Claims Operations Associate
$8,700 - $9,500 per monthTalentoma
Monthly Pay: $8,700 - $9,500 USD per month
Summary
Support accurate, responsive claim operations for policyholders, agencies, adjusters, and carrier partners. This fully remote, full-time Associate role combines service follow-through with careful review of claim files, payments, and operational records.
Job Responsibilities
- Triage policyholder and agency inquiries, providing clear status updates and next-step guidance.
- Reconcile payment or claim-status questions against file notes, supporting documents, and carrier instructions.
- Escalate complex, sensitive, or time-sensitive file issues to adjusters or operations leads.
- Log interactions, requests, and file activity in claims platforms with complete, timely notes.
- Verify loss details, coverage-related documents, invoices, and payment information for completeness.
- Draft operational reports and file summaries that help teams monitor pending work and service trends.
Qualifications
- Experience supporting claims, policy services, billing, or another financial-services workflow is welcomed.
- Familiarity with claim files, loss reports, adjuster correspondence, and payment documentation.
- Ability to interpret written procedures and identify missing or inconsistent file information.
- Comfort using claims platforms, spreadsheets, and shared digital workspaces.
- Sound judgment when handling confidential policyholder and financial information.
- Fully remote U.S.-based work environment.
- Structured onboarding and ongoing claims operations learning.
- Collaborative support from operations, finance, and claims colleagues.
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Claims Operations Associate in New York, NY vacancy
$65k - $70k
...ingredients excluded. We are looking for a smart, ambitious Operations Associate to help support the explosive growth in Evereden’s supply... ...compliance documentation, and tracking eligible duty recovery claims. Review carrier rate quotes, negotiate shipment costs,...ClaimsFull time- ...Strategy & Operations AssociateProsper Health is on a mission to make life happier and healthier for autistic and neurodivergent adults.... ...initiatives that move the needle on company growth—such as reducing claim denials—by breaking them into actionable, sprint-based plans....Claims
- ...partners' requirements. The Role We are looking for an Operations Associate to own the day-to-day fulfillment of purchase orders from... ...and compliance deductions; maintain documentation to support claims • Maintain accurate item data, order records, and shipment...ClaimsFull time
- ...and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and... ...is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks...ClaimsFlexible hours
- ...Reserv is building a tech-driven claims organisation focused on AI and automation to streamline the claims process. The role involves supporting an efficient operations function, coordinating meetings, and driving cross-functional improvements across fast-paced projects...ClaimsRemote work
$1,500 per month
...posting. The role isn't open today. We expect to hire more Operations Associates in the future, we just don't have the headcount signed off yet... ...value: revenue cycle management, medical billing or claims processing, medical coding, clinical data abstraction, lab/diagnostics...ClaimsWork experience placementLocal areaRemote workMonday to FridayNight shift- ...Join Our Global Operations TeamWe are seeking a talented individual to join our Global Operations team, part of our reinsurance business... ...reinsurance, with familiarity in broking, underwriting support, or claims operationsProficiency in Python, R, or other scripting...ClaimsWork at office3 days per week
- ...OPPORTUNITY: INDUSTRY: Commercial Banking POSITION: Banking Operation Associate LOCATION: Manhattan, NY. 1) Customer Service Open... .../Trade Financing Activities Process LC reimbursement claims Issue/Amend documentary L/C, standby Letter of Credit, D/...ClaimsFull timeWork at officeLocal areaRemote workOverseas
- ...We are seeking a talented individual to join our Global Operations team, part of our reinsurance business at Marsh. This role will be based... ..., with familiarity in broking, underwriting support, or claims operations Proficiency in Python, R, or other scripting languages...ClaimsWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week
- EnableComp is hiring a Client Support Representative to support revenue cycle operations. You will focus on retrieving medical documentation, processing, and assisting with reconciliations to ensure seamless client delivery. The role involves data entry, communication...Claims
- Manage claims tracking, provider activation, and reporting. Monitor exceptions and workflows, route escalations, and maintain dashboards. Who You Are: Experienced in healthcare or managed care operations support. Organized, detail-oriented, and proficient in Sheets, SharePoint...ClaimsRemote jobFlexible hours
$70k - $88k
...steps. Our partner is looking for a Healthcare IT Technical Operations Associate III based in the United States. Join a growing healthcare technology... .... Understanding of US healthcare workflows, including claims processing, member enrollment, and provider interactions....ClaimsPermanent employmentFull timeRemote workShift work- Reserv is an insurtech building AI-powered claims automation to improve efficiency for TPAs and adjusters. This role focuses on coordinating high-impact operations, meetings across timezones, and driving process improvements in a fast-paced tech environment. You will work...ClaimsRemote jobFlexible hours
$20.2 - $29.8 per hour
...developing innovative insurance programs and operational strategies that support millions of... ...continues to scale globally, Insurance Claims Operations is evolving through artificial... ...seeking an Insurance Claims Operations Associate to join our Claims Operations team. In this...ClaimsHourly payWork at officeLocal areaRemote workWorldwideMonday to FridayFlexible hours$30 - $40 per hour
