175 Results for

Claims Specialist Jobs in Trinity, NY

Jobs

Union City, NJ22 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!

New York, NY4 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, NY11 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.

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

$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

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, NY3 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 York18 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.

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.

New York, NY16 days ago

$140,000–$160,000 Per Year

New York, NY25 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.

Melville, New York15 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, NY22 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, NY4 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.

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.

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.

Fort Lee, NJ7 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.

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 York8 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.

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.

Bronx, Ne9 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.

New York, NY22 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, NY10 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.

Brooklyn, NY23 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, NJ8 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.

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.

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.

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.

Oyster Bay, New York18 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.

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.

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.

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.

New!

Jersey City, NJ2 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.

New York City, NY30+ days ago

$23.72–$26.44 Per Hour

At least 2 years of experience in Medical Billing or in a Healthcare setting, with a strong understanding of healthcare claims, overpayments, and experience facilitating refunds to both commercial and government payors. Mental & Physical Health Support: No-cost access to therapy through the Grow platform, weekly flexible hours for self-care ("Mental Health Mornings/Afternoons") and memberships to leading wellness apps (such as One Medical, Headspace, and Talkspace).

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.

New!

New York, New York2 days ago

Remote

$1,150–$1,450

Review and evaluate AI-generated outputs related to plan benefit design, coverage determination, claims adjudication, and medical necessity criteria. Annotate, label, and validate data across health insurance use cases, such as ICD coding accuracy and payer policy interpretation.

Jersey City, NJ30+ days ago

Full-time

Unsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property. Specialty Business Solutions - provides an integrated suite of software for full end-to-end management of insurance and reinsurance business, helping companies manage their businesses through efficiency, flexibility, and data governance.

Stamford, CT11 days ago

$43,680–$47,841

Join Performance Optimal Health, a leading wellness organization that takes a holistic approach to health through the Four Pillars of Optimal Health – Exercise, Nutrition, Recovery, and Stress Management. Resolve billing issues, denials, and underpayments by following up with insurance companies, patients, and internal staff.

Stony Brook, New York29 days ago

$23–$28.74 Per Hour

Analyze, code and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement. Responsibilities: SUMMARY: Capture missing charges and clear claims that are in holding, assist CPMP Central Billing Office is resolving denials.

New!

New York, NY1 day ago

$68,900–$99,620 Per Year

The incumbent will help guide their team, ensuring they can successfully gather facts, documents, apply sound decision making through the investigation, and send clear, accurate, grammatically correct member and provider facing letters, detailing the outcome of the investigation or appeal with the highest degree of quality within the timelines as required. For those assisting with member complains requires our team members to exercise their critical thinking, retrace a member’s journey, coordinate with internal and external parties in the goal of making our member whole, and improving their circumstances.

New!

Queens Village, NY2 days ago

$55,000–$60,000 Per Year

Our property management portfolio consists of rental housing for family and senior residents, developments funded by the low-income housing tax credit program, government assisted rental housing and rent stabilized properties. Process tenant rental payments, Housing Assistance Payments (HAP), post HAP Payments, manage Tenant Rental Assistance Certification System (TRACS) and review Tenant Income Certification (TICs).

New!

Carlstadt, NJToday

Full-time

Generate and analyze payroll reports, including wage summaries, overtime reports, deductions, and year-end payroll data for management review and auditing purposes. Operating in a fast-paced industrial environment with a large hourly workforce, this role ensures that pay practices are competitive, equitable, and compliant with all applicable federal, state, and local regulations.

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Claims Specialist Jobs in Trinity, NY

Insurance Claims Environmental Diedre Moire Corp.

Property Adjuster Specialist - Field USAA

Medical Biller Out of Network TemPositions Group Of Companies

Senior General Liability Claims Specialist Berkley

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

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

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

Senior Claims Specialist, Primary Claims Axis Capital Holdings

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

Outpatient Coder Claim Edits and Denials Datavant

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

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

Patient Account Specialist Regional Cancer Care Associates

Medical Billing Specialist Achieve Beyond Pediatric Therapy & Autism Services

Client Support Specialist Raphael and Associates

Medical Biller Specialist I Urban Health Plan, Inc

Billing & Reconciliation Specialist Release Recovery

Billing Specialist CN Guidance and Counseling Services

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

Product Support Specialist Sterling Engineering, Inc.

Enrollment Sales Specialist (House Calls) Essen Medical Associates

Benefits Leave Specialist Fried Frank Business Services Opportunities

HR Benefits Specialist Balchem Corporation

Dental Billing Specialist PDS Management Services, LLC

Universal Membership Specialist Nassau Financial Federal Credit Union

Medical Billing / Accounts Receivable Specialist Medical Claims Billing Florida Llc

Network Outreach Specialist Integrated Resources, Inc

Medical Billing Specialist Ready to Round LLC

Product Development Specialist Philadelphia Insurance Companies

Credits Specialist, Medical Billing Grow Therapy

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

Insurance Specialist - Fully Remote Mercor

Specialist, Global Mobility and Immigration INSURANCE SERVICES OFFICE INC

Billing Specialist Performance Optimal Health

Billing Support Specialist - Anesthesiology SB Clinical Practice Management

Team Lead, Appeals and Grievances, Non Clinical Specialist Healthfirst

Compliance Specialist Shinda Management Corporation

Compensation and Benefits HR Specialist Wonder Food Group, Inc

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