Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Provider Claims Resolution Specialist

MetroPlus

MetroPlus in New York is looking for a Claims Service Correspondent responsible for providing accurate responses to claim inquiries from healthcare providers. This role involves coordination with multiple departments and resolving issues professionally. Qualifications include a High School Diploma and at least two years of experience in claims processing. Candidates should have strong customer service skills and proficiency in relevant claims databases. #J-18808-Ljbffr MetroPlus

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Provider Claims Resolution Specialist in New York, NY vacancy
  • Allstate Insurance Company is seeking a remote, full-time Claims Resolution Adjuster to investigate automobile accidents involving bodily injury, assess coverage and damages, and negotiate settlements while delivering strong customer service. Key responsibilities include... 
    Suggested
    Remote job
    Full time

    Allstate Insurance Company

    New York, NY
    2 days ago
  • Reserv is an insurtech focused on AI-driven claims processes and remote-first operations. We seek a Resolution Specialist to educate customers, triage claims, and drive efficient resolution across transportation-related claims. The role collaborates with product, engineering... 
    Suggested
    Remote job

    Flourish Ventures

    New York, NY
    5 days ago
  • 1199SEIU is seeking a healthcare claims processor to review hospital claims, determine actions to resolve pended items, and process claims...  ...-authorization rules and contractual policies, and respond to provider inquiries while maintaining accuracy and timeliness in a fast-... 
    Suggested

    1199seiu

    New York, NY
    3 days ago
  • Reserv is seeking a Resolution Specialist to support a remote-first claims operation focused on transportation-related auto claims. You will handle calls, guide claimants through the process, triage inventory, and collaborate with product and engineering teams to drive... 
    Suggested
    Remote job

    Triwill Group

    New York, NY
    3 days ago
  •  ...Complex Claims Specialist: General LiabilityBuild a brilliant future with HiscoxPut your claims...  ...in-house roles, working together to provide the ultimate product we offer to the market...  ...of authority to provide fair and fast resolution of claims for our insured and broker... 
    Suggested
    Private practice
    Local area

    Hiscox USA

    New York, NY
    3 days ago
  •  ...Claims SpecialistThe Claims Specialist under the supervision of the Director of Claims is responsible for proactively...  ...with claimants, employees, medical providers, Suffolk's insurance broker,...  ...necessary to properly administer resolution of claims.Perform monthly job-site... 
    For subcontractor
    Work at office

    Suffolk Construction

    New York, NY
    3 days ago
  •  .../or NY workers' compensation claims experience are preferred but...  ...requirements *** The Claims Specialist works within a Claims Team, using...  ...of the claim through resolution. This includes making decisions...  ...enhancing skills needed to help provide exceptional service to our... 
    Work at office
    Local area

    Liberty Mutual Insurance

    New York, NY
    3 days ago
  •  ...Provide full cycle support for workers' compensation, general liability, product, and cyber claims Engage directly with team members to provide service Process and document claims...  ...primary contact for claim mitigation and resolution recommendations and decisions Provide... 
    Relocation package

    Jobtailor

    New York, NY
    4 days ago
  • $85k - $145k

     ...join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance...  ...the laws that govern its operations. Claims Specialist – Employment Practices Liability &...  ...opportunities to contribute to impactful case resolutions within specialized insurance sectors.... 
    Work at office
    Shift work
    3 days per week

    AXIS (AXIS Capital)

    New York, NY
    7 hours ago
  •  ...Plum Benefits seeks a Cashless Claims Associate to provide on-site support to insured members during hospitalization, coordinating between the...  ...explaining policy coverage, and managing documentation and follow-up inquiries to ensure timely claim resolution. #J-18808-Ljbffr... 

    Plum Benefits

    New York, NY
    5 days ago
  • $69.6k - $92.4k

     ...Summit provides independent insurance agents and their clients with...  ...you turn to when you need a specialist who not only knows workers’ comp...  ...an inventory of claims to evaluate compensability/liability...  ...prioritize caseloads, ensuring timely resolution of claims. Excellent... 
    Full time
    Part time
    Seasonal work
    Work at office
    Remote work

    Summit Consulting

    New York, NY
    2 days ago
  •  ...lawyers' and accountant's professional liability claims.What you will do:Be responsible for primary...  ...professional liability claims from first notice through resolution, including coverage evaluation and litigation management.Provide top-notch customer service through all... 
    Remote work
    Weekend work

    Westfield Insurance

    New York, NY
    3 days ago
  •  ...Senior Complex Claims SpecialistThe Senior Complex Claims Specialist investigates, evaluates, negotiates, and resolves...  ...continuously reviewing the potential for resolution• Establish timely reserves...  ...customer relationships and provide superior customer service• Timely... 

