294 Results for

Claims Specialist Jobs in Astoria, NY

Jobs

New!

Hempstead, NY5 days ago

$23.91–$37.65

Customer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road.  . Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, the work location as well as market and business considerations.

New York, NY9 days ago

$62,290 Per Year
Full-time

Uphold UNFCU’s mission, core values, and guiding principles by consistently demonstrating service excellence and delivering an exceptional experience to members and colleagues, regardless of role or seniority. Review chargeback and arbitration documentation for card fraud cases, determine appropriate action, and collaborate with the Accounting Department to reconcile fraud and dispute accounts.

New!

New York, NY5 days ago

$85,050–$130,410 Per Year

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

Hanover, NJ22 days ago

$18–$20.90 Per Hour

As part of a highly concierge, “white glove” service team, you will guide patients through the entire support process by providing program information, eligibility assistance, reimbursement support, and an exceptional customer experience. · The Patient Support Specialist, under the direction of the Supervisor, is responsible for providing patient healthcare support services that enable access to prescription medications.

Old Bridge, NJ25 days ago

$110,000–$160,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

New!

Union City, NJ2 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

New!

North Brunswick, NJ5 days ago

$35–$38 Per Hour

The Regulatory Specialist will support regulatory compliance efforts for personal care and cosmetic products by performing raw material coding, managing ingredient documentation, product registrations, testing coordination, and labeling reviews. Coordinate product safety and stability testing, including working with formulation teams, external labs, protocols, quotations, sample shipments, and final documentation.

New!

Somerset, NJ5 days ago

$25–$28 Per Hour

By applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners. As part of its continued growth, the organization is bringing its billing operations in-house and expanding its revenue cycle team to support increased patient volume and operational efficiency.

NY30+ days ago

$41,600–$62,500 Per Year

Region: United States Working Schedule: Full-Time Work Arrangement: Virtual Relocation Assistance Available: No Posted Date: 24-Mar-2026 Job ID: 16386 Description and RequirementsRole Summary At MetLife we seek to make a meaningful impact in the lives of our customers and our communities. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status, although applicants and employees must be legally authorized to work in the United States, uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law (protected characteristics).

Woodbury, NY18 days ago

$103,300–$140,000 Per Year
Part-time

The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel’s work product and working with defense counsel to efficiently and fairly resolve claims.

Short Hills, NJ22 days ago

$130,000–$160,000 Per Year

Senior Claims Specialist - EPL/Fiduciary Job Code 13574 About the Team AXIS is hiring a Senior Claims Specialist – EPL and Fiduciary Claims for its North America Claim Team. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in: Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed.

Parsippany, NJ30+ days ago

$105,000–$160,000 Per Year

Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! High-Cost Markets (e.g., New York City, Northern New Jersey, parts of California, Chicago) Estimated Base Salary Range: $105,000 - $160,000.

Berkley Heights, NJ9 days ago

$75,000–$85,000 Per Year

Handle claims in accordance with Claim Handling Best Practices in all phases of the claim, including through initial contact, investigation of the claim, evaluation of the claim for coverage and reserving for exposure, and in the resolution and documentation of claims. Refer a friend: Referral fee program Career Developers Inc., a distinguished staffing and consulting firm, is proud to celebrate 30 years of service excellence.

Short Hills, NJ10 days ago

$85,000–$130,000 Per Year

We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in: Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed.

new york, NY30+ days ago

$73,000–$146,000 Per Year

We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in: Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed.

NY30+ days ago

Remote

$75,000–$105,000 Per Year

Exceptional communication, written and verbal, influencing, evaluation, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal and external peers and other professionals across organizational lines. Develop and implement strategy to resolve Commercial Property and Casualty General Liability, Property and Professional Liability claims of moderate level of severity and complexity, but may be required to handle volume.

New!

Berkley Heights, NJ1 day ago

Remote

$145,000–$170,000 Per Year

The role also evaluates claims for reserve and settlement, executes settlement strategy, negotiates settlements proactively, attends arbitrations, and ensures appropriate file documentation. Handle claims in accordance with Claim Handling Best Practices in all phases of the claim, including through initial contact, investigation of the claim, evaluation of the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.

New York, NY30+ days ago

$75,000–$130,000 Per Year

Drafting coverage positions to be reviewed and approved by Claim Manager  Working closely with Insureds, Claimants, attorneys and brokers ensuring a premier and best practices claim service is maintained, escalating issues as appropriate.  Setting accurate and timely claim reserves and make referrals to Claim Manager where necessary  Managing the lifecycle of a claim from notification to closure, ensuring timely and accurate resolution.

Jersey City, New Jersey30+ days ago

$110,000–$160,000 Per Year

We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $110,000-$160,000 • Eligible to participate in annual discretionary bonus.

Jersey City, New Jersey30+ days ago

$100,000–$150,000 Per Year

We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $100,000-$150,000 • Eligible to participate in annual discretionary bonus.

Jersey City, New Jersey30+ days ago

$110,000–$160,000 Per Year

Responsibilities: The Senior General Liability Claims Specialist be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $150,000.00. We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers.

