NewLegal Processor United Nations Federal Credit UnionLegal ProcessorNew York, NY$55,130 / yearRegardless of seniority or role, uphold UNFCU’s mission, core values, and guiding principles by providing an exceptional service experience to colleagues and members alike through consistent demonstration of our service excellence behaviors. Under general supervision, performs moderately difficult processing of legal and organizational documents while verifying member information and ensuring compliance with both governmental and internal regulations.
Coding & Billing Specialist Fusco Personnel Inc.Coding & Billing SpecialistLatham, NY$21–$24 / hourFull timeThis position works collaboratively with providers, clinical staff, patients, and insurance carriers to support efficient revenue cycle operations and ensure compliance with all applicable healthcare regulations. Fusco Personnel is actively recruiting for a detail-oriented and experienced Coding & Billing Specialist to join our client and their growing healthcare team.
Small Business Commercial Lines Account Manager AAA Member's Insurance Agency of WesternSmall Business Commercial Lines Account ManagerWilliamsville, NYThese are the people that help us create a loyal membership base that strengthens our mission—to be our members’ most trusted provider of high quality automotive, travel, insurance and other relevant products and services that offer safety, security, peace of mind, value and convenience. Ability to manage multiple clients and priorities in a fast-paced environment, while operating independently and displaying expert-level of proficiency in minimization of errors & problem solving.
NewSenior Paralegal Aminov Search PartnersSenior ParalegalWestbury, NY$75,000 / yearYou'll engage with clients from their initial consultation through to the submission and ongoing validation of claims, ensuring meticulous attention to policy and medical document analysis and preparation. Prior experience in No-Fault, medical documentation, and drafting legal pleadings is essential, particularly in a plaintiff-focused Personal Injury environment.
Commercial Lines Account Manager AAA Western and Central New York, IncCommercial Lines Account ManagerWilliamsville, NYThese are the people that help us create a loyal membership base that strengthens our mission—to be our members’ most trusted provider of high quality automotive, travel, insurance and other relevant products and services that offer safety, security, peace of mind, value and convenience. Ability to manage multiple clients and priorities in a fast-paced environment, while operating independently and displaying expert-level of proficiency in minimization of errors & problem solving.
Remote Claims Processor Easy RecruiterRemote Claims ProcessorAlbany, New YorkRemoteLocation: will be onsite for around a month, then will most likely be moved to working from home, or at least working a hybrid role (depending on performance). 6+ months of experience working in data entry (any setting that requires a good amount of typing).
NewSCA Claims Processor I Elevance Health IncSCA Claims Processor IEast Syracuse, NYPreferred Skills, Capabilities, and Experiences: Good oral and written communication skills; previous experience using PC, database system, and related software (i.e., MSWord, Excel, etc.) strongly preferred. This position is part of our Wellpoint Federal division which, per CMS TDL 190275, requires foreign national applicants to meet the residency requirement of living in the United States for at least three of the past five years.
NewSCA Claims Processor I Elevance HealthSCA Claims Processor IEast Syracuse, NYPreferred Skills, Capabilities, and Experiences: Good oral and written communication skills; previous experience using PC, database system, and related software (i.e., MSWord, Excel, etc.) strongly preferred. This position is part of our Wellpoint Federal division which, per CMS TDL 190275, requires foreign national applicants to meet the residency requirement of living in the United States for at least three of the past five years.
Claims Processor Conduent IncClaims ProcessorNYRemoteThrough 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. For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form.
Cash Claims Processor Global Channel ManagementCash Claims ProcessorNew YorkIdentify and recommend systems and process modifications necessary to improve the efficiency and effectiveness of the Assignment processes. Cash Claims Processor duties: Process transactions, apply cash, member bills, resubmit invoices, write-offs, etc.
NewHealthcare Claims Processor Pride GlobalHealthcare Claims ProcessorNew York, NY$30–$32 / hourThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates : Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
NewHealthcare Claims Processor Pride Technologies LLCHealthcare Claims ProcessorNew York, NY$30–$32 / hourThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
CAM Claims Processor III M&T Bank CorpCAM Claims Processor IIINY$22.61–$37.67 / hourUnderstand difference between the claim types: Short Sales, Foreclosure Claims, Third Party Claims, Charge Off, Security Claims, Loss Mitigation Claims, and Deed in Lieu Claims. Overview: Submits FHA and conventional claims, reviews losses, and reconciles loans for final booking by Default Accounting.
