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Claims examiner • yonkers ny

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NY LT Wokers Compensation Claims Examiner

NY LT Wokers Compensation Claims Examiner

Highview National Insurance CompanyRockland County, NY, US
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Worker’s compensation insurance is a headache.We make it simple, smooth, and stress free.Join us in redefining workers’ comp. The Workers’ Compensation Claims Examiner is responsib...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Aviation Claims Surveyor

Aviation Claims Surveyor

Sedgwick Claims Management Services, Inc.Bogota, NJ, United States
serp_jobs.job_card.permanent
By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Auditor

Claims Auditor

Molina HealthcareYonkers, NY, US
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Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and claims processing errors.Audits the adjud...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
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Field Property Claims Adjuster

Field Property Claims Adjuster

Liberty Mutual Insurance GroupWhite Plains, NY, US
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Field Property Claims Adjuster.Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following dam...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Examiner

Claims Examiner

VirtualVocationsYonkers, New York, United States
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A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation.Key Responsibilities Review insurance claims for validity and compliance with policy terms Coll...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Specialist

Claims Specialist

ApTaskBronx, NY, US
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About Client : Company is a worldwide provider of legal services, serving law firms, corporations, financial institutions and government agencieshelping them streamline the administration of busines...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Mobile Phlebotomist / examiner

Mobile Phlebotomist / examiner

ExamOne, a Quest Diagnostics companyNew Rochelle, New York, United States
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Medically trained Mobile Collector.As a Mobile Collector, you would be a part-time, on-call, and at-will employee.On-Call and At-Will equal Flexibility! You will choose the days and hours you wish ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Claims Analyst

Claims Analyst

Human HireWhite Plains, NY, US
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New York, to help find a Claims Analyst for their White Plains office.This company has been around for over 75 years and this person will be sitting out of their healthcare claims department.U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Specialist, Claims Recovery (Remote)

Specialist, Claims Recovery (Remote)

NYC StaffingYonkers, NY, US
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Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider com...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Manager Montvale

Claims Manager Montvale

Criterion Executive SearchMontvale, NJ, US
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Strong knowledge of standard property and casualty insurance statutes, regulations, and practices; casualty / liability claims adjusting, including analyzing and coordinating disposition of claims.Hi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Analyst Construction Claims Pearl River NY

Claims Analyst Construction Claims Pearl River NY

The LiRo GroupPearl River, New York, USA
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We have an immediate need for a Construction Claims Analyst based in Pearl River NY or Albany NY.Come join our team! We are looking to build services and capabilities through the growth of our key ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Coordinator

Claims Coordinator

Objectwin Technology Inc.Bronx, New York, United States
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Job Title : Claims Coordinator.Location : 25 Westchester Square, Bronx, NY 10461 (100% Onsite).Duration : 4 Months contract (with possible extensions). The Medical Claims Coordinator is responsible ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Compliance Examiner, Broker-Dealer

Compliance Examiner, Broker-Dealer

Horace MannBronx, NY, US
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Compliance Examiner, Broker-Dealer.We are seeking an experienced and highly motivated Compliance Examiner to join our team. This position is responsible for conducting comprehensive examinations of ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Claims Reviewer

Claims Reviewer

Axelon Services CorporationBronx, NY, US
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Standard Assignment Window : September to February with possible extension.Fully Remote Training : Training is fully virtual with cameras expected to be on. Start time is 8 AM Eastern Time.Training pe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Insurance Claims Adjuster

Insurance Claims Adjuster

Diedre Moire Corp.Greenburgh, New York, United States
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Bodily Injury Claims Adjuster - Greenburgh, NY Insurance Claims Adjuster Claims Representative Insurance Bodily Injury Claims Auto Bodily Injury Physical Injury Litigation _.Manage, investigate and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Examiner

Examiner

City of New YorkNYC-ALL BOROS
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DCAS's mission is to make city government work for all New Yorkers.From managing New York City’s most iconic courthouses and municipal buildings, to purchasing over $1 billion annually in goods and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Field Property Claims Adjuster

Field Property Claims Adjuster

Liberty Mutual InsuranceWhite Plains, New York, United States
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Schedule : Full-Time Salary Range : USD $64000.Job Category : Claims Description Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Specialist, Claims Recovery (Remote)

Specialist, Claims Recovery (Remote)

Remote StaffingYonkers, NY, US
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Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider com...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Claims Coordinator (Medical Biller)

Claims Coordinator (Medical Biller)

Azaaki, LLCParamus, New Jersey, USA
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Claims Coordinator (Medical Biller).Location : Paramus NJ 07652 (Hybrid 2x / week onsite).Duration : 6 months possible extension / Temp-to-Perm. Work Hours : 9 : 00 AM 5 : 00 PM.TeamVision medical cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
NY LT Wokers Compensation Claims Examiner

NY LT Wokers Compensation Claims Examiner

Highview National Insurance CompanyRockland County, NY, US
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Worker’s compensation insurance is a headache.

We make it simple, smooth, and stress free.

Join us in redefining workers’ comp.

Job Summary :

  • The Workers’ Compensation Claims Examiner is responsible for the investigation, evaluation, and management of lost time workers’ compensation claims.
  • This role involves overseeing medical and litigation management to drive timely claim resolutions while actively mitigating risk and financial exposure for the company.
  • This document serves as a Guideline and your activities should not limited to only these activities.  The Claims Examiner will collaborate with nurse case managers, legal counsel, external vendors, and insureds to ensure efficient, proactive claims handling.
  • This position requires strong analytical skills, adaptability, and the ability to navigate evolving workers’ compensation laws and processes effectively.

Essential Job Functions :

  • Conduct and document thorough loss investigations to determine compensability.
  • Establish and adjust reserves to align with anticipated exposure.
  • Review medical bills to confirm causal relationship to claims.
  • Collaborate with insureds, nurse case managers, and legal counsel to facilitate claim resolution and return-to-work processes.
  • Develop action plans to maintain reserve adequacy and ensure timely settlements.
  • Negotiate claim settlements within designated authority.
  • Prepare and present claim review summaries to stakeholders.
  • Participate in strategy discussions to drive successful claim outcomes.
  • Guide insureds and brokers on timely claim reporting and best practices.
  • Oversee insured onboarding and training for claims reporting and portal use.
  • Required Skills / Abilities :

  • Excellent oral and written communication skills —able to convey complex information effectively.
  • Detail-oriented with a high accuracy rate , ensuring precision in claim processing.
  • Strong critical thinking and problem-solving skills to assess claims efficiently and make informed decisions.
  • Flexible and tech-savvy , comfortable navigating various software tools and adapting to new processes.
  • Highly adaptable , able to adjust to evolving laws and industry changes with ease.
  • Thrives in a dynamic environment —willing to embrace change and contribute to continuous improvement.
  • Self-motivated with excellent time management , capable of handling multiple priorities effectively.
  • Education and Experience :

  • Bachelor’s degree preferred Professional designation such as AIC or CPCU preferred Examiner license required 5-7 years adjusting lost time worker’s compensation claims   NY experience required.
  • Physical Requirements :

  • Prolonged periods sitting at a desk and working on a computer.
  • Prolonged periods of standing, walking, and / or sitting and reaching with hands and arms.
  • Must be able to lift 10 pounds at a time.
  • Additional Requirements :

  • Due to the nature of our business, and urgency of our clients' needs, you may be required to participate in the Company’s on call program and work on holidays / weekends according to the on-call schedule.
  • This is an in-office role We are an Equal Opportunity Employer We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation.

  • We intend that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.   Powered by JazzHR