Claims Analyst Medical Malpractice - Hamburg, NY Diedre Moire Corp.Claims Analyst Medical Malpractice - Hamburg, NYHamburg, NY$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
NewReinsurance Analyst - Ceded Treaty Focus - Hybrid Kforce Inc.Reinsurance Analyst - Ceded Treaty Focus - HybridNew York, NY$190,000–$250,000Work in partnership with Global Commercial Casualty Underwriting, Finance, Actuarial, and Claims to collect and analyze data, risk profiles, loss history, and submission information. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.
Global Cards Solutions Specialist II - Operations United Nations Federal Credit UnionGlobal Cards Solutions Specialist II - OperationsNew York, NY$62,290 / yearFull timeUphold UNFCU’s mission, core values, and guiding principles by consistently demonstrating service excellence and delivering an exceptional experience to members and colleagues, regardless of role or seniority. Review chargeback and arbitration documentation for card fraud cases, determine appropriate action, and collaborate with the Accounting Department to reconcile fraud and dispute accounts.
NewFleet Maintenance Manager Dollar GeneralFleet Maintenance ManagerAmsterdam, NYManages equipment maintenance and repair on trucks, trailers, liftgates, yard trucks and refrigeration units, while simultaneously assuring efficient and safe fleet operation. See Advantage AI Privacy Policy at https://www.advantage.ai/legal/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
HealthCare Claims Analyst VillageCareHealthCare Claims AnalystNew York, NY$65,294.40–$72,277 / yearYou will play a critical role in understanding healthcare reimbursement from both financial and operational perspectives, conducting audits, and performing root cause analysis to resolve identified issues with internal teams and third-party administrators (TPAs). To excel as a Full-Time HealthCare Claims Analyst at VillageCare, candidates must possess a Bachelor's Degree in a relevant field such as Computer Science, Mathematics, Statistics, or Engineering, with a Master's degree preferred.
HealthCare Claims Analyst Village CareHealthCare Claims AnalystNew York, NY$65,294.40–$72,277 / yearYou will play a critical role in understanding healthcare reimbursement from both financial and operational perspectives, conducting audits, and performing root cause analysis to resolve identified issues with internal teams and third-party administrators (TPAs). To excel as a Full-Time HealthCare Claims Analyst at VillageCare, candidates must possess a Bachelor's Degree in a relevant field such as Computer Science, Mathematics, Statistics, or Engineering, with a Master's degree preferred.
Senior Claims Analyst - Healthcare and Lawyers Professional Liability The Hartford Insurance Group IncSenior Claims Analyst - Healthcare and Lawyers Professional LiabilityNew York, NY$108,800–$163,200 / yearPlan, recommend, reserve, and execute file strategies including investigation, valuation, disposition, and settlement of assigned claims of low to moderate exposure and/or complexity, in a manner consistent with corporate claim settlement policies and procedures, and statutory, regulatory and ethics requirements. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Part-time Biller/Coder - Claims Analyst Alera Group IncPart-time Biller/Coder - Claims AnalystNYRemote$50–$65 / hourThe Part-time Biller/Coder - Claims & Alert/Trigger Criteria supports Vital Oversight's continuous monitoring of medical and pharmacy claims by reviewing claims for coding accuracy and reimbursement appropriateness and by developing and maintaining alert and trigger logic that identifies high-risk or outlier claims. This role works collaboratively with claims, clinical, and oversight stakeholders to surface actionable findings that support proactive cost and payment integrity oversight.
Health Plan Claims Analyst I- Environmental Medicine Mount Sinai Health SystemHealth Plan Claims Analyst I- Environmental MedicineNew York, NY$64,526.72–$81,675 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Claims Analyst Human HireClaims AnalystWhite Plains, NYResearch and perform claim investigations, update claims system with relevant notes, and handle various claim-related tasks. HumanHire is working with one of the largest insurance companies in New York, to help find a Claims Analyst for their White Plains office.