New York, NY30+ days ago

$140,000–$160,000 Per Year

Senior Claims Specialist, Excess Casualty - North America Claims Job Code 13573 About the Team AXIS is hiring a Senior Claims Specialist, Excess Casualty, to support its expanding presence in North America's Excess market. About You We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals.

New!

Great Neck, NY3 days ago

Full-time

Backed by the financial strength of a global powerhouse (AM Best Rating: A+, S&P Rating: A+), we combine world-class resources with the agility of a close-knit team. Key Responsibilities: Manage and conduct pre- and post-payment adjudication audits on claim matters to ensure financial, processing, and operational accuracy.

Berkeley Heights, NJ30+ days ago

The role also evaluates claims for reserve and settlement, executes settlement strategy, negotiates settlements proactively, attends arbitrations and ensures appropriate file documentation. Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.

Berkeley Heights, NJ30+ days ago

Technical Skills: Account Management Claims Investigations Claims Adjustment Claims Resolution Claims Settlement Financial Controls Auditing Claims Case Management Customer Relationship Management Business Process Improvement Auditing Data Analysis and Reporting. Licenses and Certifications: Certified Professional Claims Management (CPCM) (preferred) Certified Claims Adjuster (CCA) (preferred) Chartered Property Casualty Underwriter (CPCU) (preferred).

New York, NY10 days ago

$108,000–$160,000 Per Year

We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals. · Utilizing working knowledge of the legal frameworks and claims handling practices relevant to the specific jurisdiction (i.e., NY) in which the claims arise.

New York, NY24 days ago

$140,000–$160,000 Per Year

New York, NY30+ days ago

$105,000–$160,000 Per Year

associated with claim  Reviewing contracts for risk transfer evaluations, coverage analysis and tender review  Investigating potentially fraudulent claims and takes appropriate action  Identifying opportunities for contribution, subrogation and contribution to the claim About You We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals.  Have the ability to mentor and develop the professional skills of junior adjusters  Have prior experience handling New York Labor Law, Product Liability and Complex litigation claims  Have experience in drafting coverage correspondence, experience writing coverage letters and responding to/issuing tenders  Be skilled in negotiating settlements with various stakeholders to achieve equitable solutions.

New!

New York, NY3 days ago

$18.17–$29.04 Per Hour

U.S. Anesthesia Partners is looking for an Accounts Receivable Specialist – RCM to manage collections from third-party payers. The role offers a pay range of $18.17 - $29.04 hourly and is eligible for bonuses based on performance.#J-18808-Ljbffr.

New!

New York, NY5 days ago

$35–$36.71 Per Hour
Contractor
Full-time

To determine whether advertising is truthful and accurate, Associates must be able to identify express and implied claims and assess the adequacy of a variety of forms of supporting documentation submitted by Advertisers to support such representations, including studies, market research and related complex industry-specific data. Working knowledge or familiarity with advertising or marketing laws; FTC, FCC, and FDA regulations; clinical analysis; product testing; market research and/or statistical analysis.

New York, New York26 days ago

They represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market. • Develops and implements advanced strategies for generating claims insights and advocacy, leveraging industry expertise and insights to optimize claim resolution outcomes.

White Plains, NY11 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Underwriter Specialty Program Excess Surplus Commercial Lines Program Underwriter #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

New York, NY30+ days ago

$145,700–$175,000 Per Year

The successful candidate will have significant coverage experience as well as GL (Bodily Injury and Property Damage) and Auto Liability complex/large exposure claim handling experience, a passion for achieving excellent claim results and for delivering exceptional customer service. Assist CAM's and others with TPA management and oversight to include: TPA claim staff training relating to Arch processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service and other topics that may arise.

New!

Newark, NJ4 days ago

$73,824.56–$112,500 Per Year

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New York City, NY19 days ago

$33–$40 Per Hour

Nesco Resource has partnered with a well-established, nationally recognized company with a long-standing presence in critical infrastructure and public service to identify a Claims Intake Specialist. - Prolonged sitting while answering phones at a computer terminal for the majority of the workday required.

New!

Brooklyn, NY3 days ago

$50–$60 Per Hour
Full-time
Employee

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Proven ability to lead teams, streamline processes, improve cash flow, and maintain strong relationships with customers, vendors, and internal departments in fast-paced environments.

New York, NY30+ days ago

$55,000–$65,000 Per Year

About NYC Health + Hospitals MetroPlus Health 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 subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Healths network includes over 27,000 primary care providers, specialists, and participating clinics.

Melville, New York23 days ago

$28–$32 Per Hour

Red Bank, NJ30+ days ago

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. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.

Garden City, NY30+ days ago

$50,000–$60,000 Per Hour

Our network includes over 6,000 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members, providers and health plan partners.

Morristown, NJ30+ days ago

$144,500–$227,500 Per Year

By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business - property, casualty, professional, financial lines and specialty. · AXA Hearts in Action: We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XL's "Hearts in Action" programs.

New York City, NY30+ days ago

Remote

$20–$35 Per Hour

The estimated base pay range per hour for this role is:$20—$35 USDTo ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.