Claims Cash Processor Global Channel ManagementClaims Cash ProcessorNew YorkIdentify and recommend systems and process modifications necessary to improve the efficiency and effectiveness of the Assignment processes. Cash Claims Processor requires: Working knowledge of mainframe computers and systems in general, ie: AS400.
Claims Supervisor CentivoClaims SupervisorBuffalo, New YorkEducates and mentors claims staff to ensure proper application of client benefit plans to claims processed, at the required quality and production metrics, including establishing performance plans for those falling below expectations with appropriate coaching and mentoring to achieve improvement. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.
Claims Process Documentation & Training Specialist CentivoClaims Process Documentation & Training SpecialistBuffalo, New YorkPartner with POP as a subject matter expert to ensure claims process and adjudication content is accurate, providing quality review of new hire and enhanced training materials (including COB, adjustments, and corrected claims) and advising on the appropriate sequencing of content within new hire training. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.
Senior Claims Specialist, Excess Casualty Claims - NA AXIS Capital Holdings LtdSenior Claims Specialist, Excess Casualty Claims - NANew York, NY$140,000–$160,000 / yearSenior Claims Specialist, Excess Casualty - North America Claims Job Code 13573 About the Team AXIS is hiring a Senior Claims Specialist, Excess Casualty, to support its expanding presence in North America's Excess market. About You We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals.
Claims Processing & Billing Specialist Professional Physical TherapyClaims Processing & Billing SpecialistMelville, NY$23.64–$25.51 / hourReporting to the Manager of Claims Processing & Credentialing, this role reviews claims in the Raintree EMR system, resolves billing edits and clearinghouse exceptions, and works closely with payers, patients, providers, and internal teams to support efficient reimbursement. The Claims Processing & Billing Specialist is responsible for the accurate and timely submission of institutional and professional medical claims.
NewCPC Processor Customer Support Datavant LLCCPC Processor Customer SupportNY$15–$18.32 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.
Claims Adjustment Specialist I /Accounts Payable Assistant Integrated Resources, IncClaims Adjustment Specialist I /Accounts Payable AssistantNew York, NY$25–$28 / hourThe Claims Adjustment Specialist I is responsible for adjusting medical claims that result in over/underpayments due to claim processing system issues, contract/amendment updates, processing errors, or other issues. Research claims that may have paid incorrectly and communicate findings for adjustment; Adjust claims based on findings (i.e., correct coding, rates of reimbursement, authorizations, contracted amounts etc.) ensuring that all relevant information is considered.
Claims Manager - Excess Casualty Claims AXIS Capital Holdings LtdClaims Manager - Excess Casualty ClaimsNew York, NY$160,000–$190,000 / yearClose collaboration with the Specialty Complex Claims team with regard to coverage disputes, including litigation and arbitration matters initiated by Axis issuing companies and when Axis issuing companies are parties to such litigation; Collaborating across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims handling. Identifying, liability and coverage trends and issues with both individual and portfolio impact and formulating the processes and strategies for handling such claims as well as ensuring accurate and consistent claims management across impacted underwriting segments and lines of business.
Claims Examiner / Accounts Payable Assistant Integrated Resources, IncClaims Examiner / Accounts Payable AssistantNew York, NY$26–$28 / hourClaims Processing, Integrated Claims Processing, Healthcare Insurance, Invoice Auditing, Invoice Processing, General Ledger, Data Entry, Medical Terminology, CPT Coding, ICD Codes, Revenue Codes, Intermediate PC Applications, Decision Making, Problem Solving, Time Management. Integrity & Trust, Customer Focus, Functional/Technical Skills, Written & Oral Communication.
Manager, Claims Amalgamated LifeManager, ClaimsWhite Plains, New YorkStrong written and verbal communication skills, including empathetic listening and a high level of customer service, are vital for this role which interacts with Claimants and stakeholders. They lead a small team responsible for the entire claims lifecycle, including but not limited to evaluating medical records, coordinating with providers, and communicating with claimants to determine eligibility for benefits.
Claims Service Correspondent Metroplus Health Plan IncClaims Service CorrespondentNew York, NY$55,000–$64,518 / yearThey will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit. The Claims Service Correspondent is responsible for accurate and timely responses to written claim inquiries received from providers.
