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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
[job_card.full_time] +1
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...[show_more][last_updated.last_updated_30]
Behavioral Health (BH) Claims Supervisor

Behavioral Health (BH) Claims Supervisor

MetroPlusHealth50 Water Street, 7th Floor, New York, NY
[job_card.full_time]
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...[show_more][last_updated.last_updated_30]
Worker's Compensation Claims Supervisor

Worker's Compensation Claims Supervisor

Highview National Insurance CompanyRockland County, NY, US
[job_card.full_time]
[filters_job_card.quick_apply]
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 ...[show_more][last_updated.last_updated_30]
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Claims Associate

Claims Associate

LEFRAK ORGANIZATIONCorona, NY, US
[job_card.full_time]
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...[show_more][last_updated.last_updated_30]
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Claims Manager

Claims Manager

BGB GroupNew York City, New York, USA
[job_card.full_time]
BGB Group is a healthcare communications agency that offers a wide range of services including traditional pharmaceutical advertising promotional medical education payer marketing and consulting se...[show_more][last_updated.last_updated_variable_days]
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Claims Specialist

Claims Specialist

Assist AmbulanceNew York, NY, US
[job_card.full_time]
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...[show_more][last_updated.last_updated_30]
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Claims Examiner

Claims Examiner

RIT SolutionsStaten Island, NY, US
[job_card.temporary]
Location : Remote (Candidate must reside in California no exceptions) Duration : 6+ month contract Position Summary : The Claims Examiner is responsible for providing comprehensive claims support by ...[show_more][last_updated.last_updated_30]
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Claims Supervisor

Claims Supervisor

VirtualVocationsNewark, New Jersey, United States
[job_card.full_time]
A company is looking for a Supervisor, Claims.Key Responsibilities Oversee day-to-day functions of the claims area and provide technical support to staff Manage claims inventory to ensure compli...[show_more][last_updated.last_updated_30]
Claims Specialist

Claims Specialist

Sales MatchNewark, New Jersey, United States
[job_card.full_time]
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...[show_more][last_updated.last_updated_30]
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Claims Examiner

Claims Examiner

Jones Jones LLCNEW YORK, NY, US
[job_card.full_time]
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...[show_more][last_updated.last_updated_30]
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Claims Specialist

Claims Specialist

ShiftsmartNew York City, New York, USA
[job_card.full_time]
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...[show_more][last_updated.last_updated_variable_days]
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Claims Specialist

Claims Specialist

CorVelCorona, NY, US
[job_card.full_time]
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...[show_more][last_updated.last_updated_30]
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Claims Coordinator

Claims Coordinator

IICRCStaten Island, NY, US
[job_card.full_time]
As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs wh...[show_more][last_updated.last_updated_30]
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Claims Manager

Claims Manager

NY StaffingNew York, NY, US
[job_card.full_time]
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...[show_more][last_updated.last_updated_variable_days]
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Claims Manager

Claims Manager

Metropolitan Transportation AuthorityNew York, NY, United States
[job_card.full_time]
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...[show_more][last_updated.last_updated_variable_days]
Claims Associate

Claims Associate

Lefrak OrganizationCorona, NY, United States
[job_card.full_time]
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...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Workers' Compensation Claims Supervisor | Remote

Workers' Compensation Claims Supervisor | Remote

KING'S INSURANCE STAFFING LLCNew York, NY, US
[filters.remote]
[job_card.full_time]
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...[show_more][last_updated.last_updated_30]
Claims Investigator - Experienced

Claims Investigator - Experienced

Command InvestigationsBrooklyn, NY, United States
[job_card.full_time]
Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE / COE, Auto, and Homeowners. SIU experience is highly desired, but not require...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Claims Specialist, Health Care Claims

Claims Specialist, Health Care Claims

Axis CapitalNew York, NY, US
[job_card.full_time]
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...[show_more][last_updated.last_updated_30]
Behavioral Health (BH) Claims Supervisor

Behavioral Health (BH) Claims Supervisor

MetroPlus Health PlanNew York, NY, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [job_card.permanent]
[job_card.job_description]

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