Claims jobs in newark USA
80 claims jobs found in newark: showing 1 - 50
Healthcare Payer Enterprise Architect
Company: Siri InfoSolutions |
of: o Claims systems, eligibility, benefits, provider workflows o Integration frameworks and healthcare data standards Proven... architecture design across core payer domains: o Claims adjudication o Enrollment & eligibility o Provider networkLocation: Newark, NJ, USA
| Salary: US$110000 - 150000 per year | Date posted: 15 Aug 2026
Medical Policy Analyst (part-time - 32 Hrs Weekly)
Company: Horizon Blue Cross Blue Shield of New Jersey |
, the Company succeeds. About the Role This position is responsible for the medical policy determination of claims/cases... records and claims, the individual will ensure compliance with clinical guidelines, medical policies, plan benefitsLocation: Newark, NJ, USA
| Salary: US$70500 - 94395 per year | Date posted: 15 Aug 2026
Senior Appeals Analyst - Ltd
Company: Prudential Financial |
. Qualifications 3-5 years of experience in stand-alone Long Term Disability claims required. Disability Appeals experience highly... preferred. Experience with Short Term Disability and Life Waiver of Premium claims preferred. College Degree preferredLocation: Newark, NJ, USA
| Salary: US$66700 - 110100 per year | Date posted: 14 Aug 2026
Senior Appeals Analyst - Std
Company: Prudential Financial |
-Term Disability claims required. Disability Appeals experience highly preferred. College Degree preferred. WorkingLocation: Newark, NJ, USA
| Salary: US$66700 - 110100 per year | Date posted: 14 Aug 2026
Trainer I
Company: Horizon Blue Cross Blue Shield of New Jersey |
) certification. Healthcare industry knowledge. Claims processing experience. Knowledge & Competencies Customer focusLocation: Newark, NJ, USA
| Salary: US$56200 - 75285 per year | Date posted: 13 Aug 2026
Head Of Disability & Voluntary Benefits Claims Operations
Company: Prudential Financial |
Job Classification: Operations - Insurance Operations Head of Disability & Voluntary Benefits Claims Operations... Benefits Claims organization. This role is responsible for the strategy, performance, and transformation of claims operationsLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 13 Aug 2026
Superintendent
Company: Michael Page |
. Review, respond, and resolve subcontractor schedule impacts and or claims of productivity impacts. Manage and make decisionsLocation: Newark, NJ, USA
| Salary: US$100000 - 120000 per year | Date posted: 13 Aug 2026
General Liability Associate Attorney
Company: Lewis Brisbois Bisgaard & Smith |
claims, for both businesses and individuals who may be insured or self-insured. While the attorneys within the firm... skills and at least one (1) to seven (7) years of experience defending professional liability claims involving DirectorsLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 12 Aug 2026
Content Claims Specialist - Field - Level I
Company: Crawford & Company |
Start Your Claims Career in the Field - Join Our Growing Team! Location: Newark, NJ Allentown, PA Lancaster... as Content Claims Specialists and their respective roles/contributions in the claims handling process. Complete physicalLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 12 Aug 2026
Dental Regional Manager
Company: NÜVA Smile |
with policy (i.e. Proper documentation, approval from director/managing dentist, etc.) Auditing insurances and billing claimsLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 12 Aug 2026
Dental Assistant
Company: Adecco |
documentation. Assist with insurance claims, billing, and patient communications. Answer phone calls and provide exceptionalLocation: Newark, NJ, USA
| Salary: US$31 - 33 per hour | Date posted: 12 Aug 2026
Human Resources & Recruiting Manager
Company: Haddad Plumbing & Heating |
Procedures Manage workplace injury reporting, workers' compensation claims, and OSHA documentation from initial incident throughLocation: Newark, NJ, USA
| Salary: US$85000 - 100000 per year | Date posted: 12 Aug 2026
Customer Support Specialist
Company: Del Toro Insurance |
customers with policy changes, claims processing, and general questions Maintain accurate records of customer interactionsLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 10 Aug 2026
Pricing Actuary - Insurance - Remote
Company: Work at Home |
with key business stakeholders in Underwriting, Finance, Reserving and Claims to support adequate pricing and profitable growthLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 10 Aug 2026
Property Manager, Somerset Homes & Livingston Homes
Company: Vesta Corporation |
, and legal action as necessary. Manage and ensure all Housing Assistance Payments, including special claims are requestedLocation: Newark, NJ, USA
| Salary: US$70000 - 75000 per year | Date posted: 08 Aug 2026
Billing Specialist
Company: University Hospital Newark, NJ |
: What Youll Do Performs pre-billing preparations as required for electronic and manual claims submission. Reviews pre-bill edit.../error reports and makes necessary corrections; Resubmits claims. Obtains and/or corrects any missing data elementsLocation: Newark, NJ, USA