Sr. Claims Analyst, D&O Allied World Assurance Company LtdSr. Claims Analyst, D&ONew York, NY$110,000–$125,000 / yearThe actual base pay for the position may be above or below the listed range and determined by a number of considerations, including but not limited to complexity, location, and scope of the role, along with experience, skills, education, training, and other conditions of employment. We are a subsidiary of Fairfax Financial Holdings, Limited and benefit from a strong capital base and a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways.
AVP, Senior Claims Analyst RenRe North America Employee ServicesAVP, Senior Claims AnalystNew YorkThe AVP, Senior Claims Analyst is responsible for, but not limited to analysing, and processing claims under the applicable (re)insurance contracts, performing claims audits, providing analysis to underwriters and reserving actuaries, and participate in and lead collaborative projects in support of other areas of the company, including finance, actuarial, operations and technology. In addition, candidates are required to have detailed knowledge and understanding both of technical claims matters and legal aspects for those jurisdictions where it anticipated claims will arise (US/Continental Europe/UK/Asia Pacific - dependent upon role location).
Sr. Claims Analyst, Primary Construction Allied World Assurance Company LtdSr. Claims Analyst, Primary ConstructionNew York, NY$110,000–$125,000 / yearJob Requirements: A minimum of four (4) years of experience handling liability insurance claims or related relevant experience, including General Liability claims in the construction context (Construction Defect) and Casualty claims, with specific experience handling New York Labor Law matters. '',''US-NY-New York'',''US-NY-New York'',''US-Nashville, US-MA-Boston, US-NJ-Iselin, US-NY-Jericho, US-TX-Dallas, US-PA-Philadelphia, US-IL-Chicago, US-TX-Houston, US-CT-Farmington, US-GA-Atlanta'',''US-Nashville, US-MA-Boston, US-NJ-Iselin, US-NY-Jericho, US-TX-Dallas, US-PA-Philadelphia, US-IL-Chicago, US-TX-Houston, US-CT-Farmington, US-GA-Atlanta'',''.
Employment Practices Liability Claims Analyst The Hartford Insurance Group IncEmployment Practices Liability Claims AnalystNY$82,800–$124,200 / yearCandidates should demonstrate the following competencies: Excellent oral and written communication skills; Strong strategic thinking abilities and execution skills; An ability to communicate thoughts clearly and concisely, and to influence and persuade others; Superior interpersonal skills, with an ability to work well as part of a team and/or in supporting roles. Experience, education and skills: Bachelor's degree required; professional designation and/or legal degree a plus; Insurance company (or law firm) experience a plus; Basic knowledge/understanding of professional lines, and/or litigated coverage and liability exposure desired; EPL a plus.
Epic HB & HB Claims Analyst Computer Task Group, IncEpic HB & HB Claims AnalystNY$120,000–$130,000 / yearKey Responsibilities Provide day-to-day support for Epic HB and HB Claims functionality, including claims generation, edits, rejections, and follow-up workflows Serve as a subject matter resource for Patient Accounting and Patient Billing teams, translating operational needs into Epic solutions Troubleshoot claims-related issues, including payer rejections, billing errors, and configuration impacts Assist with system optimization, workflow improvements, and operational efficiencies related to hospital billing processes Collaborate with IT, Revenue Cycle, and Compliance teams to resolve defects, implement enhancements, and support regulatory or payer-driven changes Support testing activities for upgrades, patches, and new functionality (unit, integrated, and user acceptance testing) Create and maintain documentation for workflows, system configurations, and support procedures Participate in root cause analysis and continuous improvement initiatives focused on claims accuracy and cash flow Required Experience & Qualifications Epic HB / HB Claims certified Hands-on experience supporting Epic HB in a healthcare environment Operational experience working directly within a Patient Accounting and/or Patient Billing department Strong understanding of hospital billing workflows, including charge capture, claims submission, remittance processing, and follow-up Experience working with payers, clearinghouses, and claim edits/rejections Ability to analyze workflows and recommend system or process improvements Strong communication skills with the ability to work effectively with both technical and operational stakeholders This role is ideal for a candidate who combines Epic HB technical expertise with real-world billing operations experience. This role partners closely with Patient Accounting and Patient Billing stakeholders to ensure accurate claims processing, timely reimbursement, and efficient revenue cycle operations.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEAlbany, NYRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Claims Analyst III Cyber/Tech/Media American International Group Inc (AIG)Claims Analyst III Cyber/Tech/MediaNew York, NY$68,000–$84,000 / yearAs a Claims Analyst III, you will be responsible for handling claims from inception through conclusion of Professional Liability matters, including Cyber, Network Security, Business Interruption, Media and Technology exposures and be responsible for investigating & evaluating coverage, analyzing liability and financial exposure, litigation management, negotiating settlements where appropriate, attend mediations/settlement conferences, etc. When our clients face losses large and small, we step up to help them ease the financial burdens of catastrophic events like fires and hurricanes; we help them get their businesses back up and running again or recoup the value of a lost family heirloom or a prized possession.
