<p>We are looking for a dedicated Personal Injury Claims Representative to join our team in the Lawrenceville, New Jersey area. In this role, you will manage complex personal injury protection claims, ensuring compliance with company policies and regulatory requirements. This position requires a detail-oriented individual with strong analytical skills and a commitment to delivering high-quality service.</p><p><br></p><p>Salary is 58,240 - 76,960.</p><p><br></p><p>Benefits include medical, dental, vision insurance, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate assigned claims, confirm coverage, verify eligibility, and determine the appropriate course of action.</p><p>• Evaluate gathered information to assess claim validity, injury extent, and potential exposure.</p><p>• Establish and maintain accurate reserves for each claim based on exposure estimates.</p><p>• Coordinate medical case reviews, independent medical examinations, or expert consultations when necessary.</p><p>• Respond to inquiries and concerns from subscribers, claimants, attorneys, and healthcare providers.</p><p>• Document claim files comprehensively and maintain an organized follow-up system for timely reporting.</p><p>• Ensure claims are managed in alignment with the organization's Decision Point Review Plan.</p><p>• Collaborate with internal departments and external specialists to optimize claim outcomes.</p><p>• Oversee loss adjustment expenses and manage vendor activities to ensure efficient and necessary work completion.</p><p>• Adhere to guidelines outlined in the Unfair Claim Practices Acts and other relevant regulations.</p>
<p>Our client is looking for a dedicated Bodily Injury Claims Representative in the Lawrenceville, NJ area to manage non-litigation auto insurance claims, including uninsured and underinsured motorist cases. This role requires a strong understanding of insurance policies and the ability to assess claims effectively. </p><p><br></p><p>Salary is 60,000 - 79,000. </p><p><br></p><p>Benefits include medical, dental, and vision coverage, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate claims thoroughly to validate their authenticity, assess policy coverages, and determine if special investigations are necessary.</p><p>• Set appropriate reserves based on claim details and adjust them as new information becomes available.</p><p>• Negotiate settlements with claimants, attorneys, and other involved parties while adhering to company policies.</p><p>• Issue accurate payments promptly and ensure all transactions align with regulatory standards.</p><p>• Recognize potential fraud or questionable claims and escalate them to the special investigation unit when required.</p><p>• Maintain organized records and follow up regularly to ensure claims are resolved in a timely manner.</p><p>• Ensure compliance with state and local regulations, including NJ, PA, and Michigan Unfair Claims Practices guidelines.</p><p>• Complete other assigned duties as needed to support the claims process.</p>
We are looking for an experienced Claims Manager to lead and oversee claims operations within our organization. This role requires a strong background in claims management and team supervision, with a focus on ensuring efficient workflows and high-quality results. Located in Trevose, Pennsylvania, this position offers the opportunity to collaborate with cross-functional teams and drive process improvements.<br><br>Responsibilities:<br>• Lead and manage a team of claims specialists, assigning tasks, monitoring productivity, and providing coaching to ensure optimal performance.<br>• Evaluate and streamline workflow processes to enhance efficiency and maintain quality standards.<br>• Address personnel matters including performance evaluations, career development planning, and managing employee relations.<br>• Conduct root cause analyses and trend reviews to identify and resolve data errors within operational systems.<br>• Serve as the primary liaison between the claims department and other business units to ensure smooth communication and collaboration.<br>• Partner with operational teams to refine claims processing workflows and improve overall system efficiency.<br>• Utilize advanced skills in Microsoft Office tools such as Excel, Word, Access, Visio, and PowerPoint to support reporting and analysis.<br>• Provide guidance and training to team members, fostering their attention to detail and ensuring alignment with organizational goals.<br>• Monitor and analyze performance metrics to identify opportunities for improvement and implement corrective actions.
