- Port Authority of New York and New Jersey (New York, NY)
- …NJ - Experience with handling Workers' Compensation (WC) within an Owners Controlled Insurance Program (OCIP) - Strong technical claims and coverage knowledge. - ... the Workers' Compensation Principal Program Coordinator, oversee Third-party Administrator (TPA) claim adjusters in accordance with best practices on all major… more
- Northwell Health (New York, NY)
- **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The ... will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight activities to ensure compliance… more
- MetLife (Oriskany, NY)
- …Required: * High school diploma required. * Associate's Degree desired * 1-2 years insurance claims experience desirable. * Basic knowledge of Group Life ... a call, refer to a case) as applicable. Review claims submission for completeness and accuracy. Records data in...call ups and perform any necessary follow-ups regarding the claim . 6. Clearly and concisely communicate content of inquiry… more
- MVP Health Care (Schenectady, NY)
- …availability to work full-time, hybrid. + Minimum 3 years in health insurance or production-related environment. 2 years claims processing experience preferred. ... improvement. To achieve this, we're looking for a Leader, Claims Operations, to join #TeamMVP. If you have a...Cigna and Data Entry partners. + Supervise and mentor claim examiners and seniors to build a highly skilled… more
- Humana (Albany, NY)
- …industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing, system navigation, payment ... your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...results to recommend system or procedural changes to increase claim accuracy and/or identify opportunities for workflow enhancements. +… more
- MTA (Brooklyn, NY)
- Claims Mgr Court Prep Torts Job ID: 11683...* Extensive knowledge of torts negligence law and medical claim evaluation and insurance adjusting industry. * ... Department: MATRIX LAW Date Posted: May 6, 2025 Description Claims Manager Court Prep Open Date: 5/6/2025 Close Date:...an accredited college or university and experience in liability claims , investigations and adjustment of which one (1) year… more
- World Insurance Associates, LLC. (Cedarhurst, NY)
- …region. Position Overview The Claims Specialist is responsible for managing claims filed with the insurance company, ensuring thorough investigation, and ... Summary World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service… more
- Zurich NA (Albany, NY)
- …+ Knowledge of insurance legal statutes and procedures + Knowledge of the insurance industry, claims and the insurance legal and regulatory environment + ... Workers Compensation Claims Manager 126104 At Zurich North America ...short-term incentive bonus eligibility set at 15%. As an insurance company, Zurich is subject to 18 US Code… more
- AIG (New York, NY)
- …relationships. What you'll need to succeed: + 7+ of experience handling complex insurance claims , litigation or other related experience + Position requires ... Join us as a Complex Claims Director- Cyber, Media, & Technology to grow...peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world… more