Reporting Data Analyst – Property & Casualty insurance industry – data lineage, transformations, and business rules Beta Search IncReporting Data Analyst – Property & Casualty insurance industry – data lineage, transformations, and business rulesNew York City, NY$75–$77 / hourTemporaryContractorFull timeActs as a Subject Matter Expert (SME) on enterprise data warehouse (EDW) content and insurance source systems, ensuring accurate data interpretation, strong data lineage, and reliable, business-aligned reporting outputs. The Senior Reporting Data Analyst brings 13+ years of experience in enterprise data warehousing and reporting, with deep expertise in the Property & Casualty (P&C) insurance domain, especially Workers’ Compensation.
Epic Certified Hospital Billing Claims Analyst 5944595 Accenture PlcEpic Certified Hospital Billing Claims Analyst 5944595Albany, NYIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Reinsurance Claims Analyst Starr InsuranceReinsurance Claims AnalystNew YorkEvaluate large sets of loss data to identify claims with a potential impact on Starr’s reinsurance program; draft and distribute reinsurance reports containing a thorough summary of loss details and relevant facts. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
Administrative Support Associate VI - Hospital Billing and Claims Analyst Albany Medical CenterAdministrative Support Associate VI - Hospital Billing and Claims Analystalbany, NY$38,937.60–$50,618.88 / yearThis role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Excellent decision-making skills, detail oriented, and have the ability to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials.
Claims Quality Analyst Metroplus Health Plan IncClaims Quality AnalystNew York, NY$55,000–$65,000 / yearAbout NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products including but not limited to New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Healths network includes over 27,000 primary care providers, specialists, and participating clinics.
Business Analyst, Claims VNS HealthBusiness Analyst, ClaimsNew York, New York$66,300–$79,800 / yearThis role partners with Claims Operations and technical teams to troubleshoot processing issues, support system implementations and configuration changes, analyze claims data and trends, and identify opportunities to improve claims accuracy, turnaround times, and operational efficiency. Overview: The Business Analyst, Claims is responsible for supporting core claims processing operations for the health plan through workflow analysis, system support, and operational improvement initiatives.
