Medical Claims Examiner

About the RoleWe are seeking a skilled Claims Examiner to join our team at Sedgwick. As a Claims Examiner, you will be responsible for analyzing and processing claims to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.Key...

Job Summary:Goodville Mutual Casualty Company is seeking a skilled Field Claims Examiner to join our team. As a Field Claims Examiner, you will be responsible for investigating, inspecting, and settling assigned losses. This role requires strong communication and negotiation skills, as well as the ability to work effectively with company computer systems.Key...

We are seeking a skilled Pet Insurance Claims Examiner to join our team at Fetch Pet Insurance. As a Claims Examiner, you will play a critical role in ensuring that our customers receive fair and timely claims processing.Key Responsibilities:Adjudicate assigned claims in accordance with the Terms & Conditions of the individual pet's policyReview medical...

Job SummaryGNY Insurance Companies is seeking a highly skilled Liability Claims Examiner to join our team. As a key member of our claims team, you will be responsible for handling complex claims associated with GNY Custom book and other select accounts from inception to closure.Key Responsibilities:Conduct thorough investigations and reviews of claims to...

Brown & Brown is a meritocratic company that rewards self-starters and those committed to doing what's best for our customers. We're seeking a Litigation Claims Examiner for our team in New York.The successful candidate will be responsible for adjusting all litigation losses. Key responsibilities include:Coverage assessment and investigationEvaluating and...

Senior General Liability Claims ExaminerAt C. Winchell Agency, Inc., we are seeking a highly skilled Senior General Liability Claims Examiner to join our team. As a key member of our claims department, you will be responsible for examining, adjusting, and defending general liability claims and lawsuits filed against our insureds.Key Responsibilities:Examine...

About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team in New York. As a Claims Examiner, you will be responsible for analyzing and processing complex workers' compensation claims, ensuring timely and accurate resolution. Your expertise will be invaluable in helping our clients navigate the claims process and achieve optimal...

Career Opportunity: Medical Claims CoordinatorAbout the Company:Established organization with a strong presence in the healthcare industryPrograms focused on addiction & recovery, veterans services, and educationConvenient location with free parking and public transportation optionsResponsibilities:Update provider files according to CMS Medicare/Medicaid and...

Job SummaryWe are seeking a highly skilled Liability Claims Examiner to join our team at GNY Insurance Companies. This is an exciting opportunity to work with complex claims and develop your expertise in liability claims handling.Key ResponsibilitiesHandle claims associated with GNY Custom book and other select accounts from inception to closure.Implement...

Job Title: NY No-Fault Auto Subrogation Claims AdjusterAt Flex Employee Services, we are seeking a skilled No-Fault Auto Subrogation Claims Adjuster to join our team. This is a specialized role that requires expertise in processing and evaluating no-fault subrogation claims.Key Responsibilities:Inter Company Reimbursements: Ensure timely and accurate...

Russell Tobin & Associates is seeking a skilled No-Fault Claims Adjustor to work with a full-service law firm in the New Hyde Park, New York area. This role involves resolving and settling no-fault claims in New York State, leveraging the support of over 100 attorneys and legal professionals. Key responsibilities include:Collaborating with insurance...

Job Title: Pharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in New Hyde Park, NY. This is a full-time position with a hybrid work style, requiring a driving distance to our pharmacy.Job Summary:The Pharmacy Adjudication Specialist will be responsible for adjudicating...

Job Title: Pharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in New Hyde Park, NY. This is a full-time position with a hybrid work style, requiring a location within driving distance to our pharmacy.Key Responsibilities:Adjudicate pharmacy claims, review claim responses for...

Bodily Injury Adjuster (Litigation) OpportunityLHH Recruitment Solutions is seeking a skilled Bodily Injury Adjuster (Litigation) to join an insurance company in Queens, NY. This role involves investigating, evaluating, and negotiating bodily injury claims, both litigated and non-litigated.Key Responsibilities:Manage litigation processes by directing defense...

Job Summary:The Claims Processor will be responsible for examining and resolving non-adjudicated claims to identify key elements of processing requirements based on contracts, policies, and procedures. This role will also involve processing product or system-specific claims to ensure timely payments are generated and calculating deductibles and maximums....

Job Title: Senior Casualty/General Liability Property Damage Claims ExaminerJob SummaryWe are seeking a highly skilled Senior Casualty/General Liability Property Damage Claims Examiner to join our team at Engle Martin. As a Senior Claims Examiner, you will be responsible for managing all aspects of liability claims in a variety of business classes,...

Job DescriptionAt PHYSICAL THERAPY OF THE BRONX P C, we are seeking a skilled professional to join our team as an Insurance Verification Specialist.Key Responsibilities:Verify patient insurance coverage and benefitsCommunicate with patients and insurance providers to resolve coverage issuesProcess and manage patient claimsWork Schedule:Monday, Wednesday,...

Job Title: Medical Billing SupervisorWe are seeking a highly skilled Medical Billing Supervisor to join our team at E. Central Medical Management Inc. ECM. As a key member of our revenue cycle team, you will be responsible for overseeing the day-to-day operations of our medical billing department.Responsibilities:Oversee the submission and follow-up of...

Job Title: Medical Billing Supervisor - Podiatry ExpertWe are seeking a highly skilled Medical Billing Supervisor with expertise in podiatry to join our team at E. Central Medical Management Inc. ECM. As a key member of our medical billing department, you will be responsible for overseeing the day-to-day operations, ensuring accurate and timely claim...

Medical Biller Job SummaryWe are seeking a highly skilled Medical Biller to work closely with clients to answer questions related to billing, process insurance claims, and collect necessary documentation. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the...