Claims and Service Coordinator

4 days ago


New York, New York, United States Centers Plan for Healthy Living Full time
Job Title: Claims and Service Coordinator

Job Summary: Centers Plan for Healthy Living is looking for a Claims and Service Coordinator to assist healthcare providers with claim decisions and payments. As a key member of our team, you will gather claim information, assess and fulfill the callers' needs, and provide education on claim submission procedures.

Responsibilities:
  • Handle incoming inquiries from healthcare providers regarding claim decisions and payments.
  • Gather claim information, assess, and fulfill the callers' needs, and provide education on claim submission procedures.
  • Fully resolve issues on the first call by navigating through computer systems to identify the current status of the issue.
  • Adjust claims as warranted based on discussion and review of the provider's issue.
  • Demonstrate excellent communication and interpersonal skills to build relationships with healthcare providers.

Requirements:
  • A High School Diploma is required; 2 years of college preferred.
  • Strong knowledge of CPHL products and applicable state and federal regulations.
  • Ability to work effectively in a fast-paced environment.

About Us: At Centers Plan for Healthy Living, we strive to create an ultimate healthcare experience for our members, their families, and caregivers. Our goal is to provide guidance and health plan choices for healthy living.

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

    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...


  • New York, New York, United States Claims Conference Full time

    Job OverviewThe Claims Conference is seeking a highly organized and detail-oriented Program Officer to join our Research, Education and Documentation (RED) team in New York. The ideal candidate will oversee our grant program, develop strong relationships with internal and external partners, and provide support to our grantmaking process.


  • 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...


  • New York, New York, United States The Hartford Full time

    Key ResponsibilitiesSupport the service mission by delivering customer presentations and negotiating claim account services.Negotiate and coordinate end-to-end account services between the claim organization, underwriting, and the account.Resolve service issues promptly through engagement with various internal service providers.Provide training to local...


  • New York, New York, United States Top Stack Full time

    Comprehensive Benefits PackageWe offer a competitive salary of $65,000 - $80,000 per year, dependent on experience.In addition to a generous compensation package, we also offer comprehensive benefits, including:3 weeks paid time off per yearEmployer-paid healthcare401k matchingAbout the RoleThis full-time remote role requires close collaboration with...


  • New York, New York, United States ALL TAXI MANAGEMENT Full time

    Medallion Claims Service Representative Job DescriptionOur estimated annual salary for this position is $60,000 - $70,000.All Taxicab Management is a prominent taxi medallion operator in NYC, offering a unique opportunity to be part of a dynamic team.About the Role:We are looking for an experienced claims processor to handle accident reports and insurance...


  • New York, New York, United States ALL TAXI MANAGEMENT Full time

    Job DescriptionAll Taxi Management operates Yellow Taxi Medallions in NYC and is among the largest leaders in this industry. As a Claims Handling Specialist, you will play a vital role in ensuring the smooth operation of our claims process.Your responsibilities will include but not be limited to:Accident Report Intake: You will receive and review accident...

  • Claims Specialist

    6 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 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 JCW Full time

    About JCWJCW is a prominent player in the real estate and property management industry, providing expert services to clients nationwide.Job Description:We are looking for a seasoned Claims Manager to oversee the administration of property claims, working closely with our Head of Insurance.Key Tasks:Provide guidance on handling third-party claims from tenants...


  • New York, New York, United States Allstate Insurance Company Full time

    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...


  • 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 North American Risk Services, Inc. (NARS) Full time

    About the RoleThe Commercial Property Claims Adjuster position at North American Risk Services (NARS) offers a unique opportunity to excel in a dynamic environment. As a key member of our team, you will handle a caseload of commercial property claims, utilizing your analytical and communication skills to deliver exceptional results.Key responsibilities...


  • 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 Labaton Keller Sucharow LLP Full time

    Labaton Keller Sucharow LLP is a dynamic law firm seeking a talented Claim Specialist to join our ADR team. As a key member of our team, you will play a vital role in ensuring the smooth operation of our claims management process.Your primary responsibilities will include:Managing and coordinating the preparation of documents and communications for...


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

    **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...


  • 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 Emigrant Bank Full time

    OverviewEmigrant Bank seeks a skilled Support Services Coordinator to provide administrative support to the Human Resources Department and Board Member.About the RoleThis is a part-time, exempt position requiring 1-2 days of work in the corporate office. The ideal candidate will have excellent organizational skills, be proficient in Microsoft Office, and...


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

    Work as a Claims Management ConsultantAbsolutely Staffing & Consulting Solutions is looking for a motivated and experienced Claims Management Consultant to join our team in New York. If you have a passion for claims management and want to work in an energetic culture, apply now!As a Claims Management Consultant, you will play a key role in helping our...


  • New York, New York, United States ALL TAXI MANAGEMENT Full time

    Job Overview:All Taxi Management operates Yellow Taxi Medallions in NYC, making it one of the largest leaders in this industry. To learn more about the company, visit our webpage at WWW.ALLTAXINY.COM.We are seeking a detail-oriented individual with a strong work ethic to join our team.Responsibilities:Accident Report Intake and DocumentationPreparing and...