Epic Certified Professional Billing Claims Analyst 5944596 Accenture PlcEpic Certified Professional Billing Claims Analyst 5944596Albany, NYIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Data Quality Analyst / Claims Service Correspondent Integrated Resources, IncData Quality Analyst / Claims Service CorrespondentNew York, NY$60–$65 / hourThe incumbent works closely with Provider Relations, Medical Management, Member Services and the Claims Processing unit; Scope of Role & Responsibilities: Act as a key liaison and service representative for all written provider inquiries and problem resolution; Respond to all claim inquiries from provider sites personnel including physicians, clinical staff, and site administrators; Coordinate and track appropriate problem resolution activities with plan personnel in other departments (i.e., claims, utilization management); Manage and ensure appropriate follow-up and closure for all inquiries; Respond to Provider Inquiries in writing; maintain accurate files; Data Entry into the IMAX system; Perform claim adjustments to correct erroneous payments (overpayments/underpayments); Participate in Special Projects involving Claim Status Investigations; Resolve Member Bills referred from Member Services; Required Education, Training & Professional Experience: In-depth knowledge of MetroPlus Claims Processing protocols and payment schemes; Thorough knowledge of Plan Benefits; Proficiency in IMAX and TXEN; Customer Service Experience a plus; Must be able to handle irate providers in a professional manner; Excellent written/verbal communication skills. This position is responsible for the accurate and timely response to written claim inquiries received from providers and provides support regarding the adjudication and adjustment of claims for multiple lines of business.
Senior Manager - Data Analyst for Medical Health Claims ExlService Holdings IncSenior Manager - Data Analyst for Medical Health ClaimsNY$120,000–$125,000 / yearThe ideal candidate retrieves, organizes and performs research/analysis on Medical Health Claim data primarily to identify root cause and is a proactive thinker, self-starter, who enjoys working in a fast-paced and challenging environment with the ability to work independently. The Senior Data Analyst will support the business team in evaluating trends on utilization of products / services based on historical data - such as care management trends, claim utilization, member attributes, to develop cost effective quality product / services.
Claims Data Quality Analyst Arch Capital Group LtdClaims Data Quality AnalystGarden City, NY$62,000–$80,000 / yearCollaborate and maintain cross-functional working relationships with team members of multiple business units; Claims Third-party Administrators (TPA), Programmers, and approved vendors to analyze and correct data quality errors. Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs.
Claims Review Analyst EmblemHealth IncClaims Review AnalystNew York, NY$48,600–$83,160 / yearIdentify potential/actual claims problems (single or recurring/trending) and document root cause analysis; present findings to management. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines.
Senior Business Analyst, Claims and Vendor Data EmblemHealth IncSenior Business Analyst, Claims and Vendor DataNew York, NY$68,040–$118,800 / yearProven ability to apply quantitative and/or qualitative research and data analysis techniques to improve operational processes; and to identify and interpret trends, patterns, and anomalies within complex datasets of trend information required. Analyze and interpret claims, payment, and vendor data to identify, prevent, and recover overpayments, as well as to drive process improvements and cost containment.
Claims Triage Analyst EmblemHealth IncClaims Triage AnalystNew York, NY$56,160–$99,360 / yearResponsible for receiving, researching and resolving inquiries and requests from internal EmblemHealth departments and business partners (i.e., account management, provider network management, provider file operations, client retention, access to care, care café, membership, COB, Contact Center, G&A, etc.) regarding claim outcomes. Collaborate with EmblemHealth and CTS business partners as needed to validate accuracy of benefit configuration, NetworX rate sheets, provider participation status, provider file and membership file, including COB flags impacting the claim(s) adjudication outcome.
Advisor Claims Business Analyst Gainwell Technologies LLCAdvisor Claims Business AnalystAny city, NYGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is [[salaryMin]] - [[salaryMid]] per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Experienced Claims Business Analyst Gainwell Technologies LLCExperienced Claims Business AnalystAny city, NY$86,800–$124,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $86,800 - $124,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Claims Compliance Penalty Analyst biBerk Business Insurance IncClaims Compliance Penalty AnalystNY$90,000–$100,000 / yearbiBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.
Data Analyst - Claims & Cost Containment Railway Health IncData Analyst - Claims & Cost ContainmentNew York, NY$100,000–$150,000 / yearHigh Impact: You'll be working cross-functionally with operations and our data science team and your work will be key to building a health insurance company from scratch (where else can you do that??) Fast-Growing Startup: Join us at an inflection point - we're scaling quickly and thoughtfully. The OpportunityWe are seeking a Claims Data Analyst who will be responsible for reviewing stop-loss claims, identifying cost-containment opportunities, and generating insights that drive proactive intervention for members and employers.