...understanding across forecasts, scenarios, and operational decisions. Energy is our first... ...We are looking for a Data Operations Associate on a contract or full-time basis to source... ...catch incorrect matches or unsupported claims, and decide what to verify, correct, or...ClaimsHourly payFull timeContract workPart timeFor contractorsFreelanceRemote work10 hours per week3 days per week$77k - $202k
...OpportunityAs a Payer Back Office Strategy / Technology / Operations Consultant, Senior Associate you will support healthcare payer clients as they... ...operations, core technology, and operating models across claims, reimbursement, government program support, digital experience...ClaimsFull timeH1b$44k - $66k
...Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies... ....com. The Technical Operations Associate II (L1) serves as the single point of contact... ...understanding of healthcare workflows such as claims, eligibility, or enrollment Familiarity...ClaimsPermanent employmentFull timeWork at officeRemote workShift work- Description JOB SUMMARY The Loan Operations Associate is responsible for a wide range of duties related to loan accounts, including but not limited... ...credit insurance commission Process credit life/disability claims Process construction draws Maintain tickler report Must...Claims
$65k - $75k
...Clinical Operations Associate - North & South Carolina United States CareDx is a leading precision medicine diagnostics company advancing care... ...order processing, timely specimen management, efficient claims processing, and uninterrupted patient access to NavDx testing...ClaimsFull timeFor contractorsWork at officeRemote work$70k - $88k
Healthcare IT Technical Operations Associate III Job Locations US-Remote ID 2026-8740 Category Quality Assurance Position Type Full-Time... ...practices Understanding of US healthcare workflows including claims processing, member enrollment, and provider interactions Familiarity...ClaimsPermanent employmentFull timeWork at officeRemote workShift work- The RoleThe Senior Legal Operations Specialist will serve as an operational partner to the Chief Legal... .... If you receive a suspicious message claiming to be from Nexxen or encounter a questionable job posting associated with our name, please contact us at ****@*****.***...ClaimsContract work
- ...hiring across France, Spain, Belgium, and Canada. And beyond. Operations at Alan The Operations Community's core responsibilities is to... ...Coordinator works on a specific subset of services we deliver (eg. claim reimbursement, fraud, clinic to name a few). Their core...ClaimsImmediate start
$90k - $110k
Position SummaryThe ACH Operations Specialist is responsible for supporting the IDB Bank’s day-to-day ACH processing activities and ensuring... ...and Nacha Operating Rules.Handle unauthorized ACH transaction claims and related operational processing, including appropriate...ClaimsWork at officeLocal area$36 - $49 per hour
...Overview Come join Payroll Tax Operations (PTO) as a payroll tax professional responsible... ...identify the type, understand the agency‘s claim, and determine the appropriate... ..., employment tax deposit schedules, and associated penalty and interest structures. ~ Multi...ClaimsHourly payWork at officeLocal areaRemote workFlexible hours- ...Sedgwick Claims Management Services Ltd is seeking a Remote Operations Dispatch Coordinator to accurately route and assign claims and tasks within the claims management system, and to support temporary housing colleagues by ensuring timely workflow distribution. The role...ClaimsTemporary workPart timeWork at officeRemote work
$87.2k - $109k
...systems with the industry's first Unified Claims Processing architecture, seamlessly... ...Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health... ...will report to the Vice President, Associate General Counsel, but will also work closely...ClaimsContract workWork at officeLocal areaFlexible hours- A non-profit organization in New York City is seeking a Revenue Operations Specialist to mentor team members and ensure billing deadlines are met. The role involves analyzing rejected claims, collaborating with departments on compliance, and enhancing billing practices...Claims
$66.4k - $72k
...and continuously innovate. We attract ambitious individuals who operate in unique ways while upholding exceptional craftsmanship and... ...transportation, customs, delivery, and warehouse-related issues Manage claims related to lost or damaged shipments and coordinate...ClaimsWork at office$36 - $49 per hour
...Overview Come join Payroll Tax Operations (PTO) as a payroll tax professional responsible... ...identify the type, understand the agency‘s claim, and determine the appropriate... ..., employment tax deposit schedules, and associated penalty and interest structures. ~ Multi...ClaimsHourly payWork at officeLocal areaRemote workFlexible hours- 1199SEIU Benefit and Pension Funds seeks an organized office professional to support the Hospital Claims department. You will maintain accurate data entry for member information in the QNXT system, scan and archive documents into DMS, and handle daily inquiries for timely...ClaimsWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Operations Associate. Be the first to apply!
Related searches
- bank operations specialist New York, NY
- operations management specialist New York, NY
- brokerage operations specialist New York, NY
- security operations specialist New York, NY
- regulatory operations specialist New York, NY
- operations consultant New York, NY
- ad operations specialist New York, NY
- flight operations specialist New York, NY
- operations support specialist New York, NY
- business operations associate New York, NY




