Claims Resolution Specialist
2 days ago
At Selby Jennings, we are seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for overseeing complex and high-exposure claims, executing coverage verification, claim investigation, reserving, and disposition.
Key Responsibilities:- Claim Oversight: Manage and oversee the most complex and high-exposure claims, ensuring timely and effective resolution.
- Coverage Verification: Execute coverage verification to ensure accurate and compliant claims handling.
- Claim Investigation: Conduct thorough investigations to determine claim validity and liability.
- Reserving and Disposition: Manage reserves and ensure proper disposition of claims.
- Litigation Management: Manage litigation, including trial monitoring and reporting.
- Communication: Communicate effectively with external and internal partners, including defense counsel.
- Education: Bachelor's degree required, attorney preferred.
- Experience: 7-10 years of direct claim handling experience preferred.
- Medical Professional Liability Experience: Preferred.
- Confidentiality: Ability to maintain high levels of confidentiality.
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Claims Resolution Specialist
4 weeks ago
New York, New York, United States Catholic Health Service Full timeInsurance Billing & Claims Resolution SpecialistFacility: Catholic Health ServicesDepartment: Billing and Claims Follow-upCategory: Administrative / Business SupportSchedule: Full TimeShift: Day shiftHours: 8 AM - 4 PMPosition Overview: Under the supervision of the Physician Revenue Realization Manager, the Insurance Billing & Claims Resolution Specialist is...
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Claims Resolution Specialist
3 weeks ago
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Claims Resolution Specialist
1 month ago
New York, New York, United States Catholic Health Service Full timeInsurance Billing & Follow-Up SpecialistFacility: Catholic Health ServicesDepartment: Billing and Claims ManagementCategory: Administrative SupportSchedule: Full TimeShift: Day ShiftHours: 8 AM - 4 PMPosition Overview: Under the supervision of the Physician Revenue Realization Manager, the Insurance Billing & Follow-Up Specialist plays a crucial role in...
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Claims Resolution Specialist
4 weeks ago
New York, New York, United States Catholic Health Service Full timeInsurance Billing and Follow-Up SpecialistFacility: Catholic Health ServicesDepartment: Billing and Claims ManagementCategory: Administrative SupportSchedule: Full TimeShift: Day ShiftHours: 8 AM - 4 PMPosition Overview: Under the supervision of the Physician Revenue Realization Manager, the Insurance Billing and Follow-Up Specialist plays a crucial role in...
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Claims Resolution Specialist
1 month ago
New York, New York, United States Catholic Health Service Full timeInsurance Follow-Up & Customer Service RepresentativeFacility: CHS ServicesDepartment: Billing/Follow UpCategory: Administrative / Business SupportSchedule: Full TimeShift: Day shiftHours: 8-4Position Overview: Under the guidance of the Physician Revenue Realization Manager, the Insurance Follow-Up Representative plays a crucial role in managing claims...
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Claims Specialist
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Senior Technical Claims Specialist
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New York, New York, United States Riccobene Associates Family Dentistry Full timeJob SummaryThe Remote Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company.Key ResponsibilitiesClaims Processing: Ensures claims are processed accurately to secure timely payment.Customer Service: Responds to...
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Insurance Claims Specialist
1 month ago
New York, New York, United States Collabera Full timeJob OverviewPosition Title: Insurance Claims SpecialistWork Arrangement: RemoteContract Duration: 7+ monthsCompensation: $18 - $20 per hourRole Summary:The Insurance Claims Specialist will be responsible for managing Travel Insurance Claims. An active adjuster's license from New York state is mandatory, and possessing licenses from multiple states is highly...
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Medical Claims Specialist
2 days ago
New York, New York, United States MetroPlusHealth Full timeJob Title: Medical Claims SpecialistEmpower. 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 +...
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Senior Liability Claims Specialist
4 weeks ago
New York, New York, United States C. Winchell Agency, Inc. Full timeSenior Liability Claims SpecialistProperty & Casualty Insurance SectorLocation: NYCAs a Senior Liability Claims Specialist, you will be responsible for examining, adjusting, and defending general liability claims and lawsuits filed against insured parties, striving for amicable resolutions whenever feasible. Your role will involve:Reviewing the terms,...
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Property Claims Adjuster Specialist
3 weeks ago
New York, New York, United States USAA Full timeAbout the RoleWe are seeking a highly skilled Property Claims Adjuster Specialist to join our team at USAA. As a dedicated member of our claims team, you will play a critical role in investigating, evaluating, negotiating, and settling complex property insurance claims presented by or against our members.Key ResponsibilitiesClaims Investigation and...
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Claim Specialist III
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Senior Technical Claims Specialist
5 days ago
New York, New York, United States Liberty Mutual Full timeAbout the RoleWe are seeking a highly skilled Senior Technical Claims Specialist to join our team at Liberty Mutual. As a key member of our Construction Complex, you will play a critical role in driving and enabling the success of our Commercial Casualty organization.Key ResponsibilitiesDetermine coverage, investigate complex and highly complex Commercial...