Full-Time Claim Specialist jobs in New York, NY

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CLAIMS SPECIALIST II

Review and analysis of detailed medical records, itineraries and other documentation.. Proactive work to resolve claims as expeditiously as possible; decisions are made based on authority levels, policies and documented procedures...

CompanyAon
AddressNew York, NY
CategoryHuman Resources
Salarylife insurance, vision insurance, paid time off, paid holidays, sick time, tuition assistance, 401(k)
Date Posted 2 weeks ago See detail

Claims Specialist II

Aon

New York, NY

life insurance, vision insurance, paid time off, paid holidays, sick time, tuition assistance, 401(k)

Review and analysis of detailed medical records, itineraries and other documentation.. Proactive work to resolve claims as expeditiously as possible; decisions are made based on authority levels, policies and documented procedures...

Medical Malpractice Claim Specialist

Healthcare Risk Advisors, Inc.

New York, NY

$89,362 - $178,297 a year

Minimum of 5-10 years of related Medical Malpractice experience. 2 years professional liability claims and claims management experience preferred. JD degree preferred. Excellent interpersonal and organizational skills. Strong know...

RCIS Crop Claims Specialist

York State Department Of Labor

New York, NY

Exercise judgement to determine liability by gathering and analyzing relevant facts; utilizing applicable procedures. Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage f...

Workers Compensation Claims Specialist

Kinetic

New York, NY

Manage Kinetic's transitional duty program offerings through the full lifecycle from initial injury to MMI. Develop new workflows that improve transitional duty KPIs. Provide development teams with feedback & enhancements to impro...

Claims Adjustment Specialist I

Nyc Health + Hospitals

New York, NY

Research and analyze medical Claims Adjustment requests along with related documentation to determine payment accuracy and adjust/adjudicate as needed using multiple systems and platforms. Ensure that the proper payment guidelines...

Claims Adjustment Specialist I

Metroplushealth

New York, NY

Research and analyze medical Claims Adjustment requests along with related documentation to determine payment accuracy and adjust/adjudicate as needed using multiple systems and platforms. Ensure that the proper payment guidelines...

Team Lead, Inpatient Claims Pricing Specialist

Medreview

New York, NY

Serves as a knowledge expert and maintains up to date working knowledge of pricing guidelines in order to act as a resource for all pricing team members. Responsible for reviewing data in the review application and client claim pr...

Claims Compliance Specialist

Berkshire Hathaway Specialty Insurance

New York, NY

Support compliance with Medicare reporting process requirements to the Centers for Medicare and Medicaid Services (CMS). Facilitate claim data input and reporting to Insurance Services Organization (ISO). Support compliance with r...