Claims Analyst I Integrated Resources, IncClaims Analyst ISyracuse, New YorkContractorApplies knowledge of claims processing to provide feedback resulting in the improvement of claims processing by identifying configuration improvements and/or when manual interventions and workarounds are required for configuration/system limitations.· These positions have been created to hit a deadline· Interviews: Phone screens first and then face to faceSummary:· Conducts analysis around various claims payment processes to ensure accuracy of system configuration and provider payments.·
Claims Referral Specialist II LIBERTY Dental PlanClaims Referral Specialist IIUniondale, NYRemote$20–$25 / hourThe successful candidate will bring strong dental claims knowledge, experience with Coordination of Benefits (COB) and Orthodontic claims processing, and the ability to collaborate effectively across departments while working independently in a remote setting. We are seeking a detail-oriented and experienced Claims Referral Specialist II to join our Claims team and play a vital role in ensuring accurate and timely claims processing for our members and providers.
NewBilling Specialist- Claims Processing Union Volunteer Emergency SquadBilling Specialist- Claims ProcessingEndicott, NYFull timeExperience as an EMT desiredEducationHigh school diploma or GED requiredAssociate's degree from an accredited college or university; or equivalent related experience and/or training; or equivalent combination of education and experience, desired (Preferred areas of study: EMS Management, Healthcare Administration, Business Management, Accounting, or Finance).Certifications/LicensesCurrent NYS Certification at or above EMT-Basic desiredCurrent AHA BLS Healthcare Provider certification. The Billing Specialist is an integral component of our organization supporting the care provided to Town of Union community during the provision of Emergency Medical Services by our Certified providers through the consistent utilization of high-quality customer service.
Claims Analyst Integrated Resources, IncClaims AnalystSyracuse, New YorkContractorTesting categories include but are not limited to the following: Benefit, Contract, and Fee Schedule Configuration, System Enhancements, Report Validation, Validation of electronic file loads. Investigates problem claims to determine root cause of problem and/or error to address both individual claim resolution and improvement to process to avoid issues from occurring in the future.
Claims Manager Normann StaffingClaims ManagerRye Brook, NY$70,000–$110,000 / yearManage auto estimating processes, auto service management, auto body repair coordination, water damage restoration assessments, mold remediation evaluations, construction inspection reports, and automotive repair claims. This position offers an engaging opportunity for professionals experienced in insurance claim management who are committed to excellence in customer service while ensuring regulatory compliance across diverse claim types including workers' compensation, automotive repairs, medical billing, and property restoration projects.
NewContent Claims Specialist - Field - Level I Crawford & CoContent Claims Specialist - Field - Level IAlbany, NYTo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Communicate with adjusters/policyholders and industry vendors to explain their roles as Content Claims Specialists and their respective roles/contributions in the claims handling process.
Senior Claims Consultant, National Accounts Relation Insurance Services, IncSenior Claims Consultant, National AccountsNY$92,000–$154,000 / yearThe 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. The Senior Claims Consultant, National Accounts serves as an advisor and primary claims resource for large, complex accounts through a range of internal and external resources.
Claims Examiner I Metroplus Health Plan IncClaims Examiner INew York, NY$50,000–$54,194 / yearPerforms other related duties, i.e., maintaining individual production counts, updating manuals and reference materials, attending all refresher training seminars. Scope of Role & Responsibilities: Process claims involving medical and/or surgical services; screens for complete member/provider information.
AVP Disability & Absence Claims Operations MetLife IncAVP Disability & Absence Claims OperationsNY$200,000–$235,000 / yearThe AVP, Claims Operations - Head of Jumbo Accounts is a key leader on the U.S. Service & Operations Leadership Team, responsible for the strategic leadership, design, and execution of Short-Term Disability (STD) and Absence Management (AMS) claims operations for Jumbo Accounts (50,000+ lives), which span 20+ customers and 350+ employees. Recognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers.
Long Term Care Claims Representative - Payment Servicing Genworth Financial IncLong Term Care Claims Representative - Payment ServicingNY$45,500–$66,000 / yearYou will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
Auto PD - Adjuster Service Claims The Hanover Insurance Group IncAuto PD - Adjuster Service ClaimsSyracuse, NYCustomer Centricity: Makes customers/clients and their needs a primary focus of one's actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations. Digital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes.
Director, Claims Amalgamated LifeDirector, ClaimsWhite Plains, NYThe Executive Director must directly manage the day-to-day Claims operations with direct oversight of Claims managers and their performance in meeting the needs of the departmental and company goals. Direct the day-to-day activities, tasks, and processes to ensure the efficient operation of the claims processing units and all related tasks to meet the claims payment TAT, accuracy and production goals, and objectives.
