make sure to send your CV and application th ...
New York $50,000 - $85,000 (USD) per year2 days ago
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The Claims Analyst is responsible for reviewing analyzing and processing casualty claims. · ResponsibilitiesManage commercial claims to verify coverage conduct investigations analyze liability and damages · Negotiate settlements efficiently within authority limits · Qualification ...
New York1 month ago
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Join VillageCare as a Full-Time HealthCare Claims Analyst and take your career to the next level while working from the comfort of your home. With a competitive salary range of $58,039.46 to $65,294.40, this position offers great financial incentives while allowing you to maintai ...
New York $58,039 - $65,294 (USD)1 day ago
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We are seeking an experienced Healthcare Claims Analyst to support claims reporting, auditing, and operational analysis within a health plan environment. · ...
New York1 month ago
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Join VillageCare as a Full-Time HealthCare Claims Analyst and take your career to the next level while working from the comfort of your home. With a competitive salary range of $58,039.46 to $65,294.40, this position offers great financial incentives while allowing you to maintai ...
New York $58,039 - $65,294 (USD) Full time2 days ago
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Join VillageCare as a Full-Time HealthCare Claims Analyst and take your career to the next level while working from the comfort of your home. With a competitive salary range of $58,039.46 to $65,294.40, this position offers great financial incentives while allowing you to maintai ...
New York, NY $60,000 - $80,000 (USD) per year2 days ago
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Dice is the leading career destination for tech experts at every stage of their careers. Our client, DatamanUSA, LLC, is seeking the following. Apply via Dice today · DatamanUSA is looking for a EPIC Claim Analyst for our direct client based in NJ. This is a great opportunity for ...
Newark2 weeks ago
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Claims Analyst III · As a Claim Analyst III, you will be responsible for handling all aspects of third-party EPL/Professional Liability/D&O claims from inception through conclusion brought against insureds. · How you will create an impact · Focused on Employment Practices Liabili ...
Jersey City $76,000 - $90,000 (USD) Full time1 day ago
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We are reimagining the way we help customers to manage risk. Join us as a Claims Analyst II to play your part in that transformation. · ...
Jersey City $69,000 - $86,000 (USD)2 weeks ago
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The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies SPAPs and Supplemental Rebates. ...
Parsippany1 month ago
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The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. · This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities ...
New York1 month ago
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DatamanUSA is looking for a EPIC Claim Analyst for our direct client based in NJ. This is a great opportunity for someone who is a quick learner with excellent people skills. · Job Details: · Job Title: EPIC Claim Analyst · Location: Newark, NJ · Duration: 6 months · Roles & Resp ...
Newark, NJ2 weeks ago
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Join us as a Claims Analyst II to play your part in reimagining the way we help customers to manage risk. · ...
Jersey City $69,000 - $86,000 (USD) Full time2 weeks ago
Claims Analyst - Bergen - Liberty Pumps
Description
Claims Resolution Specialist
Works to resolve claims/issues that impact the customer as it relates to errors in Order Processing, Accounts Receivable, Shipping, and defective products. There is a strong troubleshooting/problem solving component to this position.
Essential Responsibilities:
1. Customer Care - Help resolve customer complaints/issues when an order was not entered, shipped, or received correctly. Investigation of customer complaints and ensuring resolution to these issues. Create CFB, document and report policy and procedure errors, and see CFBs through to resolution.
2. Carrier Claims - Investigate and gather documentation with evidence. Prepare paperwork and submit claims for pursuance of payment/reimbursement. Act as the liaison with carriers involved with shipping errors.
3. UPS - Coordinate the filing of UPS claims
4. DOT - Ensure Liberty Pumps is in compliance with all DOT requirements/regulations; stay abreast of new DOT requirements; provide training/education to drivers; maintain driver completed log books
5. Risk Management - Assist & work closely with Senior Claims Analyst and Chief Financial Officer in the administration of product liability claims
6. Accounts Receivable - work with A/R in the resolution of disputes such as billing errors & shipping errors to ensure timely payments.
7. Safety - Members are held responsible and accountable to follow safety guidelines, maintain a clean and organized work area, and use good safety judgment.
8. Able to work well in a team environment and diverse group settings
9. You will be expected to operate according to ISO 9001 requirements.
10. Held responsible and accountable to follow safety guidelines, maintain a clean and organized work area, and use good safety judgment. Expected to report all unsafe activities and conditions to the Supervisor and/or Safety Representative.
11. This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the member for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Minimum Qualifications: Organizational skills and being able to remain flexible at all times is necessary. Computer literate in common word processing, spreadsheet, and other Windows-based PC programs.
Education/Training: High school diploma or GED
Experience/Skills/Abilities: Ability to read, write, edit, analyze, and comprehend instructions, short correspondence, and general business documents. Ability to speak effectively before groups of customers or employees of organization. Ability to define problems, collect data, establish facts, and draw valid conclusions. Proficient personal computer skills including electronic mail, record keeping, routine database activity, word processing, spreadsheet, graphics, etc. Handle multiple projects simultaneously. Willing to work in a team environment. Self-motivated, capable of taking direction as well as working with minimal supervision. Ability to remain calm under pressure such as working through an employment situation.
Work Schedule/Hours: Monday Friday with typical business hours. Occasional overtime may be necessary when working on special projects. Minimal overnight travel (up to 10%) by land and/or air.
Working Conditions: Well-lighted, heated, and/or air-conditioned indoor office/shop environment with adequate ventilation. Light physical activity performing non-strenuous daily activities of an administrative nature. Moderate noise (examples: business office with computers and printers, light traffic).
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