claims adjuster Jobs in jersey city, nj

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Claims Examiner - Workers Compensation(California)

MetaSense, Inc.

•

Remote

Third Party, Contract

ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates an
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Posted 26 days ago | Updated 1 day ago

Java Developer with Healthcare Claims Processing - ONLY W2

nTech Solutions

•

Remote or Reston, Virginia, USA

Contract

ONLY W2ONLY W2ONLY W2 MUST HAVE experience with Healthcare Claims processing Title: Java Developer with Healthcare Claims Processing Location: Reston, VA (Hybrid) Duration: 6 Months Contract + Extension Job Description: Terms of Employment Contract, 6 Months This position is hybrid. Candidates should be comfortable working onsite in Reston, VA up to once per week. Overview & Responsibilities We are seeking a skilled Java Developer with strong experience in healthcare claims processing and mode
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Posted 6 days ago | Updated 2 hours ago

Claims Examiner

DTG Consulting Solutions Inc.

•

Englewood, New Jersey, USA

Full-time

Spanish is Must Responsibilities: Review and process health care claims promptly and accuratelyVerify claim details using CPT and ICD codesAddress inquiries from providers, members, and insurers regarding claim statusEnsure compliance with internal policies and regulatory requirementsMaintain detailed and accurate documentation of claim processingCollaborate with team members to resolve any discrepanciesQualifications: Proven experience in processing health care claimsKnowledge of CPT, ICD codes
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Posted 6 days ago | Updated 4 days ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Newark, New Jersey, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 34 days ago | Updated 10 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Jersey City, New Jersey, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 34 days ago | Updated 10 hours ago

Engineering Manager (Claims Platform)

Headway

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Remote or New York, New York, USA

Full-time

Headway's mission is a big one - to build a new mental health care system everyone can access. We've built technology that helps people find great therapists with the first software-enabled national network of providers accepting insurance. 1 in 4 people in the US have a treatable mental health condition, but the majority of providers don't accept insurance, making therapy too expensive for most people. Headway is building a new mental healthcare system that everyone can access by making it easy
Posted 46 days ago | Updated 2 hours ago

Epic Billing and Claims Sr. Analyst

Deloitte

•

New York, New York, USA

Full-time

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delive
Posted 6 days ago | Updated 2 hours ago

Epic Billing and Claims Sr. Analyst

Deloitte

•

Jersey City, New Jersey, USA

Full-time

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delive
Posted 6 days ago | Updated 2 hours ago

Epic Billing and Claims Sr. Analyst

Deloitte

•

Morristown, New Jersey, USA

Full-time

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delive
Posted 6 days ago | Updated 2 hours ago

Data Tester Lead with Azure + Insurance Policy + claims system Exp

AQUA Information Systems, Inc.

•

Warren, New Jersey, USA

Contract

Role: Data Tester Lead with Azure + Insurance Policy + claims system Exp. Work Location: Warren, NJ, it s a hybrid role, expectation minimum 3 days work from office in a week is mandatory. Required Qualifications: In this role, we are expecting someone with experience in Azure ADLS gen 2 (data lake) and pipe like ADF/Databricks etc. Data testing is on the Azure data lake target with core Insurance policy, and claims system. Hands on Data Tester exp, Azure, Insurance Policy, claims system Exp. Te
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Posted 20 days ago

Epic Billing and Claims Sr. Analyst

Deloitte

•

Jericho, New York, USA

Full-time

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delive
Posted 6 days ago | Updated 2 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 3 days ago | Updated 10 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 3 days ago | Updated 10 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 3 days ago | Updated 10 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 3 days ago | Updated 10 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 3 days ago | Updated 10 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 3 days ago | Updated 10 hours ago

Claims Systems, Business Solutions Lead Analyst - eviCore - Remote

Cigna

•

Remote

Full-time

Ready to work with a team that improves our business solutions? Do you have a high degree of technical expertise in claims systems? EviCore, a line of business within the Cigna Group, is hiring a Claim Systems, Business Solutions Lead Analyst to provide focused support on implementations, expansions, and client support requests. The Lead Analyst will be responsible for gathering business requirements from internal clients across several disparate systems and external clients, compiling them into
Posted 16 days ago | Updated 2 hours ago

Claims Systems, Technical Lead Analyst - eviCore - Remote

Cigna

•

Remote

Full-time

Ready to work with a team that improves our business solutions? Do you have a high degree of technical and analytical expertise? EviCore a line of business within the Cigna group, is hiring Claim Systems, Technical Lead Analyst. For this highly technical and analytical role. You'll gather requirements across several disparate systems and compile them into a comprehensive functional set of requirements for presentation to internal and external stakeholders. This position will ultimately be a tech
Posted 16 days ago | Updated 2 hours ago

Remote Healthcare Claims Processing Associate (Temporary)

NTT DATA Americas, Inc

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Remote

Contract

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.NTT DATA is seeking to hire a Remote Claims Processing Associate to work for
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Posted 41 days ago | Updated moments ago