Provider Claims Specialist — First-Call Resolution
Centers Plan for Healthy Living
Centers Plan for Healthy Living in New York seeks a dedicated professional to manage provider inquiries regarding claims. The role emphasizes customer service, requiring a high school diploma and a preference for some college experience. Applicants must be adept at resolving issues efficiently, educating callers about claims processes, and maintaining accurate documentation. Join our team to contribute to a fulfilling healthcare experience for our members and providers. #J-18808-Ljbffr Centers Plan for Healthy Living
- ...commerce sporting company is seeking a highly skilled Customer Service Representative to provide exceptional support. This remote position involves delivering first-call resolution, responding to inquiries, and assisting customers with orders and product information. To...SuggestedRemote workWork from homeFlexible hours
- 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...Suggested
- ...Customer Service Agent to work remotely on a full-time basis. This role involves managing high volumes of inbound and outbound calls, providing exceptional service and support to customers. The ideal candidate will possess a high school diploma and experience in a...SuggestedRemote jobFull timeShift work
$21 per hour
...alternative application process. Part-Time Call Center Agent Bronx, NY, US 7 days... ..., troubleshooting issues, and providing relevant information. As the first point of contact for our team... ...through clear communication, prompt resolution of concerns, and exceptional...SuggestedHourly payPart time- ...(CSRs) are responsible for providing comprehensive high-quality service... ...to, answering customer calls, proactively working to resolve... ...related to eligibility, claims and authorizations. Scope... ...: Strive for first call resolution, working to resolve member and...SuggestedWork at officeMonday to Friday
$18.5 per hour
...with mandatory training to stay updated on policies What To Expect (Job Responsibilities) Provide first-level assessment, support, and resolution of customer issues Answer inbound calls regarding product orders, parts orders, and repair requests in a fast-paced environment...Hourly payFull timeRemote workFlexible hours- ...elevate customer dissatisfaction with the managerial team Ensure first‑call resolution through problem solving and effective call handling... ...recreational programs, and discipline. In addition, MCI's policy is to provide reasonable accommodation to qualified employees with...Full timeContract workTemporary workCasual workWork at officeLocal areaRemote work
$18 per hour
...Call Center Agent – Travel Benefits Remote Pay rate: $18 an hour, which may be below... ...contributions. In this role, you’ll provide elevated service to our members and make... ...strong focus on accuracy, empathy, and first‑call resolution Navigate and effectively utilize multiple...Minimum wageCurrently hiringLocal areaRemote workMonday to FridayShift work- ...fully bilingual English/Spanish Call Center Representatives to serve as the first point of contact for NYC residents... ...services, information, or issue resolution. Log and route service requests... ...these offerings are designed to provide meaningful support while you build...Temporary workWork at officeLocal areaImmediate startRemote workShift workNight shiftWeekend workDay shiftAfternoon shift
$20 per hour
...Call Center Agent - Healthcare The Bedford-Stuyvesant Family Health Center (BSFHC... ...Central Brooklyn. Our mission is to provide the most professional, courteous and highest... ...designated individuals. Strive for first call resolution, working to resolve member and provider...Hourly payWork at office$31.2k - $44.5k
Gainwell Technologies is hiring Call Center Member Agents in the United States. The role involves responding to member calls, documenting inquiries in a CRM, and providing outstanding customer service. Candidates should have at least 6 months of customer service experience...Remote jobFlexible hours$16.5 per hour
This range is provided by Reqroute, Inc. Your actual pay will be... ...0/hr Job Title: Healthcare Call Center Agent Rate: $16.5/hr... ...representative With the goal of first call resolution, the CSR Agent will address... ...refer issues ranging from claims, provider searches, location...Work at officeRemote workFlexible hours- ...elevate customer dissatisfaction with the managerial team Ensure first‑call resolution through problem solving and effective call handling... ...recreational programs, and discipline. In addition, MCI's policy is to provide reasonable accommodation to qualified employees with...Remote jobFull timeContract workTemporary workCasual workWork at officeLocal area
- MetroPlus is looking for Customer Service Representatives to provide exceptional service to customers. Responsibilities include answering calls, resolving inquiries, and assisting with provider selection. Successful candidates will demonstrate excellent communication skills...
- MetroPlusHealth is looking for Customer Service Representatives (CSRs) who are dedicated to providing high-quality service. Your role will involve answering customer calls, resolving inquiries, and assisting with provider information. Strong communication skills and a focus...
