195 Results for

Claims Specialist Jobs in Cooper, NY

Jobs

Union City, NJ24 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.

Hanover, NJ19 days ago

$19–$19 Per Hour

This role provides high-touch, concierge-level support by working directly with patients, physicians, and pharmacies to guide them through eligibility, reimbursement, and program enrolment processes. The Patient Support Specialist is responsible for helping patients gain access to prescription medications through copay assistance programs.

New!

New York, NY6 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.

New Hyde Park, NY13 days ago

$26–$28 Per Hour
Temporary
Contractor
Full-time

The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials.

Short Hills, NJ16 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.

New!

Short Hills, NJ4 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.

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.

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.

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.

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!

White Plains, NY5 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, New York20 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.

New York, NY18 days ago

$140,000–$160,000 Per Year

New York, NY27 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.

TBD, New York30+ days ago

$120,000–$145,000 Per Year

The successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. Minimum of ten (10) years’ experience in the handling or litigating of commercial general liability claims and five (5) years’ experience in the handling or litigating of complex commercial general liability claims.

Tinton Falls, New Jersey27 days ago

Additionally, this role supervises third-party follow-up activities across all payers including but not limited to HMO, Blue Cross, Commercial, Government, and Managed Care payers, Specialty and Client billing ensuring accounts are resolved promptly and effectively. Responsibilities: A day in the life of a Supervisor of Specialty Claims & Accounts Receivable at Hackensack Meridian Health includes: Monitor daily pre-billing, billing and follow up operations across HMH network, providing leadership and guidance to analysts and team members.

Melville, New York17 days ago

$28–$32 Per Hour

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.

Great Neck, NY24 days ago

$60,000–$100,000 Per Year

Our client, a large and growing insurance carrier, is seeking a Third Party Liability Claims Examiner to manage complex bodily injury, property damage, and litigated liability claims related to commercial trucking and business insurance policies. This role is responsible for investigating, evaluating, negotiating, and resolving third-party liability claims while coordinating with attorneys, TPAs, claimants, and internal teams.

New!

New York, NY6 days ago

Remote

$85,000–$95,000

Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition.

Melville, NY30+ days ago

Full-time

Assist Customer Service, Casualty, Medical Management, and Management teams by providing support in resolving claims and responding to questions and concerns. Excellent analytical and problem-solving skills, with the ability to identify discrepancies and resolve complex claim issues.

Jersey City, New Jersey30+ days ago

$90,000–$140,000 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. Responsibilities: The Senior Claims Examiner will 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 $100,000.00.

Jersey City, New Jersey30+ days ago

$180,000–$220,000 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: $180,000-$220,000 • Eligible to participate in annual discretionary bonus.

Rutherford, NJ30+ days ago

Full-time

You will have the ability to make a meaningful impact by leveraging your claim handling skills, industry expertise, customer service skills, and ability to execute with a high degree of professionalism. Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company.

Great Neck, NY30+ days ago

Full-time

In this role, you will handle claims involving third-party liability, specifically in commercial trucking and business policies, working to resolve them efficiently while ensuring fair settlements. Key Responsibilities: Investigate, evaluate, and resolve third-party claims including bodily injury, property damage, and liability claims including ones in litigation for commercial trucking and business policies.

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.

Berkeley Heights, NJ30+ days ago

Full-time

Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. #LI-ET1Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

Hackensack, New Jersey30+ days ago

$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.

Melville, New York10 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.

Fort Lee, NJ9 days ago

Remote

$23.56–$28.85 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. ColumbiaDoctors’ practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties.

Rutherford, NJ30+ days ago

Full-time

Most importantly, youwill have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company. This position will be located in Rutherford, New Jersey or Lake Mary, Florida, Responsibilities:Manage the collection of data, import reports, and review associated materials.

Parsippany, NJ30+ days ago

This role is ideal for someone who understands insurance billing, thrives on accuracy and takes ownership of claims from submissions through reimbursement. We are looking for an experienced DME Billing Specialist to manage the full billing cycle for medical equipment.

