3 claim specialist jobs found in Trenton, NJ

The Commercial Claims department is seeking a Commercial Claims Specialist II . A Claims Specialist handles all lines of Commercial business including coverage issues and litigation exposures. The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creative & analytic proactive problem solver. Also, can prioritize work assignments, is an independent worker but can work as a member of the team. Individuals should be decisive, "own" the decisions they make, and the work produced, responsible, dependable and developing presentation skills. Schedule: Monday-Friday, specific hours are subject to selected start times between 8:00am-9:00am pending supervisory approval. Essential Duties and Responsibilities: Essential functions of this job are listed below in order of priority. Reasonable accommodations may be made to enable individuals to...

New Jersey Manufacturers Insurance Company has an opening for a Coding & Reimbursement Specialist in its Medical Claim Services Department.  The location for this position will be based in West Trenton.  The department is seeking an individual that can be a team player while accurately and efficiently auditing medical bills by applying the correct medical, coding, and regulatory guidelines. Hours:  Monday to Friday from 8AM to 4:15PM Hybrid opportunity once training is complete Essential Duties and Responsibilities: Essential functions of this job are listed below in order of priority. Reasonable accommodations may be made to enable individuals to perform the essential duties. Regular and predictable onsite attendance is an essential function of the job. Accurately and clearly apply regulatory, coding, and medical guidelines, as well as company policies and procedures to audited bills. Bill negotiation. Provide concise and clear instructions for bill...

​ General Summary:  A brief description of the main purpose for this position.   The Commercial Claims Supervisor is responsible for leading a team of Commercial Line adjusters and successfully interact with our internal and external business partners. Essential Duties and Responsibilities: Essential functions of this job are listed below in order of priority. Reasonable accommodations may be made to enable individuals to perform the essential duties. Regular and predictable onsite attendance is an essential function of the job. The position requires excellent communication and time management skills as well as a strong organizational background. This individual must be a creative & proactive problem solver, analytical and an independent contributor who can also work as a member of the team. The successful candidate will also be a disciplined self-starter, decisive, “own” their decisions and the work they produce. Must be able to manage their own team and work...