Complex Claims Resolution Expert

About the JobAs a Claims Resolution Expert at Mount Sinai Health System, you will be responsible for resolving EOB discrepancies and researching refunds. You will work closely with payer and provider representatives to negotiate higher rates for claim payments and ensure that collections, gross, days in A/R, and net collection ratios are met.Key...

About the PositionWe're looking for a seasoned Financial Lines Claims Expert to drive success in our Complex Claims Division. As a Claims Director for Financial Institutions, you'll play a critical role in delivering exceptional customer experiences and growing our business.Your Responsibilities:Oversee all aspects of complex claims against financial...

About the OpportunityWe are seeking a highly skilled Claims Resolution Professional to join our team at Spring Health. As a key member of our revenue cycle management department, you will be responsible for resolving complex claims and billing issues. Your attention to detail and ability to communicate effectively with internal teams and external partners...

**About the Role:**A challenging opportunity has emerged for a highly skilled Claims Compensation Resolution Specialist to join Absolute Staffing & Consulting Solutions in New York.The ideal candidate will have extensive experience in workers' compensation claims management, with a strong focus on resolving complex cases and ensuring compliance with industry...

About the RoleWe are looking for a seasoned professional with a minimum of 7 years' experience in construction defect claims adjudication, preferably with exposure to claims exceeding $100,000. Your expertise will enable you to navigate complex claim scenarios, build lasting relationships with clients and stakeholders, and drive profitable outcomes for Argo...

About the RoleWe are seeking a highly skilled Complex Claims Expertise Provider to join our team at Argo Group. This is an exciting opportunity for an experienced claims professional to work in a dynamic environment and make a significant impact on our company's success.The ideal candidate will have a strong background in complex claims adjudication, with a...

Lili, a fintech company, seeks an Operations Resolution Expert to join our NYC team. As an expert, you will be responsible for managing the dispute process from notification to decisioning, working with customers, our customer service team, and payment processor to resolve account-related transactional disputes efficiently.About the CompanyLili is a...

About MetroPlusHealth">MetroPlusHealth is a leading healthcare provider dedicated to empowering New Yorkers by uniting communities through care. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, we are committed to building strong relationships with our members and providers to enable them to live...

Job Summary: We are seeking a skilled Healthcare Claims Resolution Specialist to join our team at Centers Plan for Healthy Living. In this role, you will be responsible for handling incoming inquiries from healthcare providers regarding claim decisions and payments. You will thoroughly gather claim information, assess and fulfill the callers' needs, and...

About the RoleThe Icahn School of Medicine at Mount Sinai invites applications for a Procedural Claims Expert to join their team. This is a senior-level position responsible for managing multiple components of the billing process for specialized or complex pre and post-surgical procedures.The ideal candidate will have experience in medical billing, health...

Job SummaryWe are seeking a highly skilled Medical Claims Resolution Specialist to join our team at Mount Sinai Health System.

About the RoleThis Senior Complex Claims Director position is a critical leadership role within Berkshire Hathaway Specialty Insurance, focused on handling high-profile transactional liability claims. The successful candidate will have extensive experience in claims management and be well-versed in industry best practices.Key Responsibilities:Strategic...

Berkshire Hathaway Specialty Insurance is seeking a highly skilled Complex Claims Director to join our team. As a key member of our claims team, you will play a critical role in handling complex claims, working closely with internal partners, and collaborating with external stakeholders.ResponsibilitiesEvaluate complex claims data to determine exposure and...

Insurance Claims Expert RoleRussell Tobin is a growing law firm seeking an experienced Insurance Claims Expert to join our team. In this role, you will be responsible for managing No-Fault claims, from initial assessment to final resolution.We are looking for someone with 3-5 years of experience in No-Fault Claims in New York. The ideal candidate will have...

Account Resolution Expert Job DescriptionWe are looking for an experienced Account Resolution Expert to join our team at Private Company. As an Account Resolution Expert, you will play a critical role in resolving customer account discrepancies and ensuring that our customers receive the best possible service.About the Role:The ideal candidate will have 2-3...

Job Description:Kagen, Caspersen & Bogart PLLC seeks a Senior Associate - Business Dispute Resolution to join our team. The successful candidate will assist in handling complex business disputes, including contract and tort claims, as well as other commercial litigation matters.About Us:Kagen, Caspersen & Bogart PLLC is a boutique law firm focused on complex...

Job DescriptionHunt Hive Talent Recruiting Agency is seeking a highly skilled Commercial Lawyer to join our client's litigation practice. As a Mid-Level Litigation Associate, you will be responsible for managing complex litigation matters, focusing on areas such as copyright, trademark, trade secret, consumer class action, and commercial disputes. The ideal...

**About Us**Argo Group is a leading specialty insurance provider, offering a range of innovative products and services designed to meet the unique needs of our clients. Our vibrant culture is built on respect, equality, wellness, and opportunity, making us an attractive employer for talented professionals.We're looking for a highly skilled Workers'...

Represented Bodily Injury Adjuster Role at Allstate Insurance CompanyWe are seeking an experienced Claims Negotiator and Customer Service Expert to join our team at Allstate Insurance Company.About the RoleThis is a dynamic opportunity for a skilled professional to work as a Represented Bodily Injury Adjuster, investigating automobile accidents involving...

About UsCenters Plan for Healthy Living (CPHL) is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living.We are committed to providing quality, coordinated healthcare to some of the most honored and...