2mo
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Hospital Claims Processor V
New York, New York, United States
OnsiteFull Time
2+ YOEProcess and review hospital claims; ensure eligibility, benefits, and resolution; requires 2+ years claims experience; HS diploma; knowledge of ICD/CPT; QNXT.
QNXT, ICD-9, ICD-10, CPT, Claims system
4d
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Claims Examiner
New York City, New York, United States
RemoteFull Time
Experience in claims processing for accident/critical illness/LTC/hospital indemnity, strong analytical and communication skills, proficiency with Microsoft Office, bachelor's degree or equivalent preferred.
Microsoft Excel, Microsoft Word, Microsoft Outlook
1mo
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Claims Associate (Onsite)
Hauppauge, New York, United States
$22/yr OnsiteFull Time
1+ YOEInvestigate, evaluate, and process insurance and loss-prevention claims; verify policy coverage; communicate with claimants and stakeholders; maintain accurate claim files. 1+ year claims/insurance/customer service or administrative experience preferred; Associate/Bachelor preferred.
MS Office, Microsoft Outlook, Microsoft Word, Microsoft Excel
2mo
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Claims Supervisor
Clifton, New Jersey, United States
$70k-$80k/yr OnsiteFull Time
5+ YOE5+ years Medicaid/Medicare claims processing; CPT/ICD-10/HCPCS; COB/TPL; AS400; Excel; CPC/CPB/CBC preferred; eye care billing experience.
AS400, Excel, Microsoft Office, Billing systems
4d
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Claims Examiner
New York City, New York, United States
RemoteFull Time
Harris ComputerToronto Stock Exchange: CSU: A provider of mission-critical software solutions serving public sector and commercial customers with a culture focused on employee development and service.
Assess and process claims for accident, critical illness, LTC and hospital indemnity lines; investigate records, determine coverage and liability, ensure regulatory compliance; strong analytical and communication skills required.
Microsoft Excel, Microsoft Word, Microsoft Outlook
3mo
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Personal Injury Processing Paralegal
Forest Hills, New York, United States
$55k-$70k/yr OnsiteFull Time
1+ YOE1+ years paralegal experience with personal injury claims; experience setting up bodily injury and no-fault claims, processing settlements and loss wages, handling property damage; Spanish bilingual; strong communication and organization.
1mo
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Claims Review Analyst
New York City, New York, United States
$49k-$83k/yr OnsiteFull Time
2+ YOEBachelor's degree (or equivalent experience), 2+ years professional claims/benefits/billing experience, knowledge of claim processing, medical terminology, ICD/CPT coding and DRG, proficiency with MS Office, strong analytical and communication skills.
Microsoft Office
2w
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Claims Assistant - NY
New York, New York, United States
$32k-$66k/yr HybridFull Time
Performs daily administrative support for claims including phone handling, mail processing, imaging, invoice review, FNOL setup, HIPAA authorizations, and customer service; high school diploma and 1-2 years admin experience preferred.
ImageRight, WINS, Microsoft Outlook, Microsoft Word, Microsoft Excel, OneDrive, MCS
1mo
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Claims Associate, Risk Management
New York, New York, United States
$120k-$140k/yr OnsiteFull Time
4+ YOEMinimum 4 years experience in risk management or insurance claims processing; solid understanding of insurance policies across lines; strong organizational, communication, judgment, confidentiality, and compliance skills.
3mo
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Group Insurance Team Lead, Claims
Newark, New Jersey, United States
$89k-$147k/yr HybridFull Time
3+ YOEMinimum 3 years in Group Insurance operations or claims; STD/Absence/Paid Leave knowledge; strong analytical, coaching and communication skills; ability to lead and improve processes.
Teams, MS Word, Excel
3mo
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Claims Transformation Domain Lead
Jersey City or Philadelphia or Whitehouse Station
$180k-$275k/yr OnsiteFull Time
7+ YOE7+ years in process engineering/operations/project mgmt with automation/AI integration; agile leadership; AI/ML knowledge; strong communication; claims ops a plus; engineering/business degree; certifications a plus.
AI, Machine Learning, Automation
1mo
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Claims Review Analyst in New York, New York
New York, New York, United States
$49k-$83k/yr OnsiteFull Time
2+ YOE2–3 years professional claims or billing experience; strong knowledge of claim processing, medical terminology, ICD/CPT coding, EDP testing; Bachelor's degree preferred; proficiency with Microsoft Office; analytical and problem-solving skills.
Microsoft Office, ICD, CPT, EDP
3mo
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Insurance Processing Associate - Eddy Senior Care - FT Days
New York, New York, United States
$19-$25/hr OnsiteFull Time
2+ YOEExperience with medical claims processing, strong organizational and communication skills, high school diploma, 2-3 years billing/healthcare experience; able to handle high volume.
1mo
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Experienced Medical Claims Biller II (NY, Farmingdale)
Farmingdale, New York, United States
$18-$25/hr OnsiteFull Time
2+ YOEMinimum 2 years hospital in-patient and out-patient claims follow-up experience; hospital billing, denial processing, appeal submission, EOB review, insurance follow-up and verification.
5d
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Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yr OnsiteFull Time
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
2mo
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Supervisor, Claims Medical Only
Princeton, New Jersey, United States
$67k-$92k/yr HybridFull Time
5+ YOEBachelor's degree or equivalent; 5+ years in workers' compensation; valid adjuster license; leadership skills; ability to work with minimal supervision; strong process/quality focus.
Insurance Software, Microsoft Office, Data Analysis Tools
1mo
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Quality & Training Specialist, Claims (Hybrid)
Bethlehem or Pittsfield or New York City or Boston
$59k-$96k/yr HybridFull Time
Extensive Individual Claims experience, quality assurance/audit or process improvement background, training delivery experience, advanced Microsoft Excel skills, strong analytical and communication abilities.
Microsoft Excel
1mo
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Part -Time Insurance credentialing for Medical Office Specialists
Jamaica, New York, United States
$25-$30/hr OnsitePart Time
Credentialing providers with payers, processing and submitting claims, and appealing denied claims; experience with medical billing or insurance credentialing preferred.
1mo
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Complex Claim Director - Employment Practices Liability
New York City or Chicago
$120k-$150k/yr OnsiteFull Time
6+ YOE6+ years handling complex insurance claims or litigation, strong negotiation and communication skills, knowledge of litigation/arbitration processes; JD preferred.
3mo
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Omnichannel Customer Representative
Secaucus, New Jersey, United States
OnsiteFull Time
Respond to customer emails, provide order updates, track orders, process claims, maintain FedEx claim logs, strong communication, multitask in a fast-paced environment.
Email, CRM, FedEx tracking
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