1,013 Results for

Claims Processor Jobs in Long Island City, NY

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Payroll Processor (USA & Canada) - 100% remote Jobot

New York, NY

Remote

$25–$35 / hour
Quick Apply

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13 days ago

Legal Processor United Nations Federal Credit Union

New York, NY

$55,130 / year

Regardless of seniority or role, uphold UNFCU’s mission, core values, and guiding principles by providing an exceptional service experience to colleagues and members alike through consistent demonstration of our service excellence behaviors. Under general supervision, performs moderately difficult processing of legal and organizational documents while verifying member information and ensuring compliance with both governmental and internal regulations.

30+ days ago

Director of Revenue Cycle Management Jobot

White Plains, NY

Remote

$130,000–$150,000 / year
Quick Apply

We are particularly interested in professionals who have successfully improved collections, reduced denials, strengthened billing operations, or helped organizations transition toward more efficient internal revenue cycle models. The successful candidate will be a highly accountable revenue cycle leader who takes ownership of outcomes, understands the operational complexities of healthcare reimbursement, and can independently diagnose and resolve problems.

2 days ago

Medical Claims Processor Globalchannelmanagement

Paramus, New Jersey

Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Medical Claims Processor duties: Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.

30+ days ago

Director, Healthcare - Forensics Litigation Bdo Consulting

New York, NY

$160,000–$260,000 / year

The ideal candidate brings a proven track record of expert testimony, deep subject matter expertise in Medicare Severity Diagnosis-Related Groups (MS-DRGs) and inpatient billing practices, and the ability to lead complex engagements while developing junior staff in a highly leveraged consulting model. Provides subject matter leadership on MS-DRG classification systems, grouper logic, ICD-10-CM/PCS coding frameworks, Medicare IPPS rules, CMS regulatory guidance, and commercial payer reimbursement policies impacting inpatient claims.

20 days ago

Global Claims Technical Claims Manager - Life Health Global Claims General Re Corporation

Stamford, CT

Incumbent contributes to the accurate and efficient adjudication of claims by supporting the Global Chief Claims Officer, Segment Claim Officers, their branches and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, the various regulatory environments (e.g. Key Accountabilities: As a Global Claims Technical Claims Manager, you will: Be responsible for the timely decision making and accuracy of reinsurance determinations on multiple lines of claim submissions in support of GRL Global Claims.

27 days ago

Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Company

New Jersey, NJ

$85,000–$106,000 / year

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets .

30+ days ago

Claims Adjuster, Specialty Claims LotSolutions, Inc.

Iselin, NJ

$60,000–$100,000 / year
Part time

In this role, you will investigate, evaluate, and resolve general liability claims under close supervision, while delivering fair and timely outcomes for all parties involved. Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address.

18 days ago

Senior Claims Adjuster, Specialty Claims LotSolutions, Inc.

Iselin, NJ

$90,000–$150,000 / year
Part time

As a direct report to the Director, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Commercial General Liability line of business. Direct management of general liability claims, including New York Labor Law matters with potential for significant severity and complexity.

11 days ago

Senior Claims Adjuster, Specialty Claims The Fortegra Group Inc

Iselin, NJ

$90,000–$150,000 / year

As a direct report to the Director, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Commercial General Liability line of business. Primary Job Functions: Direct management of general liability claims, including New York Labor Law matters with potential for significant severity and complexity.

10 days ago

Claims Adjuster, Specialty Claims The Fortegra Group Inc

Iselin, NJ

$60,000–$100,000 / year

In this role, you will investigate, evaluate, and resolve general liability claims under close supervision, while delivering fair and timely outcomes for all parties involved. Please be aware of job fraud(s) - all correspondence emails regarding your candidacy will come from our Fortegra.com email address.

17 days ago

Sr. Claims Examiner, Program Claims Markel Group Inc

New York, NY

Remote

$78,000–$134,090 / year

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. This includes evaluation of coverage, assessment of legal liability (where relevant) and exposure analysis, to bring the matters to a timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.

