1,020 Results for

Claims Processor Jobs in Sunnyside, NY

Jobs

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.

Today

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

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.

30+ 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.

30 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.

23 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.

30+ 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.

24 days ago

Complex Claims Director, Excess Claims American International Group

New York, NY

$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

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.

15 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

Senior Claims Specialist, Environmental Claims AXIS Capital Holdings Ltd

Stamford, CT

$140,000–$155,000 / year

This role will manage complex primary and excess environmental claims arising under specialty environmental insurance products and will work closely with internal and external partners to deliver timely, technically sound claim outcomes. Manage claims arising under environmental insurance products, which may include pollution legal liability, contractors pollution liability, site-specific pollution, storage tank, and related coverages.

5 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

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

Claims - Field Claims Representative Cincinnati Financial Corporation

Yonkers, NY

$60,500–$91,200 / year

This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.

30+ days ago

2027 Claim Trainee Program - Associate Claims Representatives CNA Financial Corp

Melville, NY

$35,000–$65,000 / year

Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Develops a working knowledge of commercial insurance and learns to manage an inventory of low complexity claims by successfully completing a formal training program, and following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit. After successful completion of a formal training program, this individual contributor position works under close supervision, and within defined authority limits, to handle and resolve low complexity commercial claims for a specific line of business.

30+ days ago

Claims Service Correspondent Metroplus Health Plan Inc

New York, NY

$55,000–$64,518 / year

They will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit. The Claims Service Correspondent is responsible for accurate and timely responses to written claim inquiries received from providers.

30+ days ago

Analyst, Data Exchange - Claims Operations Capital Rx, Inc.

New York, NY

$96,800–$121,000 / year

This role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

30+ days ago

Claims Manager Normann Staffing

Rye Brook, NY

$70,000–$110,000 / year
Quick Apply

Manage auto estimating processes, auto service management, auto body repair coordination, water damage restoration assessments, mold remediation evaluations, construction inspection reports, and automotive repair claims. This position offers an engaging opportunity for professionals experienced in insurance claim management who are committed to excellence in customer service while ensuring regulatory compliance across diverse claim types including workers' compensation, automotive repairs, medical billing, and property restoration projects.

30+ days ago

Senior Claims Benefit Specialist CVS Health Corp

$18.50–$42.35 / hour

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.

30+ days ago

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Claims Processor Jobs in Sunnyside, NY

Director, Healthcare - Forensics Litigation Bdo Consulting

Medical Claims Processor Globalchannelmanagement

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

Claims Adjuster, Specialty Claims The Fortegra Group Inc

Senior Claims Adjuster, Specialty Claims The Fortegra Group Inc

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

Claims Adjuster, Specialty Claims LotSolutions, Inc.

Senior Claims Adjuster, Specialty Claims LotSolutions, Inc.

Complex Claims Director, Excess Claims American International Group

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

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

Senior Claims Specialist, Environmental Claims AXIS Capital Holdings Ltd

Claims Specialist - Life Global Claims General Re Corporation

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

Claims - Field Claims Representative Cincinnati Financial Corporation

2027 Claim Trainee Program - Associate Claims Representatives CNA Financial Corp

Claims Service Correspondent Metroplus Health Plan Inc

Analyst, Data Exchange - Claims Operations Capital Rx, Inc.

Claims Manager Normann Staffing

Senior Claims Benefit Specialist CVS Health Corp

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