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Research and reconcile denied and unpaid medical claims, no fault, and workers’ compensation claims. Use established protocols to contact providers and clients to resolve discrepancies in processed, partially paid and unpaid claims with timely appropriate follow up action.
$22 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The selected candidate will have responsibility for managing and developing teams to build and enhance the capabilities of Claims, Credentialing and Third Party Integration application in a TPA and/or Payor environment.
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Claim your career growth as a Claims Service Specialist at GEICO’s Melville, NY office and be a part of one of the fastest-growing auto insurers in the United States! Many associates see a base salary increase of 10% within their first year as a Claims Specialist.
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The Claims Specialist will coordinate activities crucial to the successful completion of clinical review projects. The Claims Specialist will coordinate activities crucial to the successful completion of clinical review projects.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Medical malpractice claims handling. Serves as primary contact and project lead in the administration of non-clinical commercial insurance programs. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.
$126,250 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Partner with the external Workers’ Compensation carrier to manage and oversee workers’ compensation claims throughout the claims process. Support the design, development, and administration of employee health and welfare programs including but not limited to: health insurance, retirement plans, leave management, wellbeing and other company-sponsored benefits.
$36.51 an hourFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Five or more years’ experience as a claims professional with a high degree of competence in the handling of general liability and auto claims with emphasis on hands-on file and litigation management.
$115,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Create and submit appeals and corrected claims packets, and other disputes, as necessary. Work on insurance appeals and corrected claims correspondence. Conduct timely follow-up and research on all unpaid claims with insurance companies.
$25 an hourPart-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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As a claims adjuster specialist , you’ll play a critical role managing attorney represented bodily injury (BI) claims. Analyze and interpret medical reports, follow-up with no-fault parties, and manage claims process to ensure efficient resolution.
$92,900 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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We are seeking a full-time, on-site Orthodontic Insurance Biller to join our central office in New Hyde Park. The successful candidate will be responsible for the orthodontic insurance billing process, including the preparation and submission of orthodontic insurance claims, following up on unpaid claims and appeals, and ensuring effective and courteous communication with our offices regarding insurance matters.
$25 an hourFull-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Partner with claims specialist to improve training and execution in the field. Must maintain a valid DOT Medical Examiner’s Certificate. We provide our clients with solutions in every phase of their cash supply chain, including secured transportation, cash management, cash vault processing, forecasting, ATM, and cash recycler services.
$27 an hourTemporaryExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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The Internal Audit Specialist role will encompass a wide range of responsibilities that will aid the department in maintaining regulatory requirements. Under the supervision of the Assistant Manager of Auditing, this role focuses on supporting the Compliance Department in our out of state jurisdictions by performing audits, investigating Fraud, Waste & Abuse claims, providing risk findings, and being a liaison to the General Managers of the jurisdictions and the Compliance Department.
$27.46 an hourInternExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Training Specialist delivers training and ensures the staff have the training support necessary to achieve specified goals and objectives with the Affinity Travel Practice Group. Solid knowledge of Travel Insurance claims (policies and processing.
$67,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Rallye Motor Company, Long Island's premier luxury automotive group, has an opportunity for a Tire Claims Specialist with Rallye BMW! Submit paperwork with the claims carrier for payments quickly and efficiently.
Full-timeExpandApply NowActive JobUpdated 2 months ago
claims specialist jobs in Hempstead, NY
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