Claims Business Specialist
3 days ago
TMS LLC is seeking a seasoned professional to fill the role of Claims Business Specialist. This position requires 7+ years of business analysis experience, with 3+ years in the field of Workers Compensation claims. Key responsibilities include integrating multiple vendors for claims handling and providing expertise on statutory and compliance reporting requirements.
As a Claims Business Analyst, you will be responsible for implementing and supporting Workers Compensation systems. Experience with process modeling tools such as Visio and standard project and business tools like Microsoft Project and SharePoint is highly desirable.
The ideal candidate will have a proven track record in Workers Compensation system implementation and support, with strong analytical and problem-solving skills. A competitive salary is offered for this long-term opportunity.
Salary: $120,000 - $150,000 per year.
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Claims Analyst Specialist
6 days ago
New York, New York, United States The Jacobson Group Full timeJob Title: Claims Analyst Specialist">We are seeking a highly skilled Claims Analyst Specialist to join our team at The Jacobson Group. As a key member of our team, you will be responsible for managing and analyzing complex management liability claims. This temporary four-month assignment is based in our New York office and requires specialized knowledge and...
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Claims Service Specialist
3 days ago
New York, New York, United States Centers Plan for Healthy Living Full timeOverviewCenters Plan for Healthy Living is a healthcare organization that empowers its members and their families with guidance and plans for healthy living. We strive to create a positive experience for our customers and believe in the importance of collaboration, mutual respect, and high ethical standards.Job DescriptionWe are seeking a skilled Claims...
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VCF Claims Specialist
4 weeks ago
New York, New York, United States Barasch & McGarry Full timeAbout the RoleWe are seeking a highly skilled VCF Claims Specialist to join our team at Barasch & McGarry. This is an exciting opportunity for a detail-oriented and organized individual who is passionate about helping 9/11 victims receive the compensation they deserve.Job DescriptionProcess and manage clients' Victim Compensation Fund claims in a timely...
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Claims Specialist
5 days ago
New York, New York, United States LEAV & STEINBERG, LLP Full timeWe are seeking a highly skilled Claims Specialist to join our team at Leav & Steinberg, LLP. The ideal candidate will have extensive knowledge of personal injury structured settlements and experience with settlement disbursement processes. The successful applicant will have a strong understanding of the requirements for health insurance claims and related...
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Insurance Claims Specialist
6 days ago
New York, New York, United States Argo Group Full time**Job Overview**Argo Group is a leader in specialty insurance, fostering an inclusive culture that values diversity and design thinking. We're seeking a highly capable Insurance Claims Specialist to join our team in Chicago or New York City offices.This role will provide technical support on major cases in litigation assigned to Adjusters throughout the US....
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Healthcare Claims Resolution Specialist
1 week ago
New York, New York, United States Centers Plan for Healthy Living Full timeJob 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...
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Healthcare Claims Specialist
3 days ago
New York, New York, United States Centers Plan for Healthy Living Full timeJob SummaryCenters Plan for Healthy Living (CPHL) is seeking a Healthcare Claims Specialist to join our team. As a Claims Resolution Coordinator, you will be responsible for handling incoming inquiries from providers regarding claim decisions and payments across all CPHL product offerings. Key Responsibilities:Professionally handle incoming inquiries via...
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Medical Claims Specialist
4 weeks ago
New York, New York, United States Creative Financial Staffing Full timeBilling Specialist Job OpportunityWe are seeking a skilled Medical Claims Specialist to join our team at Creative Financial Staffing. The successful candidate will be responsible for various aspects of medical billing, including cash posting, verifications, and denied claims research.**Key Responsibilities:**Cash posting: Accurately posting payments received...
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New York, New York, United States Insure National, LLC Full timeJob DescriptionWe are seeking a highly skilled Claims Specialist to join our team at Insure National, LLC.The ideal candidate will have extensive experience in professional lines claims, specifically in casualty and GL/AL claims. A Bachelor's Degree is required, along with strong organizational and communication skills.Responsibilities:Manage complex...
