We're looking for an Operations Analyst to serve as a business analyst for Westfield Specialty Claims. In this role, you'll assist in creating and refining business and functional requirements for claims processing and administration, as well as third party solutions and reporting integrations. You'll need to plan, organize, and prioritize your workload to meet multiple t

We are seeking an Underwriting Assistant to join our Financial Lines team based in either our either Berkeley Heights, NJ or Chicago, IL offices but open to other locations based on candidate qualifications. The Underwriting Assistants review and analyze incoming transactions and related information for completeness, accuracy and quality. They are responsible for multi li

We're looking for a Dispute Resolver Intern to join our Dispute Team in Bridgewater, NJ. Working for Signify means being creative and adaptive. Our culture of continuous learning and commitment to diversity and inclusion creates an environment that allows you to build your skills and career. Together, we're transforming our industry. As the world leader in lighting, we're

As a member of the Customer Service Center Processing Support Team, ensure efficient and timely processing of all work assignments into applicable business systems with adherence to established procedures to assist in the attainment of service level goals throughout the Customer Service Center (CSC). Responsibilities may include Assist in the research and identification p

Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. Job Description Do you value working with customers, communities, building code officials, and fire department officials, and e

Enter all monetary transactions (bound accounts, endorsements, cancellations, etc.) into our local bordereau. Reconcile monthly corporate reports. Forward loss runs to respective broker. Update all spreadsheets daily (Local Bordereau, deal tracker and Master Log) Send weekly policy draft list, accounts to be peer reviewed to the respective underwriter, open invoice and de

Claims Program Manager, Medical Stop Loss (Remote or Eatontown, NJ) Job Locations US NJ EATONTOWN | US NJ Remote | US FL Remote | US TX Remote Job ID 2023 3471 Category Claims Type Regular Division A&H Crum & Forster Company Overview Crum & Forster (C&F) Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance p

This position provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 51+ markets. This position will support Rating & Underwriting services for Stop Loss products. Develops and issues proposal rates for group size 51+ and experience rated proposals. Develops and issues experience rated renewals for grou

Responsible for data entering all patient and specimen information into the laboratory information system. Verifies requisitions for completeness of patient and client information. Accurately enters all patient and specimen information into laboratory information system (patient name, location, site, etc.). Pulls orders when applicable for Clients that use bidirectional i

Patient Accounts Representative, Collections, Remote Req # 0000148177 Category Billing/Collections/Registration Status Full Time Shift Day Facility RWJBarnabas Health Corporate Services Department Patient Accounts Location System Business Office, 2 Crescent Place, Oceanport, NJ 07757 Job Summary The Patient Accounts Representative position supports the reduction of Accoun

The Experience Manager assists with controlling the optimization of the guest and employee experience by coordinating onsite service teams, training team members on enhanced engagement systems, and using recorded metrics to track and close service delivery gaps. This position reports into the Director of Experience. Key Responsibilities Experience Facilitation Owns the em

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Maintains positive and productive relations with payor representatives, providers, professional services, medical staff services, and the revenue cycle to successfully expedite the enrollment/re enrollment process. Helps resolve issues to ensure that revenue is not negatively impacted. Job Duties Maintains an expanded knowledge and thorough understanding of the IntelliApp

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off