Claims Processing Manager jobs in Bergenfield, NJ

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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WMi AS400 RPGILE Programmer Analyst
  • Data Processing Resources
  • East Rutherford, NJ FULL_TIME
  • Job Description

    WMi AS400 RPGILE Programmer Analyst                                                                        

    QUALIFACATIONS and EDUCATION REQUIREMENTS                                                                        Analytical Skills

    • Prepare analysis and business design documents, listening to users to understand their needs
    • Familiarity with wholesale, eCommerce and brick-and-mortar retail stores warehousing functions a plus

     

    Technical Skills

    • Create technical design documents
    • Minimum 5 years’ experience with RPG, RPGLE, SQL on i-series
    • Prepare and execute test plans, including set up of test environment Software Skills
    • Minimum 5 years’ experience with Manhattan Associates WMi platform
    • Experience implementing and maintaining new processes and procedures in the Distribution Center
    • Experience implementing and maintaining software bridges between WMi and other packages; experience with RLM and Inovis a plus
    • Experience with WMi upgrades a plus                                        
    • Familiar with interfacing new warehouse technology through WMi, working with 3rd party vendors

    Project Skills

    • Plan day-to-day activities and software projects for the distribution center
    • Actively participate in company projects as the warehousing software expert
    • Prepare and execute implementation plans

    Support

    • Day to day support of WMi software and interfaces & day to day support of special DC equipment and hardware
    • Other activities as required by the business
    • Minimal travel required; some evenings and weekends

     

     

  • 20 Days Ago

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Sterile Processing Technician
  • Trustaff
  • Teaneck, NJ FULL_TIME
  • As a Sterile Processing Technician, you are a critical part of ensuring a clean, pathogen-free patient environment. Sterile Processing Techs document, inspect, and decontaminate medical instruments an...
  • 7 Days Ago

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Order Processing Specialist
  • ASSA ABLOY
  • Carlstadt, NJ FULL_TIME
  • Do you possess excellent analytical and problem-solving skills? Are you a tech savvy and detail-oriented individual? Do you consider yourself to be a customer-centric professional, even under tight de...
  • 7 Days Ago

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Gift Processing Coordinator
  • One Family Fund
  • Teaneck, NJ INTERN,FULL_TIME
  • Join OneFamily Fund in our mission to make a meaningful impact in the lives of Israel’s terror victims! We're on the lookout for an organized and detail-oriented individual to manage donation records,...
  • 2 Days Ago

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Order Processing Specialist
  • assaabloy
  • Carlstadt, NJ FULL_TIME
  • Do you possess excellent analytical and problem-solving skills? Are you a tech savvy and detail-oriented individual? Do you consider yourself to be a customer-centric professional, even under tight de...
  • 4 Days Ago

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Sales Claims Coordinator II
  • Worldlink
  • Ridgefield, NJ FULL_TIME
  • TITLE: Sales Claims Coordinator II POSITION TYPE: Full Time (W2) LOCATION: Ridgefield Park, NJ ABOUT WorldLink: WorldLink is a rapidly growing information technology company at the forefront of the te...
  • 10 Days Ago

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0 Claims Processing Manager jobs found in Bergenfield, NJ area

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Artwork Production Specialist
  • Experis
  • Englewood Cliffs, NJ
  • Our client, ein consumer packaged goods industry is seeking an Artwork Production Specialist to join their team. The ide...
  • 4/16/2024 12:00:00 AM

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Operational Process, Manager
  • Veterinary Emergency Group
  • White Plains, NY
  • WHO WE ARE Veterinary Emergency Group (VEG) is a rapidly growing, venture-backed veterinary emergency company with hospi...
  • 4/16/2024 12:00:00 AM

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Order Processing Manager
  • sulekha.co.uk
  • New York, NY
  • Order Processing Manager Jobs in New York, NY *Work Experience***0 - 20 Years** *Job Role**Work Experience***0 - 20 Year...
  • 4/16/2024 12:00:00 AM

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Wholesale Operations Coordinator
  • TOD'S
  • New York, NY
  • The Wholesale operations Coordinator is responsible for executing the Order to Delivery process, system & process manage...
  • 4/16/2024 12:00:00 AM

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Business Process Manager
  • Careerbuilder
  • New York, NY
  • Who we are At Lovingly, we're revolutionizing the online flower and gift-buying experience. Our curated marketplace conn...
  • 4/15/2024 12:00:00 AM

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EPX Risk Leader - Enterprise Services Risk Office (ES Risk)
  • Capital One
  • New York, NY
  • Center 3 (19075), United States of America, McLean, Virginia EPX Risk Leader - Enterprise Services Risk Office (ES Risk)...
  • 4/15/2024 12:00:00 AM

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Sourcing Manager/Contract management/RFP process - ONSITE
  • Maxis Clinical Sciences
  • Ridgefield, CT
  • Job Description Job Description Job Title: Sourcing Manager Duties: - Implement complex Category Strategy following TOM ...
  • 4/13/2024 12:00:00 AM

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Compensation Lead
  • Tandym Group
  • New York, NY
  • Our client is a Global Commercial Real Estate firm looking to add a Compensation Lead to their team. This individual wil...
  • 4/12/2024 12:00:00 AM

Bergenfield is a borough in Bergen County, New Jersey, United States. As of the 2010 United States Census, the borough's population was 26,764, reflecting an increase of 517 (+2.0%) from the 26,247 counted in the 2000 Census, which had in turn increased by 1,789 (+7.3%) from the 24,458 counted in the 1990 Census. Bergenfield was formed on the basis of a referendum held on June 25, 1894, from portions of Englewood Township and Palisades Township.[21][22][23] The borough was formed during the "Boroughitis" phenomenon then sweeping through Bergen County, in which 26 boroughs were formed in the co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$109,229 to $141,076
Bergenfield, New Jersey area prices
were up 1.5% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019