New York, NY24 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.

Bronx, Ne11 days ago

Remote

About Urban Health Plan:At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. The Billing Specialist will review medical documentation to property bill services and treatment provided and submit claims to the payers following ICD-10, CPT coding and insurance guidelines.

Hicksville, NY12 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.

New York City, NY30+ days ago

$90,000–$115,000 Per Year

The ideal candidate brings strong experience of federal and state leave laws ensuring compliance, maintaining employee well-being, and fostering a supportive work environment with the ability to provide exceptional service to employees. As part of an agile team, you will also contribute to the Benefits and HR operations team overall to implement and continually improve processes and programs to continue to make Fried Frank a great place to work.

fanwood, NJ26 days ago

The ideal candidate will be responsible for handling billing and insurance claims, processing patient payments, verifying insurance benefits, and supporting front office operations. This role is essential to ensuring accurate and timely financial transactions and maintaining excellent patient communication regarding billing matters.

Bronx, New York30+ days ago

$18–$22 Per Hour

This role is responsible for explaining the benefits of care management programs to patients, answering questions about their benefits, processing enrollment forms, and ensuring that patients receive the care they need at home. Job Summary: The Enrollment Sales Specialist for Healthcare House Calls plays a critical role in assisting patients with the enrollment process for enhanced house call services.

Brooklyn, NY25 days ago

$52,000–$65,000 Per Year

A busy No-Fault law firm specializing in medical provider recovery seeks a Collections Specialist experienced in New York No-Fault (PIP) billing and collections. The ideal candidate is detail-oriented, familiar with the No-Fault regulatory framework, and comfortable working in a fast-paced, deadline-driven legal environment.

Lodi, NJ10 days ago

$25–$30 Per Hour

This role is ideal for someone with strong mechanical and electrical troubleshooting skills who enjoys problem-solving, collaborating cross-functionally, and delivering high-quality support to customers and service teams. The ideal candidate will bring a combination of technical aptitude, communication skills, and a proactive mindset to help resolve product issues efficiently while contributing to continuous improvement initiatives.

Montvale, NJ30+ days ago

$85,000–$115,000 Per Year

Our corporate headquarters is located in Montvale, New Jersey, and we have a broad network of sales offices, manufacturing sites, and R&D centers, primarily located in the U.S. and Europe. Develop and deliver communications (e.g., emails, newsletters, presentations) to employees regarding benefit programs, open enrollment, and changes.

Suffern, NY30+ days ago

$20–$25 Per Hour

You'll play a key role in ensuring our revenue cycle runs smoothly - from accurate payment posting and EOB (Explanation of Benefits) processing to maintaining up-to-date patient accounts. We're seeking a detail-oriented, motivated Dental Billing Specialist to support our mission of delivering quality dental care to children and families across the Northeast.

Oradell, New Jersey30+ days ago

$12–$18 Per Hour

READY TO ROUND LLC is seeking a detail-oriented Medical Billing Specialist to join our Revenue Cycle Management (RCM) Department. This role is responsible for ensuring accurate billing, timely claim submission, and maximizing reimbursement for healthcare providers.

Oyster Bay, New York20 days ago

$20–$23

General:Cross-sell appropriate products suited to member’s profile and confirmed through needs-based questions to attain sales goals covering member acquisition, new checking accounts, loan production, cross-sell, and insurance-related policies. This includes identifying member inquiries and providing account resolution and solutions matched to member needs by building relationships to determine their needs.

Newark, NJ30+ days ago

$15–$17 Per Hour
Contractor

Contact provider offices to encourage ongoing education and dialogue on data management best practices to service member/patient needs and to attend scheduled orientation sessions and other educational and outreach activities. on w2 Responsibilities: Makes outbound validation calls to providers in order to assure of demographic practitioner detail for each practice location for all Client networks.

Rye, NY30+ days ago

Founded in 1964, New York Blood Center (NYBC) has served the tri-state area for more than 60 years, delivering 500,000 lifesaving blood products annually to 150+ hospitals, EMS and healthcare partners. Experience supporting the development or execution of risk management strategies, including identifying exposures, documenting risks, or assisting with mitigation plans.

