Claims Examiner Jobs in New York

158 jobs

Claims Examiner Workers Compensation - Bilingual Spanish CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career p...

Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwi...

Auto req ID 1801BR Title Claims Examiner I Company Statement At EmblemHealth, we strive to provide our employees with a meaningful career. We focus on developing your skills and talents, and offer numerous learning and development opportunities. We offer competitive compensation through our merit, incentive and recognition programs. In addition, you will have access to comprehensive health benef...

To service our customers by processing claims and maintain quality/production standards as measured by established claims operations performance guidelines. ESSENTIAL FUNCTIONS • Review, investigate and adjudicate professional and/or facility claims (majority of claim types/specialties/LOBs) according to line of business and benefit plans. • Process claims in accordance with corporate policies and...

With a local environment described as: Growing company and financially stable-Recruit GAAP Staffing is searching for a full time Claims Examiner for a company located in New York City (The Bronx), NY. The right candidate will be able to successfully perform the primary roles and responsibilities of: Investigate claims, Customer service, Documentation. Recruit GAAP is searching for the right candid...

Description:The Long Term Disability Claims Examiner will manage an assigned caseload of more complex Integrated Long-Term Disability cases. The candidate will also evaluate claimant eligibility. Interact with internal and external customers including, but not limited to, claimants, employers, physicians and attorneys etc. to gather the information to make the decision on the claim.Duties:Analyze,...

Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwi...

JOB SUMMARY Interprets medical and contractual information in the assessment of benefits payable under disability contracts. Provides excellent customer service both in written and verbal communications. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Determines employee eligibility, benefit amount/duration and certifies that the claim proofs submitted me...

Position Summary:The Claims Examiner-LOA will act as a liaison between client, employee and healthcare provider. This position is accountable for the decision making process for determining eligibility under federal, state laws and client policy.Duties:Determines eligibility and duration under federal and state requirements for leaves submitted by reviewing medical certification supplied by the he...

Description:This position is accountable for the decision making process for determining eligibility under federal, state laws and client policy. Secure and analyze information to make and approve decisions on all short term disability, insured or self-insured, and/or statutory claims and their concurrent leave claims. Develop and apply appropriate claim and workflow management strategies, coordin...

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Position Title: WC Claims Examiner Position Length: Direct Hire Position Location: Brooklyn, NY Company Profile: A best-in-class national provider of human resource services. We have a broad range of products for companies seeking solutions to their human resource needs. Whether our clients come to us for reliable and reasonable payroll services, efficient background checks or full administrat...

Are you ready to start your CAREER with one of the leading insurance companies, but you don't want to be stuck behind a desk all day? As an Auto Damage Adjuster, you will be out in the field helping our customers that have been involved in an accident. Accidents, even relatively minor ones can be traumatic, and our adjusters are there to determine how much the repairs will cost and quickly get ou...

Are you ready to start your CAREER with one of the leading insurance companies, but you don't want to be stuck behind a desk all day? As an Auto Damage Adjuster, you will be out in the field helping our customers that have been involved in an accident. Accidents, even relatively minor ones can be traumatic, and our adjusters are there to determine how much the repairs will cost and quickly get ou...

Are you ready to start your CAREER with one of the leading insurance companies, but you don't want to be stuck behind a desk all day? As an Auto Damage Adjuster, you will be out in the field helping our customers that have been involved in an accident. Accidents, even relatively minor ones can be traumatic, and our adjusters are there to determine how much the repairs will cost and quickly get ou...

Seeking an individual with experience handling miscellaneous professional liability cases of moderate to high value and complexity. Shall: *** Review complaints, respond to arbitration demands, and resolve claims. *** Conduct coverage analysis and determine exposure and set expense reserves. *** Determine the scope, nature and extent of losses. *** Provide advice on crisis management plans. ...

Job Location Oriskany, NY Virtual Location No Job Description Summary of Responsibilities: Respond to written and/or telephone inquiries timely. Review Group Life claims submission for completeness and accuracy. Records data in the Group Life Claims system. Functional Responsibilities: Primary function is to respond to telephone inquiries from policyholders, beneficiaries, attorneys and ...

Job description: We are looking for experienced and energetic Surveillance Investigators to join our growing team. The job will focus on conducting surveillance and claims investigations and writing detailed updates to document their findings. Experienced investigators needed for full-time positions. Entry level positions available, we will train. Job details and responsibilities: You will be r...

The Motor Vehicle Accident Indemnification Corporation (MVAIC) was created in 1958 to provide compensation for innocent victims of certain types of accidents caused by uninsured or otherwise financially irresponsible motorists. MVAIC operates as a non-profit insurance corporation and is located in the downtown section of New York City. A small, friendly company, MVAIC offers outstanding benefits a...

Claims Auditor - Full Time Position - Brooklyn, NY Atrilogy's direct client is looking for a direct hire to fill a Claims Auditor role in Brooklyn, NY.Responsibilities will include: Examine pertinent information online and through reports to audit all types of claims. Ensure claims are processed in accordance with provider contracts, member benefits, authorization requirements and regulatory requ...