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Behavioral Health (BH) Claims Supervisor

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Claims Contract Attorney

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VirtualVocationsNew York, New York, United States
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Claims Examiner

Claims Examiner

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Claims Examiner

Jones Jones LLCNEW YORK, NY, US
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Claims Attorney

Tokio Marine HCCNew York, NY, United States
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Claims, Senior Specialist

Claims, Senior Specialist

ShiftsmartNew York City, New York, USA
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Were building the Amazon of labor.Were a labor platform pairing end-to-end workforce management technology with a rapidly growing global network of 5M flexible workers to create scalable labor solu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Temp - Perm Hire Claims Attorney needed! Come join one of New York's largest corporation.In-house legal department seeks claims or claims counsel to handle high exposure BI, GL and PD.Work closely ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
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Claims Manager

Claims Manager

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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
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Behavioral Health (BH) Claims Supervisor

Behavioral Health (BH) Claims Supervisor

MetroPlusHealthNew York, NY, United States
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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
Workers' Compensation Claims Supervisor | Remote

Workers' Compensation Claims Supervisor | Remote

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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

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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
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Claims Intern

Claims Intern

Sompo InternationalNew York, NY, US
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We are seeking a Summer 2026 Claims Intern for our North America Claims team in our New York City office.The Internship Program is a 10-week development initiative designed to provide professional ...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

    #MHP50