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Claims Tester Specialist
1 week ago
New York, New York, United States MetroPlus Health Plan Full timeJob OverviewMetroPlus Health Plan is seeking a highly skilled Claims Tester Specialist to join our team. As a key member of our quality assurance team, you will play a critical role in ensuring the accuracy and efficiency of our claims processing system.The ideal candidate will have a strong background in information technology quality assurance and...
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Medical Claims Specialist
6 days ago
New York, New York, United States New Hope Fertility Center Manhattan Full timeJob Title: Medical Claims SpecialistWe are seeking a highly skilled Medical Claims Specialist to join our team at New Hope Fertility Center Manhattan in Columbus Circle, New York.Salary: $45,000 - $65,000 per year, depending on experience.Job Description:This role involves preparing and submitting professional medical claims to insurance companies in a...
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Commercial Insurance Claims Specialist
3 days ago
New York, New York, United States J.S. Held LLC Full timeRisk Management OpportunityJ.S. Held LLC is seeking a skilled Commercial Insurance Claims Specialist to join our team. In this role, you will be responsible for reviewing and measuring large loss commercial insurance claims, including property damage, product recall, liability, theft/fidelity, and business interruption/lost profits.You will analyze Excel...
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Medical Claims Specialist
5 days ago
New York, New York, United States Upper East Orthopaedics, PC Full timeJob DescriptionWe are seeking a skilled Medical Claims Specialist to join our team at Upper East Orthopaedics, PC. The ideal candidate will have experience with payment posting, ERA's, and lockbox processes.Key Responsibilities:Generate and manage medical records for all billable activitiesReview physicians' notes and charts for accuracyObtain clarification...
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Compensation Claims Specialist
4 weeks ago
New York, New York, United States Absolute Staffing & Consulting Solutions Full timeAbsolute Staffing & Consulting Solutions is a global industry leader seeking an experienced Compensation Claims Specialist to join our team in New York. With a strong focus on customer service and problem-solving, this role offers the opportunity to make a positive impact on our clients' businesses.We are looking for a skilled professional with 3 years of...
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New York, New York, United States MetroPlus Health Plan Full time**About MetroPlusHealth**MetroPlusHealth is a leading healthcare provider committed to empowering New Yorkers by uniting communities through care. Our mission is rooted in the belief that health care is a right, not a privilege.We are seeking a highly skilled Claims User Acceptance Quality Assurance Specialist to join our team. This individual will play a...
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Claims Optimization Specialist
4 days ago
New York, New York, United States Athari Full timeAthari: Unlocking Medical Expense SavingsWe are seeking a skilled Claims Optimization Specialist to join our team at Athari. In this role, you will play a crucial part in developing and implementing strategies to recover, eliminate, and prevent unnecessary medical-expense spending.About the Role:Develop a comprehensive strategic roadmap to recover,...
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Compensation Claims Specialist
4 weeks ago
New York, New York, United States Trandon Associates, Inc Full timeJob OverviewA premier Personal Injury / Worker's Compensation firm, Trandon Associates, Inc., is seeking a bilingual (with Spanish fluency) Compensation Claims Specialist to join their team.
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Insurance Claims Specialist Position
4 days ago
New York, New York, United States Insure National, LLC Full timeRole DescriptionInsure National, LLC is a leading insurance provider, and we are seeking a skilled Professional Lines Claims Specialist to join our team. This role is ideal for individuals with 5+ years of casualty claims experience and a strong background in GL/AL claims.A Bachelor's Degree is also required for this position. Additionally, excellent...
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Senior Claims Business Analyst
6 days ago
New York, New York, United States TMS LLC Full timeJob Title:Senior Claims Business Analyst
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Field Claims Specialist
6 days ago
New York, New York, United States CCMS & Associates Full timeJob OverviewWe are seeking a seasoned Field Claims Specialist to join our innovative team at CCMS & Associates. Based in New York City, this role offers an exciting opportunity to drive success in the property and casualty insurance industry.Key Responsibilities:Conduct thorough residential and commercial field inspections utilizing Xactimate software to...