Hawthorne, NJ30+ days ago

$20–$25 Per Hour

We are seeking a reliable and detail-oriented Medical Billing / Accounts Receivable Specialist to join our growing Durable Medical Equipment (DME) company. We are looking for someone who understands how to work claims, resolve denials, and ensure payments are collected.

Whippany, New Jersey30+ days ago

$15.26–$21.50 Per Hour

This individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence.

New!

Jersey City, NJ4 days ago

$76,700–$85,700 Per Year

Superior interpersonal, communication, and time management skills and ability to develop and foster relationships with key internal and external stakeholders and contribute in a dynamic, fast-paced environment and effectively deliver on multiple priority matters. You'll develop new products and strengthen existing offerings by drafting and updating coverage forms, endorsements, and rate/rule pages - making sure our products are clear, competitive, and compliant.

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Claims Specialist Jobs in Cooper, NY

Insurance Claims Environmental Diedre Moire Corp.

Patient Support Specialist Careers Integrated Resources Inc

Property Adjuster Specialist - Field USAA

Medical Biller Out of Network TemPositions Group Of Companies

Senior Claims Specialist - EPL/Fiduciary Axis Capital Holdings

Senior Claims Specialist Axis Capital Holdings

Claims Specialist Berkley

Senior General Liability Claims Specialist Berkley

Sr. Claims Specialist Berkley

Claims Specialist - Primary Casualty Axis Capital Holdings

Senior Claims Specialist, Excess Casualty Axis Capital Holdings

Insurance Underwriter Diedre Moire Corp.

Senior Claims Advocacy Specialist Ryan Specialty Group

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

Senior Claims Specialist, Primary Claims Axis Capital Holdings

Complex Claim Specialist, General Liability AmTrust Financial Services, Inc.

Supervisor, Specialty Claims & Accounts Receivable Hackensack Meridian Health

Claims Investigator Allied Universal

Claims Audit Coordinator HealthCare Partners, MSO

Third Party Liability Claims Examiner - Insurance Carrier - Base Salary to 100k/year - Great Neck, NY AllSearch Professional Staffing

Commercial Auto & General Liability Claims Examiner II TEEMA Group

Claims Examiner MagnaCare

Sr. Claims Examiner Berkley

AVP, Claims Manager Berkley

New York Labor Law Claims Examiner Raphael and Associates

3rd Party Claims Adjuster/Examiner - HYBRID DB Insurance Co., Ltd.

Outpatient Coder Claim Edits and Denials Datavant

Sr Claim Examiner-Liability Crawford & Company

Patient Account Specialist Regional Cancer Care Associates

Medical Billing Specialist Achieve Beyond Pediatric Therapy & Autism Services

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

Client Support Specialist Raphael and Associates

DME Billing Specialist EBI Holdings, LLC

Billing & Reconciliation Specialist Release Recovery

Medical Biller Specialist I Urban Health Plan, Inc

Billing Specialist CN Guidance and Counseling Services

Benefits Leave Specialist Fried Frank Business Services Opportunities

Dental Billing Specialist scotchplain fanwood sdentalcare

Enrollment Sales Specialist (House Calls) Essen Medical Associates

No-Fault Collections Specialist — Law Firm LAW OFFICE OF OLGA SKLYUT PC

Product Support Specialist Sterling Engineering, Inc.

HR Benefits Specialist Balchem Corporation

Dental Billing Specialist PDS Management Services, LLC

Medical Billing Specialist Ready to Round LLC

Universal Membership Specialist Nassau Financial Federal Credit Union

Network Outreach Specialist Integrated Resources, Inc

Insurance Analyst/Associate-Insurance & Risk Specialist - Legal Dept - Rye New York New York Blood Center Inc

Medical Billing / Accounts Receivable Specialist Medical Claims Billing Florida Llc

Patient Support Specialist ConnectiveRx

Product Development Specialist Philadelphia Insurance Companies

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