Senior Business Analyst - Medicaid Pharmacy Claims / MMIS Conduent IncSenior Business Analyst - Medicaid Pharmacy Claims / MMISNY$70,956–$92,150 / yearThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. In this role, you can expect the following working conditions: Remote work: Work in a way that allows you to work from home and have time onsite when needed to connect with other team members and business leaders.
Claims And Credentialing Analyst Centerlight Management ServicesClaims And Credentialing AnalystNew YorkPrepare analysis on network provider performance through the development of monthly provider scorecard, working with other key stakeholders to ensure providers are meeting their contractual requirement and identify areas for improvement. Audio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information from patients, community members, co-workers, clients, providers, etc., and intake information through audio processing with accuracy.
Claims & Risk Analyst HelloFresh SEClaims & Risk AnalystNew York, NY$68,040–$72,900 / yearYou'll play a key role in keeping the function running efficiently by owning intake, tracking, and routine follow-ups, while partnering closely with the broader risk management team on escalations and decision-making. Monitor and support claims throughout the lifecycle by handling routine follow-ups, identifying aging or high-risk claims, and coordinating with adjusters to ensure timely progression.
Analyst, Developer, IT Product, Claims Allied World Assurance Company LtdAnalyst, Developer, IT Product, ClaimsNew York, NY$60,000–$65,000 / year62064'',''true'',''62064'',''false'',''Submission for the position: Analyst, Developer, IT Product, Claims - (Job Number: 2600002K)'',''false'',''62064'',''false'',''true'',''Analyst, Developer, IT Product, Claims'',''2600002K'',''!*! This role offers an exciting opportunity to work on cutting-edge solutions in the Insurance domain, including exposure to Python, modern frameworks, and agentic AI-based transformation initiatives.
Commercial Claims Quality & Performance Analyst III - Remote CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - RemoteHome Teleworkers, NYRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
Insurance Claims Business Analyst Deloitte Touche Tohmatsu LtdInsurance Claims Business AnalystNew York, NY$128,000–$252,500 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Epic Revenue Cycle Analyst - PB Contracting, Claims, and Remittance Computer Task Group, IncEpic Revenue Cycle Analyst - PB Contracting, Claims, and RemittanceNY$120,000–$130,000 / yearBy designing, testing, and maintaining contract portfolios and configuring outbound claims and inbound electronic remittance automation, this position maximizes cash flow, eliminates zero-balance blind spots, and engineers systemic solutions to automatically catch and mitigate insurance underpayments and denials. Testing, Analytics & Data Operations Remittance Simulation: Proven track record of executing mock 835 cycles in Sandbox/Test (TST) environments to validate newly built contract portfolios prior to Production (PRD) deployment.
Manager Claims Delegation VillageCareManager Claims DelegationNew York, NY$118,135.58–$132,902.53 / yearExperience: This position requires a minimum of 5 + years' experience in claims analytics performing increasingly complex data analysis and report/dashboard development, in a healthcare setting, and at least 2 years' experience managing and training staff. VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
Claim Service Analyst Arch Capital GroupClaim Service AnalystCortland, New YorkPerform a variety of administrative tasks as assigned, which may include: conducting follow-up calls related to First Notice of Loss (FNOL) or data management; processing physical and electronic mail generated by the claims management system; supporting expense bill handling under the direction of Claims Management; assisting with regulatory compliance activities; and collaborating with the Claims team to enhance operational efficiency. Handle diverse telephone responsibilities, including collecting FNOL data via phone, serving as the first point of contact for insureds, agents, claimants, attorneys, medical providers, and other stakeholders, verifying and relaying information per internal procedures and authorization from Claim Leadership.
