Claims Business Specialist

3 days ago


New York, New York, United States TMS LLC Full time
Job Description

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.



  • New York, New York, United States The Jacobson Group Full time

    Job 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...


  • New York, New York, United States Centers Plan for Healthy Living Full time

    OverviewCenters 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...

  • VCF Claims Specialist

    4 weeks ago


    New York, New York, United States Barasch & McGarry Full time

    About 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...

  • Claims Specialist

    5 days ago


    New York, New York, United States LEAV & STEINBERG, LLP Full time

    We 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...


  • 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....


  • New York, New York, United States Centers Plan for Healthy Living Full time

    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...


  • New York, New York, United States Centers Plan for Healthy Living Full time

    Job 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...


  • New York, New York, United States Creative Financial Staffing Full time

    Billing 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...


  • New York, New York, United States Insure National, LLC Full time

    Job 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...


  • New York, New York, United States MetroPlus Health Plan Full time

    Job 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...


  • New York, New York, United States New Hope Fertility Center Manhattan Full time

    Job 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...


  • New York, New York, United States J.S. Held LLC Full time

    Risk 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...


  • New York, New York, United States Upper East Orthopaedics, PC Full time

    Job 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...


  • New York, New York, United States Absolute Staffing & Consulting Solutions Full time

    Absolute 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...


  • 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...


  • New York, New York, United States Athari Full time

    Athari: 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,...


  • New York, New York, United States Trandon Associates, Inc Full time

    Job 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.


  • New York, New York, United States Insure National, LLC Full time

    Role 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...


  • New York, New York, United States TMS LLC Full time

    Job Title:Senior Claims Business Analyst


  • New York, New York, United States CCMS & Associates Full time

    Job 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...