Claims Specialist

Job SummaryAdaptHealth LLC is seeking a skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for verifying patient insurance coverage, ensuring accurate billing, and resolving any issues that may arise.Key ResponsibilitiesVerify patient insurance coverage and ensure accurate billingResolve any...

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...

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 SummaryWe are seeking a skilled Claims Specialist to join our team at CNA. This role involves handling complex professional liability claims, reviewing coverage, and negotiating settlements.Key ResponsibilitiesInvestigate and maintain complex professional liability claimsReview coverage and determine liability and compensabilityNegotiate and settle...

Job Title: Claims SpecialistAt CenterLight Health System, we are seeking a skilled Claims Specialist to support our department operations related to provider communication, pended claim review, reporting, auditing, and oversight activities to ensure compliance with all applicable State, Federal, and contractual guidelines.Key Responsibilities: Review claims...

The City of New York is seeking a skilled Claim Specialist to join the Litigation Support Unit in the Bureau of Legal Affairs. This role involves providing critical litigation support to the Law Department attorneys representing the agency and responding to requests for records and information from the New York City Comptroller's Office.The successful...

Job Title: Regional Claims SpecialistJob Summary:The Regional Claims Specialist will investigate and resolve reconciliation discrepancies to reduce claim settlements and increase customer satisfaction. This role will involve interviewing parties to determine the cause of incidents and ensuring that business operating procedures are followed.Key...

Job Title: Litigation Claims SpecialistPMA Companies is seeking a highly skilled Litigation Claims Specialist to join our team. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving complex and litigated Automobile, General Liability, and Property claims for large self-insured clients.Key...

Job SummaryWe are seeking a highly skilled Claims Review Specialist to join our team at the City of New York. As a Claims Review Specialist, you will be responsible for reviewing, processing, and determining potential SNAP benefit overpayments. This is a critical role that requires strong analytical and communication skills, as well as the ability to work...

Job SummaryWe are seeking a highly organized and detail-oriented Insurance Claims Specialist to join our team at CareWell Health. As an Insurance Claims Specialist, you will be responsible for reviewing and processing insurance claims, ensuring timely and accurate reimbursement for our patients.Key Responsibilities:Review and process insurance claims,...

Job Title: Senior Claims SpecialistJob Summary:The Ascot Group is seeking a highly skilled Senior Claims Specialist to join our team. As a key member of our Casualty Claims team, you will be responsible for handling general liability and excess claims arising from various industries, including contractors, manufacturing, and hospitality. Your expertise will...

Job Title: Senior Claims Specialist - Management Liability ClaimsThis is an exciting opportunity to join Axis Services, a trusted global provider of specialty lines insurance and reinsurance, as a Senior Claims Specialist - Management Liability Claims. We are seeking a highly skilled and experienced professional to join our North America Claims team and...

About AssurantAssurant is a leading provider of smart device solutions, working with top brands to simplify problems and make life easier. Our diverse and supportive team culture values common sense, common decency, and uncommon thinking.Job SummaryWe are seeking a Claims Specialist to join our Business Services Team in a permanent opportunity. The...

Job Title: Claim SpecialistWe are seeking a highly skilled Claim Specialist to join our team at the City of New York. As a Claim Specialist, you will be responsible for providing litigation and claim support to the Bureau of Legal Affairs.Key Responsibilities:Assist with responses to litigation support requests, discovery demands, and other forms and papers...

Job Title: Injury Claims SpecialistWe are seeking a highly organized and detail-oriented Injury Claims Specialist to join our team at Frekhtman & Associates. As a key member of our legal team, you will be responsible for maintaining our case filing systems and other administrative activities. Your strong interpersonal skills and talent for writing and...

Job SummaryAs a Claim Specialist, Level II, you will be responsible for investigating and resolving property damage claims filed against the City of New York. This role requires a strong analytical mind and excellent communication skills to effectively collaborate with various stakeholders, including City agencies, claimants, and insurance carriers.Key...

Job Title: Medicare Claims Appeals SpecialistJob Summary:The Medicare Claims Appeals Specialist is responsible for reviewing and resolving member and provider complaints, and communicating resolutions to members and providers in accordance with standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).Key...

Design Professional Claims SpecialistAxalta is seeking a highly skilled and experienced Design Professional Claims Specialist to join our team. As a key member of our claims team, you will play a critical role in managing and resolving professional liability claims for architects and engineers.Key Responsibilities:Proactively manage Design Professional...

Job Summary: We are seeking a highly skilled Claim Specialist III to join our team at the City of New York. As a key member of our team, you will be responsible for adjusting 1st Party No-Fault claims and ensuring that they are resolved in a fair and just manner.Key Responsibilities:Manage individual No-fault files and review investigation reports, medical...

Job SummaryWe are seeking a highly skilled EDI Billing Specialist to join our team at RC Billing. The successful candidate will be responsible for timely daily claim submissions and file maintenance functions in accordance with our billing standards and reimbursement policy and procedures.Key ResponsibilitiesTimely completion of daily claim submissions and...