Insurance Claims Specialist

1 day ago


New York, New York, United States Riccobene Associates Family Dentistry Full time
Job Summary

The 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 Responsibilities
  • Claims Processing: Ensures claims are processed accurately to secure timely payment.
  • Customer Service: Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner.
  • Follow-up and Appeals: Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims; ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
  • Billing Errors and Corrections: Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims; actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
Qualifications
  • Education: Associate's degree (A. A.) or equivalent from an accredited college, university or technical school; or three to five years related experience and/or training; or equivalent combination of education and experience.
  • Experience: Previous high-volume collections experience with PPO's, Worker' Comp, Medicare and Medicaid strongly preferred.
  • Coding Knowledge: Working knowledge of CPT and ICD-10 codes.
  • Time Management and Multi-tasking: Previous experience and demonstrated ability to thrive in a production-driven environment.
  • Communication Skills: Excellent time management & multi-tasking skills.
  • Software Proficiency: Proficiency with Microsoft Outlook suite of products; demonstrated aptitude for learning new software programs.
  • Verbal and Written Communication: Superior verbal and written communication skills.


  • New York, New York, United States Fetch Pet Insurance Full time

    Job OverviewFetch Pet Insurance, a pioneering company in the pet wellness sector, stands out as a leader in the pet insurance market, providing comprehensive and inclusive insurance options along with health guidance for pets.At Fetch, we believe in making veterinary expenses manageable. Our extensive offerings are designed without limitations based on...


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

    Job 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...


  • New York, New York, United States American Family Insurance Full time

    About Us: At American Family Insurance Claims Services (AFICS, Inc.), we are undergoing a significant transformation in our claims operations, prioritizing our customers' needs as we protect and restore their aspirations during challenging times. Our Mission: We leverage our expertise, innovative technology, and modern methodologies to revolutionize one of...

  • Claims Handler

    3 weeks ago


    New York, New York, United States Sovereign Claims, LLC Full time

    Job SummarySovereign Claims, LLC is seeking a highly skilled Claims Handler to join our team. As a Claims Handler, you will be responsible for investigating and supervising outsourced investigations of CGL insurance claims and lawsuits related to construction projects.Key ResponsibilitiesInvestigation and Supervision: Conduct thorough investigations of CGL...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    Claims Manager Job DescriptionWe are seeking a highly experienced Claims Manager to join our team at C. Winchell Agency, Inc. in NYC.The ideal candidate will have a strong background in complex coverage and litigation, with a focus on special event claims handling. This includes strong coverage analysis, reservation of rights, settlement negotiations, and...


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

    Job OverviewPRIMARY ROLE: Responsible for the processing of standard Institutional and Professional claims, investigating outstanding claims, rectifying discrepancies, and reviewing insurance coverage. Candidates should possess comprehensive knowledge of insurance procedures, billing practices, coding, and privacy regulations. The ability to prioritize tasks...


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

    Job OverviewPRIMARY FUNCTION: Responsible for the efficient processing of standard Institutional and Professional claims, addressing pending claims, resolving discrepancies, and reviewing insurance coverage. Requires comprehensive knowledge of insurance operations, billing procedures, coding standards, and privacy regulations. Must demonstrate the ability to...


  • New York, New York, United States Zurich Insurance Group Full time

    Job Title: Legal Claims ProfessionalZurich Insurance Group is seeking a highly skilled Legal Claims Professional to join our Management Solutions team. As a key member of our team, you will be responsible for handling complex claims and providing expert advice to our customers.Key Responsibilities:Review and analyze complex claims, including...


  • New York, New York, United States Zurich Insurance Group Full time

    About the RoleZurich Insurance Group is seeking a highly skilled Legal Claims Professional to join our Management Solutions team. As a key member of our team, you will be responsible for handling complex claims and providing exceptional customer service.Key ResponsibilitiesReview and analyze claims to determine coverage and liabilityCommunicate with...


  • New York, New York, United States Catholic Health Service Full time

    **Insurance Follow-up Representative**At Catholic Health, we're committed to delivering exceptional patient care and service. As an Insurance Follow-up Representative, you'll play a vital role in ensuring our patients receive the medical attention they need while navigating the complexities of insurance claims.**Key Responsibilities:**Investigate claims...


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

    Overview The incumbent in this role is tasked with evaluating the eligibility of individuals applying for Unemployment Insurance benefits and providing guidance on job search strategies. Key Responsibilities The following are essential duties that are integral to this position, although they do not encompass all possible tasks: Evaluates completed...


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

    Overview The incumbent in this role is tasked with evaluating the eligibility of individuals applying for Unemployment Insurance benefits and providing assistance in job search efforts. Key Responsibilities The following duties are essential functions that are common across all positions in this classification and are not intended to be an...


  • New York, New York, United States Zurich Insurance Group Full time

    Job Title: Legal Claims ProfessionalZurich Insurance Group is seeking a highly skilled Legal Claims Professional to join our Management Solutions team in the United States. As a key member of our team, you will be responsible for handling complex claims involving public company Directors' and Officers' (D&O), Fiduciary, and transactional risk.Key...

  • Claims Specialist

    1 day ago


    New York, New York, United States AXIS Capital Holdings Limited Full time

    Claims Specialist Job DescriptionAXIS Capital Holdings Limited is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will play a critical role in analyzing and resolving claims in a best practices claim environment.Key Responsibilities:Exercise critical thinking and proper judgment to analyze claim exposure and determine the...


  • New York, New York, United States Zurich Insurance Group Full time

    Job Title: Legal Claims ProfessionalZurich Insurance Group is seeking a highly skilled Legal Claims Professional to join our Management Solutions team in the US Claims Offices.This is an exciting opportunity for a career-driven individual to work with a global leader in the insurance industry, offering a dynamic work environment, excellent benefits, and a...


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

    Overview A position within this classification entails the assessment of Unemployment Insurance applicants' qualifications for ongoing benefits while providing assistance in job searching endeavors. Key Responsibilities The following duties are essential and representative of the core responsibilities associated with this role, though not exhaustive...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    Claims Manager/Claims Oversight**About the Role**C. Winchell Agency, Inc. is seeking a highly experienced Claims Manager/Claims Oversight professional to join our team. As a key member of our staff, you will be responsible for managing and overseeing the handling of complex national General Liability (GL) claims, including special event/entertainment claims...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    C. Winchell Agency, Inc. is seeking a highly experienced Senior Claims Manager to oversee the handling of complex national General Liability claims, specifically those involving special events and entertainment. The ideal candidate will have a minimum of 10+ years of experience in complex coverage and litigation, with a strong background in special event...


  • New York, New York, United States Zurich Insurance Company Ltd Full time

    About the RoleZurich is seeking a skilled Claims Professional to join our Latent & Environmental team in the United States. As a member of our team, you will manage a claims caseload from assignment through resolution, providing technical service on claims of moderate to high exposure and complexity.Key ResponsibilitiesManage claims caseload with moderate...


  • New York, New York, United States Lower Eastside Service Center Full time

    Job Title: Health Claims SpecialistWe are seeking a skilled Health Claims Specialist to join our team at the Lower Eastside Service Center. As a Health Claims Specialist, you will be responsible for processing routine Institutional and Professional claims, investigating pending claims, resolving discrepancies, and reviewing insurance coverage.Key...