• Claim Dispute Specialist

    Brighton Health Plan Solutions, LLC (New York, NY)
    About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider ... Essential Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. + Previous experience handling… more
    Brighton Health Plan Solutions, LLC (06/05/25)
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  • Claim Specialist III - 1st Party…

    City of New York (New York, NY)
    …New York employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE ... Handle the division's participation in AAA American Arbitration Association dispute resolution on 1st party No-Fault claims ...in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this… more
    City of New York (07/26/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Yonkers, NY)
    …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... + Responsible for the comprehensive research and resolution of the appeals, dispute , grievances, and/or complaints from Molina members, providers and related outside… more
    Molina Healthcare (07/18/25)
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