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Claims supervisor • new york ny

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Behavioral Health (BH) Claims Supervisor

Behavioral Health (BH) Claims Supervisor

MetroPlus Health PlanNew York, NY, United States
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Behavioral Health (BH) Claims Supervisor.Water Street, 7th Floor, New York, NY 10004 .The BH Claims Supervisor will oversee personnel involved in the adjudication of behavioral health-related me...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Behavioral Health (BH) Claims Supervisor

Behavioral Health (BH) Claims Supervisor

MetroPlusHealth50 Water Street, 7th Floor, New York, NY
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The BH Claims Supervisor will oversee personnel involved in the adjudication of behavioral health-related medical claims. This position will provide support to the ASP Manager and other MetroPlusHea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Worker's Compensation Claims Supervisor

Worker's Compensation Claims Supervisor

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 Supervisor oversees a team ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Claims Associate

Claims Associate

LEFRAK ORGANIZATIONCorona, NY, US
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Claims Associates are responsible for processing, vetting, and managing business claims.They collect and review data to determine eligibility, risk, and the applicable legal or regulatory requireme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Claims Specialist

Claims Specialist

Assist AmbulanceNew York, NY, US
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Salary : $40,000-$60,000 annual.We are seeking a highly skilled and detail-oriented Claims Specialist with expertise in handling No-Fault, Worker's Compensation and all other medical insurance c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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WC Claims Supervisor

WC Claims Supervisor

CorVelBronx, NY, US
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The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity, and customer service criteria are met while adhering to company policies and proce...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Supervisor

Claims Supervisor

VirtualVocationsNew York, New York, United States
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A company is looking for a GL Claims Supervisor to lead a liability claims team and ensure high-quality service delivery. Key Responsibilities Supervise and motivate a liability claims team to han...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Claims Attorney

Claims Attorney

Tokio Marine HCCNew York, NY, United States
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Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world.Every policy we w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Supervisor - Supplemental Life Insurance Claims

Supervisor - Supplemental Life Insurance Claims

USAble Life - ExternalCorona, NY, US
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Supervisor - Supplemental Life Insurance Claims.When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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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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Claims Manager

Claims Manager

Metropolitan Transportation AuthorityNew York, NY, United States
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Assistant General Counsel / Director of Claims.Candidates selected for this position on the NYC Transit payroll may be placed in a competitive or non-competitive class position based on their quali...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Associate

Claims Associate

Lefrak OrganizationCorona, NY, United States
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Claims Associates are responsible for processing, vetting, and managing business claims.They collect and review data to determine eligibility, risk, and the applicable legal or regulatory requireme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Claims Manager

Claims Manager

NY StaffingNew York, NY, US
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Our Agency BGB Group is a healthcare communications agency that offers a wide range of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Workers' Compensation Claims Supervisor | Remote

Workers' Compensation Claims Supervisor | Remote

KING'S INSURANCE STAFFING LLCNew York, NY, US
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Our client is seeking to add a New York Workers’ Compensation Claims Supervisor to their growing team.The ideal candidate will be responsible for overseeing a team of adjusters handling New Y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Director, Claims

Director, Claims

AmTrust FinancialNew York, NY, United States
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AmTrust Financial is seeking a highly organized, strategic, and execution-focused Director to support the Claims and Litigation Strategy & Analytics teams. This role will serve as a trusted advisor,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Examiner

Claims Examiner

Jones Jones LLCNew York, New York, United States
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Jones Jones LLC is a trusted leader in workers’ compensation defense, claims management, and regulatory compliance.With decades of industry experience, we proudly serve clients through our affiliat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Auditor

Claims Auditor

Centers Plan for Healthy LivingNew York, NY, United States
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Centers Plan for Healthy Living.Be among the first 25 applicants.Centers Plan for Healthy Living.Get AI-powered advice on this job and more exclusive features. Centers Plan for Healthy Living's goal...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Claims Specialist, Health Care Claims

Claims Specialist, Health Care Claims

Axis CapitalNew York, NY, US
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Claims Specialist, Health Care Claims.This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Specialist

Claims Specialist

Sales MatchNewark, New Jersey, United States
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We are looking for a skilled Claims Specialist to join our work-from-home team.In this role, you will assist in processing and reviewing insurance claims, ensuring all necessary information is gath...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Behavioral Health (BH) Claims Supervisor

Behavioral Health (BH) Claims Supervisor

MetroPlus Health PlanNew York, NY, United States
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Behavioral Health (BH) Claims Supervisor

Job Ref : TE0030

Category : Claims

Department : CLAIMS

Location : 50 Water Street, 7th Floor,

New York,

NY 10004

Job Type : Regular

Employment Type : Full-Time

Work Arrangement : Hybrid

Salary Range : $65,000.00 - $76,011.00

Position Overview

The BH Claims Supervisor will oversee personnel involved in the adjudication of behavioral health-related medical claims. This position will provide support to the ASP Manager and other MetroPlusHealth employees regarding the adjudication of complex, difficult, and non-routine claims for multiple lines of business. The incumbent will coordinate with the ASP Manager to ensure the BH Claims team is able to meet expectations for the timely and accurate adjudication of claims.

Scope of Role & Responsibilities

  • Supervise the day-to-day workload of the BH Claims Unit including assignment of tasks
  • Identify issues and problems with claims submissions.
  • Identify system processing issues.
  • Process complex, difficult, and non-routine claims for multiple lines of business.
  • Ensure that training manuals are current, and that policies and procedures are followed correctly
  • Plan, develop, and conduct training programs for staff
  • Provide input to the ASP Manager related to the development and performance of employees
  • Participate in special projects as required.
  • Represent the BH Claims Unit in the absence of the ASP Manager

Required Education, Training & Professional Experience

  • Bachelor's Degree required.
  • Minimum of two (2) years' experience in HMO claims processing; or
  • A satisfactory equivalent combination of education, training, and experience.
  • Well versed in all the duties and responsibilities of the Claims Examiner position including data entry and system adjudication of BH claims
  • Knowledge of Medicaid policies, as well as enrollment policies procedures.
  • Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional / Technical skills
  • Excellent verbal and written skills
  • Must be able to work in a professional manner with employees, management, and providers
  • #LI-Hybrid

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