| Salary: US$30.48 per hour | Date posted: 08 Aug 2026
Assistant Property Manager, Zion Towers
Company: Vesta Corporation |
by management. Manage and ensure all Housing Assistance Payments, including special claims are requested and received as applicableLocation: Newark, NJ, USA
| Salary: US$32 - 34 per hour | Date posted: 08 Aug 2026
Family Law Attorney
Company: unknown |
research, and discovery related to construction defect claims. 3. Drafting, reviewing, and negotiating legal documentsLocation: Newark, NJ, USA
| Salary: US$100000 - 150000 per year | Date posted: 07 Aug 2026
Billing Specialist
Company: University Hospital Newark, NJ |
What Youll Do Performs pre-billing preparations as required for electronic and manual claims submission. Reviews pre-bill edit.../error reports and makes necessary corrections; Resubmits claims. Obtains and/or corrects any missing data elementsLocation: Newark, NJ, USA
| Salary: US$30.48 per hour | Date posted: 07 Aug 2026
Operations Manager
Company: SP+ |
for cleanliness standards. Monitor and review all damage claims. Recommend and implement plans or programs to improve the safety... of operations to prevent the occurrence or reoccurrence of similar claims. Implement all policies and procedures to ensureLocation: Newark, NJ, USA
| Salary: US$60000 per year | Date posted: 06 Aug 2026
Risk Manager
Company: RWJBarnabas Health |
claims involving patients, visitors, employees, and property, including referral to insurance carriers as appropriate Review... reports Handle hospital claims and litigation matters, including claim assessment, discovery coordination, subpoena responsesLocation: Newark, NJ, USA
| Salary: US$95000 - 115000 per year | Date posted: 05 Aug 2026
Hosp Contracting Spec Ii
Company: Horizon Blue Cross Blue Shield of New Jersey |
requests, claims stops and new hospital implementation. Review technical inefficiencies as it relates to system wide claims... file maintenance requests, claims stops, and new hospital implementations are resolved. Analyze contracts to identifyLocation: Newark, NJ, USA
| Salary: US$87300 - 119070 per year | Date posted: 05 Aug 2026
Pharmacy Customer Service Associate
Company: Walgreens |
, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services... of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandiseLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 05 Aug 2026
Director, Group Underwriting
Company: Prudential Financial |
, Actuarial, Claims, Product, and other business stakeholders to develop market strategies, optimize underwriting performance..., Claims, Product, Finance, and other functional teams to deliver effective underwriting solutions. Participate in highLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 05 Aug 2026
Network Contracting Acct Spec
Company: Horizon Blue Cross Blue Shield of New Jersey |
requests, claims stops and new hospital implementation. Review technical inefficiencies as it relates to system wide claims... file maintenance requests, claims stops, and new hospital implementations are resolved. Analyze contracts to identifyLocation: Newark, NJ, USA
| Salary: US$87300 - 119070 per year | Date posted: 04 Aug 2026
Pharmacy Operations Manager
Company: Walgreens |
claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medicalLocation: Newark, NJ, USA
| Salary: US$22.5 - 31 per hour | Date posted: 04 Aug 2026
Pharmacy Intern
Company: Walgreens |
of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandiseLocation: Newark, NJ, USA
| Salary: US$18 - 31 per hour | Date posted: 04 Aug 2026
Fraud Analytics And Innovation Senior Analyst - Digital Fraud Strategies
Company: Bank of America |
to fraud and claim activity Validate the integrity and quality of data required for performing analysis Partner with claims... and metrics to identify root causes Basic understanding of 1st and 3rd party fraud (claims to charge-off timing, chargebackLocation: Newark, NJ, USA
| Salary: US$100000 - 133600 per year | Date posted: 04 Aug 2026
Appointment Setter - Base + Commission
Company: Magic Roofing |
about roof damage from storm, hail, or wind Educate homeowners on the insurance claims and restoration process BuildLocation: Newark, NJ, USA
| Salary: US$55000 per year | Date posted: 02 Aug 2026
Therapist - Remote
Company: Guideline Healthcare |
Schedule- Set your own hours and caseload Insurance clients available Therapy focused model- no claims, billingLocation: Newark, NJ, USA
| Salary: US$100000 per year | Date posted: 02 Aug 2026
Pharmacy Technician / Pharm Tech Apprenticeship
Company: Walgreens |
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortagesLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 02 Aug 2026
Therapist - Remote
Company: Guideline Healthcare |
Schedule- Set your own hours and caseload Insurance clients available Therapy focused model- no claims, billingLocation: Newark, NJ, USA
| Salary: US$100000 per year | Date posted: 02 Aug 2026
Roofing Sales Representative - Pto & Company Car - $1,500 - $3,500/week
Company: Magic Roofing |