VP, Construction Claims (Remote, US) NFP CorpVP, Construction Claims (Remote, US)Telecommuter, NYRemote$110,000–$167,000 / yearThis role serves as a key management leader for the Construction & Infrastructure Claims Team, supporting overall team direction, operational consistency, and high-level execution across client accounts and complex claims matters. Lead coverage advocacy on complex and disputed claims by directing policy analysis, challenging adverse carrier positions, coordinating supporting facts and arguments, and advancing strategies designed to maximize available coverage and claim outcomes for clients.
Epic HB Admin / HB Claims Remit Computer Task Group, IncEpic HB Admin / HB Claims RemitNY$125,000–$135,000 / yearKey Responsibilities Provide day-to-day support for Epic HB Admin, Claims, and Remittance (Remit) workflows across revenue cycle operations Troubleshoot and resolve issues related to claims processing, billing edits, and remittance posting Configure and maintain Epic HB billing rules, charge router, claim edits, and remittance logic Analyze claim rejections/denials and partner with operations teams to implement root cause solutions Support EDI transactions, clearinghouse integrations, and payer-specific requirements Monitor system performance and conduct proactive audits to ensure billing accuracy and compliance Collaborate with revenue cycle stakeholders (billing, coding, finance) to support end-to-end workflows Participate in system upgrades, enhancements, testing cycles, and optimization initiatives Develop and maintain documentation, workflows, and training materials for operational teams Provide production support including issue triage, incident management, and resolution tracking Required Qualifications Epic HB Certification(s) - required (HB Admin strongly preferred; Claims/Remit experience required) 5+ years of Epic HB experience, including Admin, Claims, and Remittance functionality Strong experience supporting hospital revenue cycle operations, including billing, claims management, and payment posting Deep understanding of claims lifecycle, denials management, and remittance processing (835/ERA) Hands-on experience with Epic build, configuration, and support within HB modules Knowledge of EDI transactions, clearinghouses, and payer rules Proven ability to troubleshoot complex issues and work directly with operational stakeholders Strong communication skills with the ability to translate technical concepts to non-technical users Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required. This individual will play a key role in maintaining and optimizing Epic HB (Hospital Billing) workflows, with a strong focus on claims processing, remittance, and operational support.
Sr. Claims Representative Appraiser Plymouth Rock Management Company of New JerseySr. Claims Representative AppraiserUniondale, NY$74,000–$100,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Comfortable completing inspections of damaged vehicles including but not limited to crawling under and around vehicles, inspecting vehicles in tight quarters at body shops and salvage yards, etc.
Claims Representative Appraiser Plymouth Rock Management Company of New JerseyClaims Representative AppraiserUniondale, NY$62,000–$84,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Comfortable completing inspections of damaged vehicles including but not limited to crawling under and around vehicles, inspecting vehicles in tight quarters at body shops and salvage yards, etc.
Claims Specialist BestSelf Behavioral Health IncClaims SpecialistBuffalo, NYA Claims Specialist will organize billing and rebilling materials as well as create and analyze reports from the billing system to provide feedback to program sites. The position prepares claim data for transmission to Medicaid, Medicare, and Managed Care plans.
Director, Forensics - Building Property Claims Recovery bdo consultingDirector, Forensics - Building Property Claims RecoveryNew York, NY$190,000–$269,000 / yearDocuments, reviews, and analyzes schedules, contracts, change orders, correspondence, daily reports, meeting minutes, monthly reports, and any additional documents related to the project/file . The annual allocation to the ESOP is fully funded by BDO through investments in company stock and grants employees the chance to grow their wealth over time as their shares vest and grow in value with the firm’s success, with no employee contributions.
Senior Claims Specialist, Cyber AXA SASenior Claims Specialist, CyberNEW YORK, NY$117,000–$184,400 / yearManaging assigned complex Cyber and Technology claims across multiple jurisdictions, setting the case strategy for these claims in partnership with the Cyber Practice Leader and Claims Management, and taking all available steps to achieve the optimal outcome. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business - property, casualty, professional, financial lines and specialty.