- Correspond with medical specialists, agents, witnesses, or claimants to gather information
- Obtain detailed statements from all parties involved
- Review and approve claims payments within set limits
- Settle property losses through negotiation with minimal supervision
- Collaborate with legal advisors to handle cases appropriately
- Prior experience in insurance, investigations, or related fields
- Background in conflict resolution
- Strong skills in negotiation
- Excellent written and verbal communication abilities
- Ability to work well under deadlines and pay attention to details
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Claims Analyst
3 days ago
Themesoft Inc. New York, United StatesJob Title: Claims Analyst (X12 standards ) · Location: Albany, NY (Remote) · Job Type: Contract · Job Summary: As an X12 Expert, you will be responsible for reviewing and validating encounter data and social care claims submissions in accordance with X12 standards. You will provi ...
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Claims Analyst
3 weeks ago
Martin De Porres Youth & Family Services Springfield Gardens, United StatesJob Description · Job DescriptionDescription:Employee's Name: TBD Job Title: CFTSS and HCBS Claims Analyst · Supervisor: Director of CFTSS and HCBS Start Date: TBD · Department: CFTSS and HCBS FLSA Status: Full Time – Exempt · ===================================================== ...
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Claims Quality Analyst
2 weeks ago
MetroPlus Health Plan Brooklyn, United StatesClaims Quality Analyst · Job Ref: 102596 · Category: Claims · Department: CLAIMS · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Hire In Rate: $55,000.00 · Salary Range: $55, $65,000.00 · Empower. Unite. ...
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Claims Compliance Remediation Claims Analyst
4 weeks ago
Tandym Group New York, United StatesA healthcare company in New York City is looking to add a new Claims Compliance Remediation Analyst to their growing team. In this role, the Claims Compliance Remediation Analyst will be responsible for supporting the Director of Claims Support to ensure claims rules, guidelines, ...
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Senior Claims Analyst
2 weeks ago
Amida Care New York, United StatesAmida Care, the largest Medicaid HIV Special Needs Plan in NY, delivers a uniquely effective care model that has become a true benchmark for innovation, engagement and member health outcomes. Our mission is to provide access to comprehensive care and coordinated services that fac ...
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Analyst, Claims
2 weeks ago
Oscar Health New York, United StatesJob Description · Job DescriptionHi, we're Oscar. We're hiring a Claims Analyst to join our Claims Optimization team. · Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create ...
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Claims Compliance Remediation Analyst
2 weeks ago
MetroPlusHealth New York City, United StatesEmpower. Unite. Care. · MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what y ...
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Claims Quality Analyst
2 weeks ago
NYC Health Hospitals New York, United StatesMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchan ...
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Claims Quality Analyst
2 weeks ago
MetroPlusHealth New York, United StatesJob DescriptionJob DescriptionEmpower. Unite. Care. · MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can com ...
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Claims Analyst, MGA Claims
4 weeks ago
Partner Reinsurance Company Stamford, United StatesPartnerRe is a leading, privately owned, multi-line global reinsurer with a reputation of financial stability and strength, and a commitment to rebuilding businesses and communities after risk events around the world. · Our mission is to continue to be a financially stable and pr ...
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Claims Compliance Remediation Analyst
2 weeks ago
MetroPlusHealth New York, United StatesJob DescriptionJob DescriptionEmpower. Unite. Care. · MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can com ...
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Claims Analyst III – Financial Lines
5 days ago
AIG New York, United States Full timeWho we are · American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial service ...
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Business Analyst IV, Group Claims
2 weeks ago
Guardian Life New York, United States Full timeAs Group Claims Business Analyst, you will serve as a Claims subject matter expert to assist in executing all claims projects and strategic initiatives. You will partner with the Group Claims Transformation & Reengineering team to develop project plans, create business requirem ...
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Claims Analyst
3 weeks ago
Primma, LLC Roslyn, United StatesJob Description · Job Description**This position is a possible hybrid position after training** · General Summary: The Claims Analyst is responsible for direct management of claims handling including but not limited to; coverage verification, investigation, negotiations, litigati ...
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Claims Analyst
2 weeks ago
Humanhirellc White Plains, United States2 days ago · Be among the first 25 applicants · HumanHire is working with one of the largest insurance companies in New York, to help find a Claims Analyst for their White Plains office. This company has been around for over 75 years and this person will be sitting out of their ...
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Healthcare Claims Review Analyst
20 hours ago
EmblemHealth New York, United StatesSummary of Job · Support contract performance management of a large health system. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines. Identify and analyze single issues and trends ...
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Claims Quality Analyst
2 weeks ago
Oscar Health New York, United StatesJob Description · Job DescriptionHi, we're Oscar. We're hiring a Claims Quality Analyst to join our Claims Quality team. · Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to cre ...
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Claims Compliance Analyst
2 days ago
MetroPlusHealth New York, NY, United StatesCare.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. About NYC Health + HospitalsMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, ...
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Claims Analyst III Financial Lines
1 day ago
AIG New York, United StatesWho we are · American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial servic ...
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Claims Quality Analyst
2 weeks ago
MetroPlusHealth New York, United StatesJob Description · Job DescriptionEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come ...
Claims Analyst - Forest Hills, United States - Cross Country Workforce Solutions Group
Description
Job Description
We are looking for a Claims Analyst to join our team. Your main role will be to investigate, analyze, and determine the extent of our organization's liability in different claims.
Responsibilities:
Qualifications:
