- MetroPlusHealth (New York, NY)
- …to building strong relationships with its members and providers.Position OverviewAs a Claims Adjustment Specialist I, this individual will be responsible for ... in depth research to determine accuracy and mitigate payment errors. The Claims Adjustment Specialist I will also be responsible for adjusting medical claims … more
- MetroPlusHealth (New York, NY)
- …network contract terms, Medicare fee schedules, CPT/HCPCs codes General understanding of claims adjudication at a high level; Health Edge/HRP experience a plus Good ... compend of Salesforce; experience at a health plan setting a plus Professional Competencies Integrity and Trust Customer Focus Highly organized, detail oriented, dependable and professional individual #LI-HYBRID #MPH-50 more
- MTA (New York, NY)
- Claims Specialist Job ID: 12936 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Office of Insurance ... & Risk Mgt Date Posted: Sep 4, 2025 Description JOB TITLE: Claims Specialist DEPT/DIV: Risk & Insurance Management WORK LOCATION: 2 Broadway FULL/PART-TIME FUL L… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management and handling expertise for both the oversight and… more
- Axis (New York, NY)
- …is available upon request for candidates taking part in the selection process. Senior Claims Specialist , Deign Professional Claims We are seeking a highly ... skilled and experienced Senior Claims Specialist to manage and resolve complex claims involving design professionals, including architects, engineers, and… more
- Zurich NA (Parsippany, NJ)
- General Liability Litigated Claims Specialist 126205 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... expected. At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial General Liability Construction team** .… more
- Zurich NA (Parsippany, NJ)
- Occupational Accident Claims Specialist 126744 Zurich is currently looking for an Occupational Accident Claims Specialist I to handle disability and ... As part of our team, you will manage a claims caseload of low to moderate complexity, interpret policy...coverages, and analyze medical time lost benefits, while resolving claims within set authority limits. You will build internal… more
- Sedgwick (New York, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice (Professional Liability) **PRIMARY PURPOSE** **:** ... To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
- Axis (New York, NY)
- …candidates taking part in the selection process. **Job Description** AXIS is seeking a Claims Specialist , Excess Casualty to join our North America Claims ... should act as highest level individual contributor directly reviewing excess casualty claims to determine nature of loss, coverage provided, and scope of claim… more
- Axis (New York, NY)
- …for candidates taking part in the selection process. AXIS is seeking a **_Senior Claims Specialist - Financial Institutions - Claims_** to join our North America ... Claims team and will report to the Head of Management Liability - Financial Institutions Claims . The selected candidate will work closely with colleagues across… more
- Axis (New York, NY)
- …candidates taking part in the selection process. About the Team AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America ... Claim Team. This role involves managing primary and excess claims for various AXIS policy forms. How does this role contribute to our collective success? The… more
- Axis (New York, NY)
- …candidates taking part in the selection process. About the Team AXIS is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role ... involves managing primary claims for AXIS US Primary Casualty policies. How does...contribute to our collective success? The individual will manage claims by investigating, analyzing, and evaluating coverage and for… more
- Axis (Red Bank, NJ)
- …candidates taking part in the selection process. Job Title: Accident and Health Claims Specialist Level: "I" Division: A&H Position Summary: This position ... provides claims handling expertise for all of the accident and health claims , both claims adjudicated in-house and by third party administrators (TPAs).… more
- Axis (New York, NY)
- …specialized insurance sectors. What Will You Do In This Role? * Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North ... insurance and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is… more
- Nestle (Bridgewater, NJ)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the ... customer and sales force throughout the customer order management process. The Specialist role manages high order volume on all NHS brands with either a top customer… more
- Raphael and Associates (Rutherford, NJ)
- …are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist . This entry-level role is focused on the initial setup ... of claims , ensuring..., ensuring all information is accurately entered into the claims management system. You will play a key role...system. You will play a key role in preparing claims for further processing by entering data, verifying policy… more
- Zurich NA (Parsippany, NJ)
- Workers Compensation Claims Recovery Senior Specialist 127715 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims... Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred… more
- Axis (New York, NY)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America ... Claims . The candidate should possess the ability to handle primary & excess claims arising from policies issued to AXIS Environmental insureds. This role will be… more
- Raphael and Associates (Rutherford, NJ)
- …are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist . This entry-level role is focused on the initial setup ... of claims , ensuring..., ensuring all information is accurately entered into the claims management system. You will play a key role...system. You will play a key role in preparing claims for further processing by entering data, verifying policy… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more
