Claims Analyst jobs in Trenton, NJ

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Quality Control Analyst
  • VERUS CLAIMS SERVICES LLC
  • Princeton, NJ FULL_TIME
  • Description

    The Quality Control Analyst is responsible for performance of quality control procedures and ensuring compliance with required procedures. Has knowledge of commonly-used quality control concepts, practices, and procedures. Recommends changes to policy and procedure project documents as needed to ensure consistency across departments. Relies on instructions and guidelines to perform the functions of the job.


    Primary Responsibilities

    1. Review and evaluate quality control testing to ensure accuracy, completeness and eligibility.
    2. Performance of various quality control procedures focused on increasing Company accuracy, improving performance, and identifying process improvements.
    3. Recommend changes to documented policies in an effort to ensure consistency across projects and departments.
    4. Maintains working knowledge of all current case management and settlement administration procedures as well as updates in the process necessary to maintain quality assurance responsibilities.
    5. Assists with the preparation of quality documentation and reporting.
    6. Collaborates with team members to help enhance quality measures, improvement programs, and training initiatives.
    7. Helps maintain the quality assurance procedures.
    8. Performs quality review via call monitoring according to established project guidelines.
    9. Present project information/quality reports to Quality Team.
    10. Other specialized tasks focused on process improvement.
    11. Other projects and duties as assigned.

    Requirements

    • Minimum of 2 years relevant work experience.
    • Strong working knowledge of project requirements with the ability to learn additional projects and trusts quickly and accurately.
    • A consistent above average quality and productivity rating.
    • Knowledge of the claims review processes, procedures, and computer system.
    • Strong Computer Skills – Intermediate to Advanced Word and Excel proficiency.
    • Adaptability to changing policies, procedures, and systems.
    • Strong attention to detail and analytical skills.
    • Ability to operate under deadlines while still meeting standards.
    • Compliance orientation with the ability to follow procedures.
    • Effective verbal and written communication skills.
    • A keen eye for detail and a results-driven approach.


    WORKING CONDITIONS

    Normal business office conditions, including working for prolonged periods of time at a computer screen. This role consists of a hybrid schedule of in-office and remote work. 



  • Just Posted

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Claims Reviewer
  • VERUS CLAIMS SERVICES LLC
  • Princeton, NJ FULL_TIME
  • DescriptionVerus Claims Reviewers are responsible for first review and data capture for all types of submitted documentation related to current case management and settlement administration projects. ...
  • 9 Days Ago

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Claims Compliance Analyst
  • Munich Re America
  • Princeton, NJ FULL_TIME
  • Offer:Profile:
  • 14 Days Ago

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Stop Loss Claims Analyst
  • Berkley
  • Hamilton, NJ OTHER
  • Company Details Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a stron...
  • 1 Month Ago

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RI Accounting & Claims Handling Analyst
  • Munich Re America Services
  • Princeton, NJ FULL_TIME
  • Offer:Profile:
  • 10 Days Ago

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Environmental Claims Analyst - W. Trenton, Hammonton or Parsippany
  • NJM Insurance
  • Trenton, NJ FULL_TIME
  • 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 ...
  • Just Posted

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0 Claims Analyst jobs found in Trenton, NJ area

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Epic PB Claims Analyst - FTE and REMOTE!!
  • HCTec
  • North Philadelphia, PA
  • Positions: Epic PB Claims Analyst (W-2, no 3rd party, no C2C) Start: ASAP Salary Range: $95,000-$110,000 (Analyst IV max...
  • 3/19/2024 12:00:00 AM

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Product Design Manager (Hybrid)
  • Cognizant North America
  • Bridgewater, NJ
  • Title: Product Design ManagerThis is NOT a UX/UI position. More of a Business Operations role - Membership enrollment, H...
  • 3/19/2024 12:00:00 AM

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Actuarial Analyst II
  • Insight Global
  • Trenton, NJ
  • - As an Actuarial Analyst II, you will collaborate with other actuaries and colleagues across the company to solve impor...
  • 3/19/2024 12:00:00 AM

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Sr. Business Analyst, Insurance (Eatontown, NJ/Hybrid or Remote)
  • Careerbuilder
  • Eatontown, NJ
  • Sr. Business Analyst, Insurance (Eatontown, NJ/Hybrid or Remote) Exceptional analytical, conceptual thinking and problem...
  • 3/19/2024 12:00:00 AM

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Business Analyst (Glastonbury CT or Remote)
  • Careerbuilder
  • Trenton, NJ
  • Business Analyst (Glastonbury CT or Remote) Job Locations US-CT-GLASTONBURY | US-CT-Remote | US-NJ-Remote | US-TX-Remote...
  • 3/19/2024 12:00:00 AM

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Sr. Business Analyst, Insurance (Eatontown, NJ/Hybrid or Remote)
  • Crum & Forster
  • Eatontown, NJ
  • Crum & Forster Company Overview: Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and stand...
  • 3/18/2024 12:00:00 AM

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Compliance Analyst - Remote
  • Careerbuilder
  • Trenton, NJ
  • Compliance Analyst - Remote Job Locations US-NJ-EATONTOWN | US-NJ-Remote Job ID 2024-3667 Category Compliance & Audit Ty...
  • 3/17/2024 12:00:00 AM

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Compliance Analyst - Remote
  • Crum & Forster
  • Eatontown, NJ
  • Crum & Forster Company Overview: Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standa...
  • 3/16/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 8.155 square miles (21.122 km2), including 7.648 square miles (19.809 km2) of land and 0.507 square mile (1.313 km2) of water (6.21%). Several bridges across the Delaware River – the Trenton–Morrisville Toll Bridge, Lower Trenton Bridge and Calhoun Street Bridge – connect Trenton to Morrisville, Pennsylvania, all of which are operated by the Delaware River Joint Toll Bridge Commission. Trenton is located near the exact geographic center of the state, which is 5 miles (8.0 km) located southeast of Trenton. The city is so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$41,973 to $53,825
Trenton, New Jersey area prices
were up 1.5% from a year ago

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