21 days ago

Sr. Claims Analyst - Environmental Claims Allied World Assurance Company Ltd

New Jersey, NJ

$90,000–$120,000 / year

Headquartered in Bermuda, Allied World has offices in Atlanta, Boston, Brisbane, Chicago, Costa Mesa, Dallas, Dublin, Farmington (CT), Hong Kong, Houston, London, Los Angeles, Malaysia, Manchester, Miami, Nashville, New Jersey, New York, Philadelphia, San Francisco, Singapore, Sydney, Switzerland and Toronto. Ability to accurately and timely analyze coverage, draft coverage position letters and interact and collaborate with counsel regarding litigation and coverage strategies, negotiate and resolve claims and otherwise act within the scope of delegated authority.

2 days ago

Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Group (DBA)

New Jersey, NJ

$85,000–$106,000 / year

30+ days ago

Complex Claims Director, Excess Claims American International Group

Jersey City, NJ

$112,000–$138,500 / year

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.

30+ days ago

Claims Specialist - Life Global Claims General Re Corporation

Stamford, CT

May participate in client / TPA due diligence activities such as supporting audit activity, identifying emerging trends and themes not only in the client's inventory but within the industry; supporting manager with industry gleaned best practices via building and delivering customer specific training programs and seminars; emphasizing and implementing technical solutions to business needs to achieve desired improvements when asked. Incumbent contributes to the accurate and efficient adjudication of claims by supporting the department and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, state/federal regulations and reinsurance treaties in effect.

30+ days ago

Pricing Resolution Processor II MedReview

New York

Remote

Full time

MedReview is a leading provider of payment integrity solutions that help national and regional health plans promote population health, ensure payment accuracy, reduce administrative waste, improve provider relationships, and optimize financial performance. For more than four decades, MedReview has partnered with health plans, third-party administrators, and other healthcare organizations to deliver technology-enabled solutions that identify savings opportunities, drive operational efficiency, and improve healthcare outcomes.

4 days ago

Senior Manager, Quality Assurance And Audit, North America Claims, Claims Shared Services Axis Capital Holdings LTD

Red Bank, NJ

$140,000–$160,000 / year

This role is ideal for a claims, audit, quality assurance, or compliance professional with strong technical claims judgment, experience assessing specialty claim handler performance, working knowledge of TPA or outsourced claims partner oversight, and the ability to translate audit and file review results into practical actions that improve claim outcomes. The successful candidate will plan, coordinate, monitor, and report on audits and quality file reviews across North America Claims, including specialty claim handler audits across multiple lines of business, TPA oversight audits, and leadership quality control file reviews.

30+ days ago

Senior Manager, Quality Assurance and Audit, North America Claims, Claims Shared Services AXIS Capital Holdings Ltd

$140,000–$160,000 / year

30+ days ago

Claims Manager - Excess Casualty Claims AXIS Capital Holdings Ltd

New York, NY

$160,000–$190,000 / year

Close collaboration with the Specialty Complex Claims team with regard to coverage disputes, including litigation and arbitration matters initiated by Axis issuing companies and when Axis issuing companies are parties to such litigation; Collaborating across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims handling. Identifying, liability and coverage trends and issues with both individual and portfolio impact and formulating the processes and strategies for handling such claims as well as ensuring accurate and consistent claims management across impacted underwriting segments and lines of business.

30+ days ago

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Claims Processor Jobs in Long Island City, NY

Payroll Processor (USA & Canada) - 100% remote Jobot

Legal Processor United Nations Federal Credit Union

Director of Revenue Cycle Management Jobot

Medical Claims Processor Globalchannelmanagement

Director, Healthcare - Forensics Litigation Bdo Consulting

Global Claims Technical Claims Manager - Life Health Global Claims General Re Corporation

Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Company

Claims Adjuster, Specialty Claims LotSolutions, Inc.

Senior Claims Adjuster, Specialty Claims LotSolutions, Inc.

Senior Claims Adjuster, Specialty Claims The Fortegra Group Inc

Claims Adjuster, Specialty Claims The Fortegra Group Inc

Sr. Claims Examiner, Program Claims Markel Group Inc

Sr. Claims Analyst - Environmental Claims Allied World Assurance Company Ltd

Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Group (DBA)

Complex Claims Director, Excess Claims American International Group

Claims Specialist - Life Global Claims General Re Corporation

Pricing Resolution Processor II MedReview

Senior Manager, Quality Assurance And Audit, North America Claims, Claims Shared Services Axis Capital Holdings LTD

Senior Manager, Quality Assurance and Audit, North America Claims, Claims Shared Services AXIS Capital Holdings Ltd

Claims Manager - Excess Casualty Claims AXIS Capital Holdings Ltd

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