- Call Center Representative Key Responsibilities Listen to customers, understand their... ...to the managerial team. Ensure first call resolution through problem solving and effective call... ...discipline. In addition, MCI's policy is to provide reasonable accommodation to qualified...Remote jobFull timeTemporary workCasual workWork at officeLocal area
$29.37 - $34.18 per hour
...unique coverage and claims-handling needs of... ...Senior Triage Specialist (Senior Claims Intake... ...position combines First Notice of Loss (... ...claims handling while providing critical support... ...intake through resolution. Review new claims... ...route incoming calls to the appropriate...Hourly payTraineeshipWork at officeLocal areaMonday to Friday$100k
...Liability Bodily Injury Claims Specialist Argo Group is an... ...claims contribute to providing superb results for... ...financial outcome and timely resolution. Properly setting... ...Completing telephone calls and written... ...license to adjudicate first party claims. Must...Local area$151.06k - $181.25k
...New York Labor Law Claims... ...Labor Law Claims Specialist**Employment Type:*... ...outcome and timely resolution.* Properly setting... ...Responsible for telephone calls and written correspondence... ...license to adjudicate first party claims.... ...client needs and to provide value added solutions...Full timeLocal area- ...Care Coordinator to join our Call Center team. This role focuses... ...multiple departments or providers Make outbound calls to patients... ...accuracy, patient satisfaction and resolution Meet KPI metrics for Quality... ..., Average handle time, % First call resolution, % of calls...Work at office
- ...Carter's is seeking a Temporary Call Center Universal Agent for a fully remote position. This role serves as the first point of contact for customers via phone, email, and... ...customer interactions effectively, ensuring resolutions and enhancing customer satisfaction. The...Temporary workRemote work
$17 per hour
...Benefits Call Center Representative Through our dedicated associates, Conduent delivers mission‑critical services... ...while actively listening, navigating multiple systems, and providing accurate and timely resolutions. Strong attention to detail, communication skills, and...Minimum wageCurrently hiringRemote work$20 - $24 per hour
...Inbound Call Specialist – Moments Hospice BRICK NJ LOCATION Schedule: Full-Time, In-Office (Monday... ...efficiency. You will be the friendly first point of contact, helping callers and... ...inbound calls related to hospice services, providing clear information and a caring touch....Full timeWork at officeImmediate startMonday to FridayFlexible hours$16 per hour
...Remote Call Center Representative We are seeking individuals who... ...natural empathy, and providing thorough solutions for healthcare... ...Medicare enrollments, billing, claims, benefits & other services as... ...s) as we work for a one call resolution. Take all necessary action to...Hourly payMinimum wageCurrently hiringLocal areaRemote workFlexible hours3 days per week- ...About the job CALL CENTER REPRESENTATIVE Position: Call Center Representative Job Type: Remote Unidor is a leading provider of innovative solutions for businesses and individuals.... ...members to ensure prompt and efficient resolution of customer issues Follow...Permanent employmentFull timeRemote workFlexible hoursAfternoon shift
$21 per hour
...begun. Apply today and take the first step to Destination: Progress.... ...be a fit for Progressive’s call center team. Taking inbound calls... ...computer systems. We’ll provide paid training along with continued... ...remote position. Job Opportunities Claims Customer Service...Hourly payFull timeTemporary workWork experience placementH1bRemote workWork from homeHome officeFlexible hoursWeekend workAfternoon shiftWeekday work- ...Customer Service Representatives work in a call center environment to provide a high level of quality service to... ...access and update information about claims or potential eligibility. As a... ...will be used for this announcement. First Cut-Off Date: June 8, 2026 Second Cut...Work at office
- ...you! What will the Liability Claims Specialist do? Coterie is evolving its... ...senior management Negotiate resolution of claims Assist in the development... ...loss adjustment service provider resolving property and... ...: Qualified candidates will first meet with a member of our People...Full timeWork experience placementWork at officeImmediate startRemote workVisa sponsorshipMonday to FridayFlexible hours
$55k - $60k
...Claims Specialist II Aon is looking for a Claims Specialist II. Do you have experience in claims adjudication... ...procedures. Prompt and courteous call handling of call transfers to provide claims issue resolution. Experience: Prior claims adjudication...Full timeTemporary workPart timeWork experience placementLocal areaRemote work- ...Claims Resolution Specialist Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S. Perform claims resolution or medical billing and appeals or claims denials in Athena within...Work at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Provider Claims Specialist — First-Call Resolution. Be the first to apply!
- insurance claims processor New York, NY
- claims consultant New York, NY
- remote medical claims processor New York, NY
- medical claims analyst New York, NY
- claims analyst New York, NY
- claims assistant New York, NY
- senior claims specialist New York, NY
- claims assistant workers compensation New York, NY
- medical insurance claims specialist New York, NY
- claims specialist remote New York, NY