Claims Associate, Risk Management RelatedClaims Associate, Risk ManagementNew York, New York$120,000–$140,000 / yearResponsibilities: We are looking for a Claims Associate who will assist in the administration and documentation of the property, casualty, workers’ compensation and financial/executive risk claims for the company’s real estate portfolios and corporate activities. This role requires strong organizational, communication, and interpersonal skills, as well as the ability to work collaboratively with insurers, brokers, legal counsel, third-party administrators, and internal stakeholders.
Tax Insurance Claims Lawyer - VP Aon CorporationTax Insurance Claims Lawyer - VPNew York, New York$242,000–$315,000 / yearThe individual filling this position will step into a newly created role, working alongside Aon Transaction Solution colleagues and claims associates to facilitate the resolution of complex tax insurance claims on behalf of private equity and corporate clients. Candidates should possess the ability to interact with and advise senior business, financial and legal professionals as they evaluate claims associated with complex, high-stakes and bespoke tax issues.
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.
Data Exchange Manager - Claims Operations Capital Rx, Inc.Data Exchange Manager - Claims OperationsNew York, NY$150,800–$188,500 / yearThe role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Senior Claims Advocacy Specialist Ryan Specialty GroupSenior Claims Advocacy SpecialistNew York, New YorkThey represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market. • Develops and implements advanced strategies for generating claims insights and advocacy, leveraging industry expertise and insights to optimize claim resolution outcomes.
Claims Associate, Risk Management The Related Companies LPClaims Associate, Risk ManagementNew York, NY$120,000–$140,000 / yearWe are looking for a Claims Associate who will assist in the administration and documentation of the property, casualty, workers' compensation and financial/executive risk claims for the company's real estate portfolios and corporate activities. This role requires strong organizational, communication, and interpersonal skills, as well as the ability to work collaboratively with insurers, brokers, legal counsel, third-party administrators, and internal stakeholders.
Data Exchange Analyst - Claims Operations Capital Rx, Inc.Data Exchange Analyst - Claims OperationsNew York, NY$96,800–$121,000 / yearThis role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Claims Support Advocate (Temp) Included Health IncClaims Support Advocate (Temp)NYFor context, these markets include Zone A (e.g., Phoenix AZ, San Antonio TX, Columbus OH, Charlotte NC), Zone B (e.g., Chicago IL, Denver CO, San Diego CA, Houston TX), and Zone C (e.g., Los Angeles CA, Seattle WA, Washington, D.C., Boston MA). Job Summary: As a Claims Support Advocate (CSA), you will be part of a vibrant team of high performing and highly engaged professionals that work to ensure a quality member experience within our service level agreements.
Cyber Claims Advocate Marsh & McLennan Companies, Inc.Cyber Claims AdvocateNew York, NY$84,700–$180,300 / yearLiaises with clients, and third parties as necessary such as attorneys and technology forensic firms, for claim/events-related issues or client service concerns to resolve complex issues with insurers on claims notifications, updates, information requests, the hiring of professionals, queries, acknowledgements or other issues, payment issues, keeping all relevant parties informed, as appropriate, of any potential problems, contentious claims or general claims trends. Reviews incoming documentation and new claims notifications of a complex nature or for large and/or complex clients, informs all relevant parties of any potential problems or contentious claims, and refers to Claims Advocates as needed.
Insurance Claims Representative Community Financial System, Inc.Insurance Claims RepresentativeOlean, New YorkFull timeCorrespond to and provide necessary documentation to third party companies including customers, physician offices, auto insurance companies, GAP insurance carriers, and dealership representatives to ensure all available monies or refunds are requested and paid in a timely manner. Continuously cross train on other functions as needed or requested Assist the Direct Lending Manager with tasks, reports, or projects Assist the Direct Operations Supervisor with tasks, reports, or project.
Customer Service Associate - Claims MetLife IncCustomer Service Associate - ClaimsOriskany, NY$41,600–$48,900 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune Worlds 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworlds leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. This role is essential to ensuring timely and effective resolution of customer needs, which directly contributes to MetLifes commitment to providing exceptional customer experience and financial protection.xa0The position supports customers and internal stakeholders across the United States.
Reassessment Sr. Long Term Disability Claims MetLife IncReassessment Sr. Long Term Disability ClaimsNY$58,000–$69,000 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. The Reassessment Senior LTD Claims Specialist is responsible for evaluating and managing ongoing long-term disability claims to ensure accurate, timely, and customer-focused claim decisions that support MetLife's commitment to making a meaningful impact in the lives of our customers and communities across the United States.
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.
Claims Representative I Elevance Health IncClaims Representative ILatham, NY$16.24–$24.36 / hourPreferred Skills, Capabilities and Experiences: Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.