Claims Operations Lead - IDR & Disputes
$82.5k - $86.5kISLAND PEER REVIEW ORGANIZATION INC
ISLAND PEER REVIEW ORGANIZATION INC in Jericho, NY is seeking a Claims Supervisor to oversee Claims Specialists, review disputes for Federal IDR processes, and ensure accuracy and service standards. This in-office role requires a Bachelor's or higher in healthcare or related field, 1 year in disputes, 2 years in medical billing or reviews, and strong leadership and communication skills. Salary ranges from $82,500 to $86,500 annually. #J-18808-Ljbffr ISLAND PEER REVIEW ORGANIZATION INC
- ...Job Description We are seeking a detail-oriented, No-Fault Claims Adjuster. This role involves working directly with insurance companies... ...and timely claim handling Utilize ADR providers' online dispute resolution platform Review and medical reports and related documentation...Claims
- ...grow. If you're a legal or claims professional with deep... ...experienced Litigation Manager to lead and oversee complex insurance... ...to balance risk management, operational efficiency, and favorable claim... ..., property damage, coverage disputes, questionable liability, and...ClaimsWork at office
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- A leading insurance claims firm in Hicksville, NY is seeking Licensed Claims Adjusters to assist clients in navigating the claims process after disasters. This is an ideal opportunity for both experienced adjusters and newcomers, as comprehensive training programs are...ClaimsFlexible hours
- ...Business Information Communications Group (BICG) Marketing Operations bid team and contract administration staff Oversees the Local... ...and customers and subcontractors on contractual matters, claims and disputes A tactical role, focused on meeting operational objectives,...ClaimsFull timeContract workFor subcontractorLocal area
- MileHigh Adjusters Houston is seeking an Independent Insurance Claims Adjuster in East Meadow, NY. This role offers flexibility, autonomy, and a competitive compensation package. As a claims adjuster, you will aid individuals in recovering from disasters, leveraging comprehensive...ClaimsFlexible hours
$66.3k - $70k
...or an alternative application process. Claims Payment Specialist Full-time Regular... ...0 Annually Claims Payment Specialist, IDR The Claims Payment Specialist manages... ...administration for Federal Independent Dispute Resolution operations. This role works directly with stakeholders...ClaimsHourly payFull time- ...network development. The Contract Manager is a strategic and operationally oriented professional that will help build partnerships with... ...pay for performance. • Analyze reports on cost, utilization, claim submission patterns and outcomes. Prepare presentations on...ClaimsContract workWork at officeLocal areaFlexible hours
$82.5k - $86.5k
...To $86,500.00 Annually As a Claims Supervisor, you will review claims... ...determinations for disputed claims. You will oversee the... ...customer service within the Federal IDR Process and other state and... ...IDR process. Manage the daily operations of assigned Claims Specialist...ClaimsHourly payFull timeWork at officeFlexible hours- ...Opportunity Scahill Law Group is seeking an experienced Finance Operations Manager to take ownership of the firm's day-to-day financial... ...-related reporting and documentation Manage unemployment claims and related administrative filings Administer employee medical...ClaimsRemote work
- MileHigh Adjusters Houston is seeking an Independent Insurance Claims Adjuster in Syosset, NY. This role offers flexibility, autonomy, and competitive compensation as you help individuals recover from disasters. Licensed Claims Adjusters with at least 100 claims completed...ClaimsFlexible hours
$65k - $85k
...Sposito - State Farm Agent, you are vital to our daily business operations and customers' success. You grow our agency through meaningful... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate...ClaimsFor contractorsWork at office$84.88k - $137.41k
...Position Title Commercial Loan Operations Solutions Lead Location Troy, MI 48098 Job Summary The Commercial Loan Operations Solutions Lead serves as the senior subject matter expert (SME) responsible for resolving complex operational issues, conducting root cause...Full timeLocal area$30 per hour
...Court Services Specialist - Long Island Dispute Resolution Center Hybrid Hempstead, NY... ...difference in their lives? EAC Network, a leading not-for-profit social service agency dedicated... ...Project Services: Provide daily Small Claims Court coverage in Nassau County during...ClaimsHourly payFull timeSummer workWork at officeMonday to FridayFlexible hoursDay shiftAfternoon shift$97k - $189k