    W. R. Berkley

    New York, NY
    3 days ago
  • $20 - $26 per hour

     ...Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya...  ...insurance, enabling entrepreneurial providers to launch and grow successful in‑network...  ...track, raise it early and drive it to resolution. Be the expert in your craft:... 
    Full time
    Private practice
    Remote work
    Shift work

    Zaya Care

    New York, NY
    2 days ago
  • $55k - $60k

     ...Claims Specialist IIAon is looking for a Claims Specialist II. Do you have experience in claims adjudication and enjoy resolving...  ...Prompt and courteous call handling of call transfers to provide claims issue resolution.Experience:Prior claims adjudication experience.Active... 
    Full time
    Temporary work
    Part time
    Work experience placement
    Local area
    Remote work

    Aon

    New York, NY
    6 hours ago
  • Working remotely, the full-time Claims Resolution Adjuster will investigate automobile accidents involving bodily injury, assess coverage...  ...and engage in negotiations to reach fair settlements while providing exceptional customer service. Key responsibilities Conduct liability... 
    Full time
    Remote work
    Monday to Friday
    Shift work

    Allstate Insurance Company

    New York, NY
    2 days ago
  • $100k - $150k

     ...Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight...  ...We are seeking an experienced manager to lead our growing Claims Resolution function. This role requires strong management skills,... 
    Temporary work
    Flexible hours
    Shift work

    Alteva RCM

    New York, NY
    6 days ago
  • $18 - $22 per hour

     ...Description Title: Authorizations Specialist   The Impact You Will...  ...and best-rated home warranty provider. We are looking for an...  ...technicians, and ensuring all claims adhere to company guidelines,...  ...the satisfaction and timely resolution of our customers' needs.... 
    Work at office
    Flexible hours

    Liberty Home Guard

    New York, NY
    17 days ago
  • $100k

     ...Construction Defect Technical Claims SpecialistArgo Group is an...  ...Construction Technical Claims Specialist Team Lead to join our team...  ...customers and contribute to providing superb results for our clients...  ...outcome and timely resolution.Properly setting claim reserves... 
    Local area
    Remote work

    Argo Group

    New York, NY
    3 days ago
  • $100k - $140k

     ...Senior Claims Specialist Company: Odyssey Location: New York, NY, US; Richmond, VA, US; Fort...  ...service meetings, mediations and trials. Provide superior customer service to internal...  ...Manage litigation from inception through resolution. Make coverage determinations and... 

    Odyssey

    New York, NY
    3 days ago
  • $117k - $184.4k

     ...Senior Claims Specialist, TPA LiabilityOur Claims team sets us apart. Our experienced Claims professionals use their specialized expertise...  ..., investigation, evaluation, reserving, recovery, and resolution.Provide oversight, guidance and direction to TPA claim adjusters on... 
    Flexible hours

    AXA

    New York, NY
    3 days ago
  •  ...Job Summary Job Summary The Claims Specialist works on highly complex claim assignments requiring specialized knowledge...  ...for coverage and reserving for exposure, and in the resolution and documentation of claims. Provide top-notch customer service through all interactions... 

    Westfield Specialty Insurance

    New York, NY
    2 days ago
  • $120k - $150k

     ...join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance...  ...laws that govern its operations. Sr. Claims Specialist, Cyber – Salary Grade H This is your...  ...assigned claims and develop resolution strategy. Attend mediation, arbitration... 
    Work at office
    Remote work
    Work from home
    Flexible hours
    3 days per week

    AXIS (AXIS Capital)

    New York, NY
    2 days ago
  •  ...About the Role Reporting to the Senior Claims Specialist, you will work closely with the...  ...case reserves and work toward the prompt resolution of claims. Work closely with the Middle...  ...standards, as well as applicable regulation. Provide support for team members during... 
    Contract work
    Work at office

    MS Reinsurance

    New York, NY
    3 days ago
  • $125k - $175k

     ...Senior Claims SpecialistPosition Summary: The Senior Claims Specialist is responsible for coverage analysis, investigation, negotiation, and the resolution of general liability matters across the U.S., with...  ...fraud within complex cases.Provide timely updates to management... 

    Odyssey Group

    New York, NY
    6 hours ago
  • $117k - $184.4k

     ...Senior Claims Specialist - CyberOur Claims team sets us apart. Our experienced Claims professionals...  ...and drive for improvement.AXA XL provides cyber insurance and technology professional...  ...that may include alternate dispute resolution, direct negotiations and/or trial... 
    Flexible hours

    AXA XL Ltd

    New York, NY
    3 days ago
  •  ...Customer Service Representative - Healthcare Claims Pay Rate: $25 to $30/hr. on W2 Job...  ...healthcare organization supporting members, providers, and prospective members. This role is...  ...internal departments to ensure timely resolution of inquiries. The ideal candidate will have... 
    Work at office
    Local area

    PRIDE Health

    New York, NY
    7 days ago
  • $100k

     ...meet the unique coverage and claims-handling needs of businesses...  ...Defect Technical Claims Specialist Employment Type: Full-Time...  ...customers and contribute to providing superb results for our clients...  ...outcome and timely resolution. Properly setting claim... 
    Full time
    Local area
    Remote work

    Argonaut Management Services, Inc

    New York, NY
    4 days ago
  •  ...Description Looking for an amazing new claims opportunity? Senior Complex Construction Claims Specialist - Complex CGL & Construction...  ...driving timely, defensible resolutions for our Construction Industry...  ...the national market and provides an opportunity to progress as... 
    Work at office
    Local area
    Immediate start
    Remote work
    Home office

    Liberty Mutual Insurance

    New York, NY
    6 hours ago
  •  ...join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance...  ...its operations. AXIS Capital, Senior Claims Specialist, Property Programs Claims, North...  ...Monitor and investigate claims and develop resolution strategy Auditing of Third-Party... 
    Work experience placement
    Work at office

    AXIS (AXIS Capital)

    New York, NY
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Provider Claims Resolution Specialist. Be the first to apply!