Claims Specialist

Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. - Resolve complex, severe exposure claims, using high service oriented file handling. - Pay and process claims within designated authority level. - Examine claims investigated by insurance adjusters, further investigating questionable...

LHH Recruitment Solutions is seeking a Claims Specialist for a great plaintiff law firm. This opportunity is full time and hybrid out of New York, NY. Hours: 9:30am - 5:30pm, overtime when necessary Responsibilities Format documents and communications for clients; review documents (release/document verification) for production to defense counsel for...

LHH Recruitment Solutions is seeking a Claims Specialist for a great plaintiff law firm. This opportunity is full time and hybrid out of New York, NY. Hours: 9:30am - 5:30pm, overtime when necessaryResponsibilitiesFormat documents and communications for clients; review documents (release/document verification) for production to defense counsel for quality...

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...

Job DescriptionJob DescriptionWe are actively looking to hire a Professional Lines Claims Specialist to join our team!If you have any of the following experience, apply today! Requirements: 5+ years casualty claims experience GL/AL claims experience required Bachelor's Degree Required Organizational and Communication skills required $90,000 +Hybrid...

Long Term Disability Claims SpecialistFully Remote10-20 hours per weekMust have at least 3+ years prior LTD/IDI Insurance Claims ExperienceRequired:3+ years of LTD/IDI Insurance Claims experiencePrior experience with independent judgement and decision making while relying on the available factsBe able to demonstrate the use of critical thinking and analysis...

Position Overview This position is responsible for the data entry and system adjudication of provider claims including but not limited to professional, ancillary and facility claims. The position is responsible for the end-to-end processing of claims. Job Description Process claims involving medical and/or surgical services; screens for complete...

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...

Excellence In Everything We Touch: Position Summary: Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case inventory to ensure proper/timely closing and billing of files. Makes decisions on claims within delegated limited...

Excellence In Everything We Touch: Position Summary: Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case inventory to ensure proper/timely closing and billing of files. Makes decisions on claims within delegated limited authority.    *Salary...

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly owned...

**Job Summary**: The Accounts Receivable Follow-Up and Claim Edits Specialist II is responsible for follow-up duties to collect on all open A/R with insurance companies and third parties, as well as the daily review of claim edits from the Epic system. The Account Receivable Follow-Up and Claim Edits Specialist II is part of a team that works to review,...

Job DescriptionJob DescriptionWe are seeking a Senior General Liability Claims Adjuster-  to become a part of our organization! You will investigate, analyze, and determine the extent of the organization's liability in various claims.Responsibilities:Correspond and interview with medical specialists, agents, witnesses, or claimants to compile...

Description We are looking for an Accounts Payable Specialist to join our team and work with our accounting department to oversee our organization’s expenses.  Accounts Payable Specialist responsibilities include processing payments, verifying invoices and performing account reconciliations as...

The Bridge’s mission is to change lives, by offering help, hope, and opportunity to the most vulnerable in our community. We offer a comprehensive range of evidence-based rehabilitative services, including mental health and substance abuse treatment, housing, vocational training and job placement, healthcare, education, and creative arts therapies. The...

Description We are looking for an Accounts Payable Specialist to join our team and work with our accounting department to oversee our organization's expenses.  Accounts Payable Specialist responsibilities include processing payments, verifying invoices and performing account reconciliations as needed.    Responsibilities Charge expenses to accounts and...

We are looking for an Accounts Payable Specialist to join our team and work with our accounting department to oversee our organization’s expenses. Accounts Payable Specialist responsibilities include processing payments, verifying invoices and performing account reconciliations as needed.  ResponsibilitiesCharge expenses to accounts and cost centers and...

Hours: 9am-5pm; 8:30am-4:30pm; or 8:00am-4:00pm OVERVIEW We are looking for a Benefits Specialist who specializes in Leaves of Absence and FMLA. Our firm manages most of our leave of absences in-house. This person should have experience coordinating the leave of absence process for multiple states, especially New York, New Jersey and California. A good...