2,831 Results for

Claims Jobs in Fresh Meadows, NY

Jobs

Medicare Pricing Analyst Wisconsin Physicians Service Insurance Corp

Remote

The Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.

30+ days ago

Itemized Bill Reviewer Oscar Health

New York, New York

$91,908–$120,629 / year

This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.

18 days ago

Director Of Product, Claims Design Oscar Health Insurance

New York, NY

$218,592–$286,902 / year

Responsibilities: Develop product strategy: Define the vision, strategy, and roadmap for Claims at Oscar, identifying opportunities to improve speed, accuracy, and clarity for members and providers and ensuring that Oscar is the aspiration for the entire industry. Our proprietary claims platform, strong AI tailwinds, and our consumer oriented mission position this leadership role to bring meaningful, much needed change to the healthcare payment experience for the entire ecosystem - especially members.

30+ days ago

Mitigation Project Manager | Metro NY/NJ Paul Davis Restoration

Carlstadt, New Jersey

$65,000–$85,000 / year

Paul Davis Restoration of Metro NY/NJ Be the one who shows up when it matters most QUICK OVERVIEW (TL;DR) We're hiring a Mitigation Project Manager to oversee water, fire, mold, and contents projects from first notice of loss through completion. You'll manage customer communication, field operations, documentation, budgets, and claim compliance while ensuring projects move efficiently and customers feel supported.

30+ days ago

Senior Claims Examiner - Multiline Mercor

New York, New York

Remote

Identify premature conclusions, missing investigative steps, unsupported valuations, improper communications, and failures to distinguish covered damage from excluded or unrelated loss. Independently handled claims in at least one area, such as property, auto physical damage, bodily injury, general liability, commercial casualty, catastrophe, or specialty claims.

21 days ago

Charge Entry Specialist Human Hire

Clifton, NJ

Quick Apply

The ideal candidate will be comfortable working in a high-volume environment, catching billing discrepancies before claims are submitted, and working closely with billing, coding, verification, authorization, and clinical teams to keep the revenue cycle moving efficiently. Join an established private healthcare practice specializing in orthopedics, spine care, sports medicine, pain management, and surgical services .

20 days ago

Disability Bridge Senior Claims Specialist MetLife Inc

$41,600–$72,300 / year

Guided by our purpose - always with you building a more confident future - and our New Frontier strategy focused on stronger growth, attractive returns and all-weather performance, this is an exciting opportunity to partner closely with claimants and internal/external resources to assess ongoing disability, document the file appropriately, set expectations, and ensure bridging actions are completed timely and accurately. Recognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers.

30+ days ago

Account Representative Don Enga Insurance Agency Inc

Queens, NY

$40,000–$60,000 / year
Quick Apply

As an Account Representative, you will be the primary point of contact for our valued clients, ensuring their insurance needs are met with the highest level of service and expertise. If you are a motivated individual with excellent communication skills and a commitment to excellence, we encourage you to apply and help us continue delivering outstanding insurance solutions tailored to each client’s needs.

20 days ago

Accounts Receivable Specialist Kennedys Law LLP

New Jersey, NJ

$63,000–$70,000 / year

Process daily transactions through the firm's office and client accounts, including entering/authorizing payments on the banking system, posting payments/receipts, researching payment details, and registering disbursement vouchers. Our lawyers handle both contentious and non-contentious matters, and provide a range of specialist legal services, for many industry sectors but we have particular expertise in litigation and dispute resolution, especially in defending insurance and liability claims.

8 days ago

Director, Logistics Maiden Home Inc

New York, NY

$180,000–$210,000 / year

Develop a tariff risk monitoring and cost modeling capability: track tariff schedules, Section 301 classifications, and trade policy changes; model financial exposure by origin country, product category, and lane; and bring scenario analyses to leadership with enough lead time to inform procurement and pricing decisions. Own claims management for damaged, lost, and delayed shipments: file and track claims, maintain an open claims log with aging, analyze patterns to drive carrier accountability, and ensure recoveries are captured in financial reporting.

25 days ago

Quality Assurance Examiner - General Liability / E&O Utica National Insurance Group

Woodbury, NY

$84,600–$124,000 / year

Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations in NYC, Dallas and Charlotte.

30+ days ago

Staff Regulatory Affairs Specialist, Advertising & Promotion Becton Dickinson and Co

Franklin Lakes, NJ

$135,500–$216,800 / year

Our Staff Regulatory Affairs Specialist position is primarily focused on compliant advertising and promotion of our existing Specimen Acquisition and Lab Specimen Management product portfolios, in addition to opportunities to provide regulatory support for new product claims. This role ensures claims and communications are truthful, non-misleading, appropriately substantiated, aligned to approved indications/intended use, and compliant with applicable US, EU, and global medical device/IVD requirements.