claims process, and close high-value restoration projects. This is a high-income opportunity ideal for individuals who... inspections to identify storm, hail, or wind damage Educate homeowners on the insurance claims and restoration process BuildLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 01 Aug 2026
Appointment Setter - Base + Commission
Company: Magic Roofing |
about roof damage from storm, hail, or wind Educate homeowners on the insurance claims and restoration process BuildLocation: Newark, NJ, USA
| Salary: US$55000 per year | Date posted: 01 Aug 2026
Project Manager - Water/wastewater Utility
Company: Michael Page |
utilization, and material expenditures. Prepare and negotiate change orders, claims, and contract modifications. Review monthlyLocation: Newark, NJ, USA
| Salary: US$150000 - 180000 per year | Date posted: 01 Aug 2026
Senior Hospital Applications Analyst (epic Resolute Claims And Remittance)
Company: University Hospital Newark, NJ |
Billing claims and remittance programming functions within Epic. Fundamental responsibilities of this position will include... programming within Epic to ensure accurate and timely claims and remittance. The individual must work closely with financialLocation: Newark, NJ, USA
| Salary: US$89754 - 129432 per year | Date posted: 30 Jul 2026
Nasco Claims Domain Specialist
Company: Purple Drive Technologies |
15+ years of experience in US Healthcare Insurance with strong NASCO Claims domain expertise. Serve as the primary SME... for end-to-end NASCO Claims Processing (Professional, Institutional, and Pharmacy claims). Lead UAT planning, executionLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 29 Jul 2026
Sr Project Executive
Company: Gilbane |
potential claims and deviations Ensures team creates a project-specific quality plan aligned with the owner contractLocation: Newark, NJ, USA
| Salary: unspecified | Date posted: 29 Jul 2026
Actuarial Analyst Iii
Company: Horizon Blue Cross Blue Shield of New Jersey |
organizational goals. What You'll Do Data Analysis & Reporting Collect, analyze, and interpret financial, claims, membershipLocation: Newark, NJ, USA
| Salary: US$87300 - 119070 per year | Date posted: 29 Jul 2026
Operations Technical Specialist - Fed Settlements (hybrid- Newark, Nj Or Edgewood, Li)
Company: Broadridge Financial Solutions |
, and manage aged fail items, including support for CPR Claims processing and resolution. Support activities aligned with TMPGLocation: Newark, NJ, USA
| Salary: US$100000 - 105000 per year | Date posted: 29 Jul 2026
Mgr, Actuarial Ii
Company: Horizon Blue Cross Blue Shield of New Jersey |
. Monitor regulatory, operational, and claims-related developments that may affect NSA financial results and communicateLocation: Newark, NJ, USA
| Salary: US$125000 - 170625 per year | Date posted: 28 Jul 2026
Pharmacy Customer Service Associate
Company: Walgreens |
, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services... of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandiseLocation: Kearny, NJ, USA
| Salary: unspecified | Date posted: 26 Jul 2026
Sr. Oncology Sales Specialist- S2 - (hackensack, Nj)
Company: Eisai |
, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and stateLocation: Newark, NJ, USA
| Salary: US$151040 - 198200 per year | Date posted: 24 Jul 2026
Claims Negotiation Analyst (out Of Network Mandates)
Company: Horizon Blue Cross Blue Shield of New Jersey |
and/or telephone customer service experience screening, investigating and examining inquiries Experience in claims processing... necessary Ability to navigate the various claims and service operations systems Healthcare industry experience helpfulLocation: Newark, NJ, USA
| Salary: US$58029 - 77074 per year | Date posted: 23 Jul 2026
Trainer Ii
Company: Horizon Blue Cross Blue Shield of New Jersey |
training administration systems helpful, healthcare industry knowledge, claims processing experience helpful DynamicLocation: Newark, NJ, USA
| Salary: US$63000 - 84420 per year | Date posted: 23 Jul 2026
High School Physics Teacher
Company: Uncommon Schools |
. You will facilitate student-led discourse, during which students use evidence to make sophisticated claims and synthesize and critiqueLocation: Newark, NJ, USA
| Salary: US$60000 - 90000 per year | Date posted: 19 Jul 2026
High School Ela Teacher
Company: Uncommon Schools |
skills. You'll facilitate student-led discourse, teaching students to use evidence to make sophisticated claimsLocation: Newark, NJ, USA
| Salary: US$60000 - 85000 per year | Date posted: 19 Jul 2026
Pharmacy Intern
Company: Walgreens |
of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandiseLocation: East Orange, NJ, USA
| Salary: US$18 - 31 per hour | Date posted: 18 Jul 2026
High School Science Teacher
Company: Uncommon Schools |
. You will facilitate student-led discourse, during which students use evidence to make sophisticated claims and synthesize and critiqueLocation: Newark, NJ, USA
| Salary: US$60000 - 85000 per year | Date posted: 18 Jul 2026
Patient Service Representative
Company: Central Jersey Medical Center |
that we are the PCP, where necessary. Make adjustments to the computer classification of claims to most accurately reflect the