- Under the direction of a supervisor, determines compensability of Workers Compensation claims filed by State government employees against the State of New Jersey.
- Oversees medical case management for assigned files, and authorizes appropriate medical treatment in consultation with a managed care provider.
- Processes temporary compensation payments, and orders Independent Medical Examinations (IME).
- Prepares physical, documentary, and testimonial evidence needed for litigated files to assist assigned Deputy Attorney General in litigation and/or trial.
- Processes claim petitions, and other legal pleadings and discovery demands.
- Conducts investigations and interviews, and performs other related duties as required.
- 8:30 AM to 4:00 PM
- Lunch: 1/2 hour (unpaid)
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Complex Claim Specialist
1 week ago
NJM Insurance Group Trenton, United States Full timeNJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist. This is a full-time position and offers a hybrid schedule after training. · The Complex Claim Specialist will be responsible for contacting all parties involved in the claim, gathering, an ...
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Claims Account Specialist
1 week ago
NJM Insurance Group Trenton, United States Full timeNJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. · The Claims Account Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing a ...
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Medical Claims Specialist
4 weeks ago
V R Della IT Services Private Limited Trenton, United States*This position involves:* · Follows adjudication policies and procedures to ensure proper payment of claims. · Resolves pending claims based on Medicaid rules and regulation established for final processing. · Resolves claims resolution and/or adjustments/voids. · Processes claim ...
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Medical Claims Specialist
3 weeks ago
V R Della IT Services Private Limited Trenton, NJ, United States Full time*This position involves:* · Follows adjudication policies and procedures to ensure proper payment of claims. · Resolves pending claims based on Medicaid rules and regulation established for final processing. · Resolves claims resolution and/or adjustments/voids. · Processes cl ...
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Claims Specialist
6 days ago
Datawize Technologies LLC Trenton, United States**Claims Specialist** · **Shift timing: 8:30 AM to 4:00 PM** · **Lunch: 1/2 hour (unpaid)** · **Location: 20 W. State Street, Trenton, NJ 08625** · **Job Type: Contract** · **Job Duration: 1 Month** · **Job Description: · - ** · - Under the direction of a supervisor, determines c ...
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Claims Specialist
2 weeks ago
Datawize Technologies Inc Trenton, United StatesClaims Specialist · Shift timing: 8:30 AM to 4:00 PM · Lunch: 1/2 hour (unpaid) · Location: 20 W. State Street, Trenton, NJ 08625 · - Under the direction of a supervisor, determines compensability of Workers Compensation claims filed by State government employees against the Stat ...
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Claims Specialist
1 week ago
Codinix Technologies Trenton, United StatesUnder the direction of a supervisor, determines compensability of Workers Compensation claims filed by State government employees. Oversees medical case management for assigned files, and authorizes appropriate medical treatment in consultation with a managed care provider. Proce ...
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Claims Specialist
6 days ago
Newkleo LLC Trenton, United StatesUnder the direction of a supervisor, determines compensability of Workers Compensation claims filed by State government employees against the State of New Jersey. · - Oversees medical case management for assigned files, and authorizes appropriate medical treatment in consultation ...
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Claims Specialist
1 week ago
Newkleo LLC Trenton, United StatesUnder the direction of a supervisor, determines compensability of Workers Compensation claims filed by State government employees against the State of New Jersey. · - Oversees medical case management for assigned files, and authorizes appropriate medical treatment in consultation ...
-
Claims Specialist
1 week ago
Newkleo LLC Trenton, United StatesUnder the direction of a supervisor, determines compensability of Workers Compensation claims filed by State government employees against the State of New Jersey. · - Oversees medical case management for assigned files, and authorizes appropriate medical treatment in consultation ...
-
Claims Account Specialist
3 weeks ago
NJM Insurance Group Trenton, United StatesNJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. · Scroll down to find an indepth overview of this job, and what is expected of candidates Make an application by clicking on t ...
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Complex Claim Specialist
1 week ago
NJM Insurance Group Trenton, United States**Personal, compassionate service is what we're known for at NJM. We seek the best and brightest to help our customers when they need us most. As part of the NJM team, you'll not only enjoy some of the best benefits in the industry, you'll also be joining a company that's committ ...
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Medical Claims Specialist
4 weeks ago
V R Della IT Services Private Limited Trenton, United States*This position involves:* · Follows adjudication policies and procedures to ensure proper payment of claims. · Resolves pending claims based on Medicaid rules and regulation established for final processing. · Resolves claims resolution and/or adjustments/voids. · Processes cl ...
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Property Field Claims Specialist
3 weeks ago
Selective Insurance Trenton, United States· At Selective, we don't just insure uniquely, we employ uniqueness. · Our Business · Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years.Selective's unique position as bo ...
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Claims Specialist
1 week ago
Contemporary Staffing Solutions Moorestown, United StatesJob Description · Job DescriptionContemporary Staffing Solutions is seeking a detail-oriented and organized Data Verification Specialist to join our client in Moorestown, NJ As a Data Verification Specialist, you will be responsible for ensuring the accuracy and completeness of a ...
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Claims Specialist
3 hours ago
Independence Blue Cross Philadelphia, United StatesResponsible for accurate and timely handling of claim issues for all lines of business, including bi-directional sharing, FEP, Local and Commercial PA and AHNJ, BlueCard and Government market. Applies and maintains knowledge of claims processing and support systems. · Research i ...
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Content Claims Specialist
2 weeks ago
Crawford & Company Philadelphia, United States Regular Full timePosition Summary · The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjuster's content claims handling operations: · Acting/operating as a third party, intermediary between the Insurance Company's property ...
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Senior Claims Specialist
3 weeks ago
Munich Re Princeton, United StatesSenior Claims Specialist · We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. · The Company · Munich Re Specialty Insurance (MR ...
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Content Claims Specialist
2 weeks ago
Crawford & Company Philadelphia, United StatesExcellence In Everything We Touch · Position Summary · The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjusters content claims handling operations: · + Acting/operating as a third party, intermediary b ...
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Content Claims Specialist
3 weeks ago
Crawford & Company Philadelphia, United StatesExcellence In Everything We Touch · Position Summary · The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjusters content claims handling operations: · + Acting/operating as a third party, intermediary b ...
Claims Specialist - Trenton, United States - Biogensys
Description
Job Description
Job DescriptionWe are hiring a Claims Specialist (Worker's Compensation) for one of our clients in Trenton, NJ.
Job Description:
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