30+ days ago

Sr P&C Data Scientist Argo Group International Holdings Inc

New York City, NY

$92,000–$138,000 / year

Operating with a high level of independence and accountability, the role partners closely with pricing actuaries, underwriting, claims, distribution, product, and IT professionals to translate business questions into analytical solutions, implement models into pricing workflows, and monitor performance over time. Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage.

30+ days ago

Account Associate - State Farm Agent Team Member Colleen Tighe - State Farm Agent

Fairfield, CT

Full time

ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Colleen Tighe - State Farm Agent, you are vital to our daily business operations and customers’ success. ABOUT OUR AGENCY: Our agency has proudly served the Fairfield, CT community for over 18 years, backed by a family legacy of State Farm agents dating back to the 1960s.

30+ days ago

Restoration Project Manager RAPID RESTORATION SERVICES LLC

Plainview, NY

Full time

Rapid Restoration is hiring an experienced Restoration Project Manager to oversee water damage, fire/smoke damage, and mold remediation projects from start to finish. As we grow our trade area towards New York City, we are looking for a candidate that resides in Nassau County.

20 days ago

Account Associate - State Farm Agent Team Member Sonny Sahni - State Farm Agent

Syosset, NY

Full time

ROLE DESCRIPTION: As Account Associate for Sonny Sahni - State Farm Agent, you are vital to our daily business operations and customers’ success. You help grow our office through meaningful customer relations and acting as a liaison between customer needs and agency departments.

14 days ago

Account Associate - State Farm Agent Team Member Mariela Gonzalez - State Farm Agent

Teaneck, NJ

Full time

ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Mariela Gonzalez - State Farm Agent, you are vital to our daily business operations and customers’ success. If you’re motivated, enjoy working with people, and are looking for an opportunity where you can grow and make an impact, I’d love to connect with you and see if this could be the right fit.

30+ days ago

Remote Healthcare Administrative Manager Lehrer Family Chiropractic

Melville, New York

Remote

Company Overview: Lehrer Family Chiropractic is a leading healthcare provider in Melville, New York, dedicated to providing high-quality chiropractic care to our patients. In this role, you will be responsible for overseeing the administrative operations of our healthcare practice, ensuring that all administrative tasks are completed accurately and efficiently.

30+ days ago

Manager, Process Improvement Oscar Health

New York, New York

$117,576–$154,318 / year

The Manager, Process Improvement supports our teams in driving a best-in-class, service-focused operation by designing and guiding the use of operational frameworks and ideologies. The Manager is also responsible for process mapping, assessing the overall effectiveness and efficiency of the process, developing new or reengineering existing processes, and supporting implementation.

11 days ago

Account Associate - State Farm Agent Team Member Nadeem Moustafa - State Farm Agent

Queens Village, NY

Full time

ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Nadeem Moustafa - State Farm Agent, you are vital to our daily business operations and customers’ success. We are located in Queens Village, NY and help customers with their insurance and financial services needs, including: Auto insurance.

30+ days ago

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Claims Jobs in Fresh Meadows, NY

Medicare Pricing Analyst Wisconsin Physicians Service Insurance Corp

Itemized Bill Reviewer Oscar Health

Director Of Product, Claims Design Oscar Health Insurance

Mitigation Project Manager | Metro NY/NJ Paul Davis Restoration

Senior Claims Examiner - Multiline Mercor

Charge Entry Specialist Human Hire

Disability Bridge Senior Claims Specialist MetLife Inc

Account Representative Don Enga Insurance Agency Inc

Accounts Receivable Specialist Kennedys Law LLP

Director, Logistics Maiden Home Inc

Quality Assurance Examiner - General Liability / E&O Utica National Insurance Group

Staff Regulatory Affairs Specialist, Advertising & Promotion Becton Dickinson and Co

Sr P&C Data Scientist Argo Group International Holdings Inc

Account Associate - State Farm Agent Team Member Colleen Tighe - State Farm Agent

Restoration Project Manager RAPID RESTORATION SERVICES LLC

Account Associate - State Farm Agent Team Member Sonny Sahni - State Farm Agent

Account Associate - State Farm Agent Team Member Mariela Gonzalez - State Farm Agent

Remote Healthcare Administrative Manager Lehrer Family Chiropractic

Manager, Process Improvement Oscar Health

Account Associate - State Farm Agent Team Member Nadeem Moustafa - State Farm Agent

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