Melville, New York16 days ago

$25–$30 Per Hour

Founded in 1995, Achieve Beyond nationally meets the needs of children by providing the highest quality of pediatric therapy and autism services. Our providers and administrative staff are dedicated to our mission of helping children and families, and we are looking for smart, innovative, and driven candidates to join our team.

New!

Melville, New York4 days ago

$25–$30 Per Hour

NY30+ days ago

$20.66–$29.99 Per Hour

PREFERRED QUALIFICATIONS: • High school graduate or equivalent • Bachelor's degree in healthcare or business administration • Minimum 1 year medical billing and denials, customer service and relevant finance experience in a health care organization a plus • Certification in medical billing UNION: 1199-200B Clerical Workers (CPH). SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims, and ensuring timely reimbursement for healthcare services.

New!

New York, NY3 days ago

Remote

Desired Experience High school diploma or equivalent required; associate or bachelor's degree preferred.2+ years of experience in medical billing or revenue cycle management, with emphasis on insurance follow-up or A/R.Experience with Medicaid and Managed Care Organization a plus. The Revenue Cycle Specialist is responsible for managing an assigned book of business consisting of Medicaid payers to ensure accurate and timely reimbursement for healthcare services.

Teaneck, New Jersey23 days ago

Remote

$20.35–$27.43 Per Hour

Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts. Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.

New!

New York, NY3 days ago

Remote

$22.39–$28.29 Per Hour

Candidate must demonstrate a strong customer service and patient focused orientation and the ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process. Street Service CorporationAt 61 st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees.

New York, NY30 days ago

$65,000–$75,000

This individual will work closely with the Director of Business Operations and Director of Revenue Operations to ensure that cash pay invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. Manage extension requests and contracts, including communication with clients and guarantors regarding billing questions and account needs.

Hicksville, NY18 days ago

CN Guidance & Counseling Services, inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services. Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees.

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Claims Specialist Jobs in Astoria, NY

Claims Service Specialist GEICO

Global Cards Solutions Specialist II - Operations United Nations Federal Credit Union

Property Adjuster Specialist - Field USAA

Patient Support Specialist Careers Integrated Resources Inc

Insurance Claims Environmental Diedre Moire Corp.

Ins Claims Examiner Medical Malpractice - Union City, NJ Diedre Moire Corp.

Regulatory Specialist Atrium

Collections/Medical Biller Atrium

Long Term Disability Claims Specialist II MetLife Inc

Complex Liability Claims Specialist - Commercial General Liability Utica Mutual Insurance Company

Senior Claims Specialist - EPL/Fiduciary Axis Capital Holdings

Trucking Claims Specialist Berkshire Hathaway GUARD Insurance Companies

Junior Claims Specialist (1-3 years) (Hybrid in Berkeley Heights, NJ) (Full-Time) Career Developers

Senior Claims Specialist Axis Capital Holdings

Claims Specialist - Management Liability AXIS Capital Holdings Ltd

Liability Claims Specialist Coterie Applications Inc

Claims Specialist (Fidelity Lines) ( Remote ) ( Full-Time ) Career Developers

Claims Specialist - Primary Casualty Axis Capital Holdings

Sr. Claims Specialist Berkley

Claims Specialist Berkley

Senior General Liability Claims Specialist Berkley

Senior Claims Specialist, Excess Casualty Axis Capital Holdings

Claims Operations Specialist - HYBRID DB Insurance Co., Ltd.

Senior Claims Specialist- Financial Lines Westfield Insurance Co

Claims Specialist- Financial Lines Westfield Insurance Co

Senior Claims Specialist, Primary Casualty Construction Claims Axis Capital Holdings

Senior Claims Specialist, Excess Casualty Claims - NA Axis Capital Holdings

Senior Claims Specialist, Primary Claims Axis Capital Holdings

Accounts Receivable Specialist: Denials & Claims Expert US Anesthesia Partners

Specialist # 26-12682 US Tech Solutions

Senior Claims Advocacy Specialist Ryan Specialty Group

Insurance Underwriter Diedre Moire Corp.

Complex Claims and Coverage Specialist Arch Capital Group Ltd

Claim Specialist - Property Field Inspection State Farm

Claims Intake Specilist Nesco Resource, LLC

Accounts Receivable Manager Company Confidential

Claims Quality Analyst Metroplus Health Plan Inc

Claims Investigator Allied Universal

Executive Claims Examiner, Cyber and Technology E&O Claims Markel Group Inc

Claims Audit Coordinator HealthCare Partners, MSO

Claim Manager- Construction Defect AXA SA

Outpatient Coder Claim Edits and Denials Datavant

Medical Billing Specialist Achieve Beyond Pediatric Therapy & Autism Services

Medical Biller / Accounts Receivable Specialist Achieve Beyond Pediatric Therapy & Autism Services

Medical Billing & Denials Specialist Rochester Regional Health System

Revenue Cycle Specialist Medical Guardian

Patient Account Specialist Regional Cancer Care Associates

Accounts Receivable Specialist I #Full Time #Remote 61st Street Service

Billing & Reconciliation Specialist Release Recovery

Billing Specialist CN Guidance and Counseling Services

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