...direct handle and serve as a lead strategist on complex and high... ...professional liability claims. This role is responsible for... ...value claims and alternative dispute resolution efforts.Ensure appropriate... ...Actuarial, Risk Control, and Operations to identify claim trends and...ClaimsFull timeWork experience placementShift work- ...Aon plc in Plainview, NY is seeking a Claims Manager to lead and develop a team of claims professionals in a full-time on-site role. You will ensure SLA adherence, manage high-profile client accounts, and coordinate documentation and payment processes to support client...ClaimsFull time
$20 per hour
...difference in their lives? EAC Network, a leading not-for-profit social service agency... ...Support Specialist to join the Long Island Dispute Resolution Centers (LIDRC). This position... ...assigned cases as needed, including small claims, family‑related cases, and any other court...ClaimsHourly payTemporary workPart timeApprenticeshipWork at officeFlexible hoursAfternoon shift- ...Health is seeking an Office Coordinator to manage the day-to-day operations of our office and support care delivery at our behavioral... ...completing data entry, reconciling data across systems, and submitting claims, on an as-needed basis alongside broader office...ClaimsWork at office
- ...concentration of duties in the area of routine departmental operations, data entry, and typing review determinations as well as... ...functions for various clients and case types. i.e. DRG, Medical Claims, and and Dispute Resolution 3. Assists in maintaining all client...Claims
$65k - $85k
...Sposito - State Farm Agent, you are vital to our daily business operations and customers' success. You grow our agency through meaningful... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate...ClaimsFor contractorsWork at officeLocal areaImmediate startFlexible hours- ...Meadow, NY. RESPONSIBILITIES Review patient accounts to make sure information is correct before billing. Verify insurance, policy and claim information, billing addresses, and patient eligibility. Handle charge entry, payment posting, collections, and accounts receivable...ClaimsFull timeSummer workWork at officeMonday to Friday
- ...Insurance Group , you will play a critical role in supporting our Claims Department by ensuring accurate and timely claim intake while... ...subrogation and salvage recovery opportunities Manage disputed claims including AOBs, CRNs, NOIs, and complex scope or pricing...ClaimsFor contractorsWork at officeRemote work
- ...adjustment firms, attorneys, multinational corporations, government entities, and individuals calculate the true economic damage of claims or disputes. We are looking for a Senior Accountant to serve as an essential supporting function of the accounting team in our...ClaimsWork at officeLocal area
- United Health Services (UHS) Chenango Memorial Hospital in Norwich, NY seeks a Physician Practice Supervisor I to manage daily office operations, schedules, and staff performance. This role ensures regulatory compliance, coordinates meetings, and drives timely reporting on...Work at office
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- ...primary responsibilities are Account Receivable follow-up, investigate, analyze, appeal and resolve any denied or unpaid insurance claims. EDUCATIONAL REQUIREMENTS: 2+ years' experience performing Account Receivable follow-up in a Healthcare setting. EXPERIENCE...ClaimsFull timeTemporary workWork at officeFlexible hours
- ...accurately preparing, submitting, and following up on medical claims to ensure timely reimbursement while maintaining compliance with... ...and bookkeeping principles related to healthcare revenue cycle operations. Ability to work independently and collaboratively within a team...ClaimsWork at office
$25 - $30 per hour
...filing appeals requirements Follow up on claims and appeal status Requirements: Previous... ...Privacy Laws regarding patients and practice IDR process experience is a plus Willingness... ..., you will be integral to the financial operations of our healthcare organization, ensuring...ClaimsFull timeFlexible hours$103.3k - $140k
...Complex Liability Claims Specialist - Educational Institution Claims Job Category: Claims... ...property & casualty insurance carrier. Operating along the Eastern half of the United... ...depositions, conferences, hearings, alternative dispute resolution sessions and trials. Maintain...ClaimsFull timeWork experience placementWork at officeHome officeFlexible hours$180k - $220k
...examinations, courtroom advocacy, and jury arguments - Negotiate settlements and represent clients at mediation, coordinating directly with claims handlers and corporate clients - Mentor junior attorneys and paralegals, supporting professional development and efficient case...ClaimsRemote work2 days per week1 day per week
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