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Mt. Laurel, New Jersey. This long-term contract position offers the opportunity to utilize your medical billing expertise, specifically focusing on Medicaid and Medicare claims. The ideal candidate is detail-oriented, has a strong understanding of medical collections processes, and is eager to contribute to the financial health of the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims accurately for Medicaid, Medicare, and other insurance providers.</p><p>• Handle medical collections, ensuring timely follow-up on outstanding accounts.</p><p>• Investigate and resolve medical billing denials to secure payment.</p><p>• Prepare and submit appeals for denied claims as needed.</p><p>• Manage hospital billing procedures with precision and compliance.</p><p>• Communicate effectively with insurance companies and healthcare providers to resolve discrepancies.</p><p>• Maintain detailed records of billing activities and collections.</p><p>• Collaborate with internal teams to ensure proper documentation and coding.</p><p>• Stay updated on healthcare billing regulations and compliance standards.</p>
<p>Robet Half is looking for a skilled Medical Billing Specialist to join a team based in Philadelphia, Pennsylvania. In this Contract to permanent Medical Billing Specialist role, you will play a crucial part in ensuring accurate and efficient management of patient billing and insurance claims. The ideal Medical Billing Specialist candidate is detail-oriented, well-versed in medical billing processes, and capable of maintaining data integrity across systems. If you are looking for an opportunity to get your career moving in the right direction, then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013366684.</p><p><br></p><p><br></p><p>As a Medical Billing Specialist Your Responsibilities will include but are not limited to:</p><p>• Accurately input patient demographics, insurance details, and billing data into electronic medical records and billing systems.</p><p><br></p><p>• Examine documents such as charge tickets, encounter forms, and referrals to confirm completeness and accuracy before data entry.</p><p><br></p><p>• Utilize knowledge of medical codes to validate and ensure the accuracy of entered data.</p><p><br></p><p>• Investigate and resolve discrepancies in patient accounts, insurance details, or claims information.</p><p><br></p><p>• Prepare billing data for submission to insurance providers while adhering to established processes.</p><p><br></p><p>• Ensure compliance with privacy policies and regulatory guidelines in all billing operations.</p><p><br></p><p>• Collaborate with clinical teams and administrative staff to address and clarify documentation issues.</p><p><br></p><p>• Contribute to audits, report generation, and data clean-up tasks as assigned.</p><p><br></p><p>• Support the billing department by maintaining organized and accurate records for efficient workflows.</p>
We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in hospital billing and appeals, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.<br>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.<br>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.<br>• Prepare and submit medical appeals to recover denied or underpaid claims.<br>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.<br>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.<br>• Maintain detailed records of billing and collection activities for auditing purposes.<br>• Collaborate with healthcare providers and administrative teams to streamline billing processes.<br>• Identify opportunities to improve efficiency within the billing and collections workflow.<br>• Provide regular updates on accounts and collections to management.
<p>We are looking for an experienced attorney to join our client's well-respected law firm on their General Liability team in Philadelphia, Pennsylvania. This role offers an exciting opportunity for a mid-level lawyer to handle a variety of insurance defense and liability litigation matters. The ideal candidate will bring strong analytical skills, legal expertise, and a commitment to delivering excellent results.</p><p><br></p><p>Responsibilities:</p><p>• Manage a diverse range of general liability litigation cases from inception to resolution.</p><p>• Draft and file legal pleadings, motions, and briefs with precision and attention to detail.</p><p>• Conduct thorough discovery processes, including reviewing documents and preparing responses.</p><p>• Take depositions to gather essential case information and build effective legal strategies.</p><p>• Represent clients in arbitrations, trials, and other legal proceedings.</p><p>• Provide expert advice on insurance defense matters, ensuring compliance with relevant laws and regulations.</p><p>• Collaborate with senior attorneys and legal teams to develop case strategies and solutions.</p><p>• Maintain clear and consistent communication with clients regarding case progress and legal options.</p><p>• Stay updated on legal trends and changes in liability and insurance defense laws.</p><p>• Contribute to the firm's growth by mentoring less experienced team members and sharing expertise.</p>
We are looking for an experienced Insurance Defense Associate to join our dynamic legal team in Philadelphia, Pennsylvania. This role is ideal for a dedicated individual who is eager to work in a collaborative yet fast-paced environment, managing complex litigation cases and providing exceptional legal support. If you have a passion for insurance defense and a commitment to delivering high-quality legal services, we encourage you to apply.<br><br>Responsibilities:<br>• Analyze new case files to formulate strategic action plans and provide recommendations.<br>• Draft and review pleadings, motions, and other legal documents, ensuring accuracy and adherence to procedural requirements.<br>• Oversee discovery processes, including preparing responses and managing document production.<br>• Represent clients in depositions, hearings, and other litigation events, delivering comprehensive updates and reports.<br>• Negotiate settlements effectively and obtain necessary approvals while preparing cases for trial when required.<br>• Collaborate closely with paralegals and legal assistants to ensure seamless case management.<br>• Conduct legal research to support case strategies and arguments.<br>• Maintain consistent communication with clients to provide updates and address inquiries.<br>• Monitor case progress and deadlines to ensure timely execution of all legal tasks.
