Medical Claims Specialist

Overview About Suffolk Suffolk is a national enterprise that builds, innovates, and invests. Suffolk is an end-to-end business that provides value throughout the entire project lifecycle by leveraging its core construction management services with vertical service lines that include real estate capital investment, design, self-perform construction services,...

Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. - Resolve complex, severe exposure claims, using high service oriented file handling. - Pay and process claims within designated authority level. - Examine claims investigated by insurance adjusters, further investigating questionable...

Job Purpose: Serves medical insurance customers by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal complianceDuties:Determines covered medical insurance losses by studying provisions of policy or certificate. Establishes proof of loss by studying medical...

Job DescriptionJob DescriptionKey Responsibilities:Personally investigate and/or supervise outsourced investigations of CGL insurance claims and lawsuits, both bodily injury and property damage, arising out of construction projects in the greater New York City metropolitan area within New York State. Obtain necessary information from every possible source,...

The MCO Claims Specialist is responsible for weekly oversight of MoD performance and updates for entire claim department. The position will address all non-CorVel claims accordingly. The Claim Specialist role includes managing and retaining an assigned BoB (# of EOR and premium amount). The BoB will be comprised of lower premium employers with little to no...

Investigate, monitor, negotiate and settle complex excess matters involving Directors & Officers and Financial Institutions liability claims, from inception through conclusion. Assess and evaluate coverage under Directors & Officers and Financial Ins Claims Specialist, Liability, Claims, Executive, Specialist, Officer

Job Purpose: Serves medical insurance customers by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal compliance. Duties: * Determines covered medical insurance losses by studying provisions of policy or certificate. * Establishes proof of loss by studying...

Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...

We have an opening for a Medical Claim and Denial Specialist! Job Duties/Description:Review claims for accuracy prior to submission.Ensure required supporting documentation is on file before claim submission.Identify and resolve claim rejections and denials.Maintain a working knowledge of the payer's appeals process.Mark accounts for no bill in case of...

LHH Recruitment Solutions is seeking a Claims Specialist for a great plaintiff law firm. This opportunity is full time and hybrid out of New York, NY. Hours: 9:30am - 5:30pm, overtime when necessary Responsibilities Format documents and communications for clients; review documents (release/document verification) for production to defense counsel for...

LHH Recruitment Solutions is seeking a Claims Specialist for a great plaintiff law firm. This opportunity is full time and hybrid out of New York, NY. Hours: 9:30am - 5:30pm, overtime when necessary Responsibilities Format documents and communications for clients; review documents (release/document verification) for production to defense counsel for...

LHH Recruitment Solutions is seeking a Claims Specialist for a great plaintiff law firm. This opportunity is full time and hybrid out of New York, NY. Hours: 9:30am - 5:30pm, overtime when necessaryResponsibilitiesFormat documents and communications for clients; review documents (release/document verification) for production to defense counsel for quality...

Job DescriptionJob DescriptionHi, we're Oscar. We're hiring a Claims Recovery Specialist to join our Payment Integrity team.Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for...

Investigate, negotiate and settle primary and excess policy cyber, privacy liability and technology errors & omissions claims. Investigate and evaluate coverage for complex primary and excess cyber and technology errors & omissions policies; make cov Claims, Claims Specialist, Technology, Executive, Specialist, Cyber

This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders Claims Specialist, Claims, Specialist, General Liability

Posting Description: **Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your experience with a globally respected firm, this may be the next step in your career!** **How this role is different**: Our leaders pride themselves in outlining growth paths for our colleagues and helping colleagues reach...

Posting Description: **Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your experience with a globally respected firm, this may be the next step in your career!** **How this role is different**: Our leaders pride themselves in outlining growth paths for our colleagues and helping colleagues reach...

Job DescriptionJob DescriptionWe are actively looking to hire a Professional Lines Claims Specialist to join our team!If you have any of the following experience, apply today! Requirements: 5+ years casualty claims experience GL/AL claims experience required Bachelor's Degree Required Organizational and Communication skills required $90,000 +Hybrid...

Senior Claims Specialist - Construction Professional Liability New York, New York & Exton, PA & Morristown, NJ / USA Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of...

SourceProSearch is seeking a Claims Specialist with 1-2 years of experience to work in our New York office. The ideal candidate should be comfortable with technology and platforms. This position requires at least 2 days per week in the office. Job Responsibilities: Format documents and communications for clients. Liaise between third-party vendors and the...