Post Job

Claim Processor Jobs in East Patchogue, NY

- 51 Jobs
All
Claim Processor
Processor
Claim Specialist
Claims Representative
Insurance Claims Processor
Senior Claims Analyst
Claim Processing Specialist
  • Litigation Claims Specialist

    JCW 3.7company rating

    Claim Processor Job In New Haven, CT

    JCW has partnered with an insurance agency in New Haven, CT, in hiring a Senior Litigation Claims Specialist. If interested in this type of opportunity, apply today! Responsibilities: Conduct thorough investigations of first- and third-party claims, determine liability, and provide detailed coverage assessments. Prepare comprehensive coverage letters for policyholders and document findings accurately. Manage a portfolio of complex claims, ensuring timely and effective resolution across several lines of business. Collaborate with defense counsel to oversee litigation, participate in mediations, and attend settlement conferences. Negotiate settlements efficiently to minimize costs while achieving favorable outcomes. Analyze claim trends, assess exposures, and ensure reserves align with claim complexities. Qualifications: At least 7 years managing complex, high-exposure liability claims; public entity claims experience is a plus. In-depth understanding of auto, general liability, bodily injury, property damage, and professional liability insurance. Excellent decision-making, time management, and organizational abilities. For more information please reach out to Cassidy Tsakoniatis at ************ or *************************************.
    $41k-53k yearly est. 18d ago
  • Litigation Claims Examiner

    Brown & Brown, Inc. 4.6company rating

    Claim Processor Job In Garden City, NY

    Litigation Claims Examiner page is loaded **Litigation Claims Examiner** **Litigation Claims Examiner** locations Remote, NY, USA time type Full time posted on Posted 30+ Days Ago job requisition id R24\_0000001693 Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. **Brown & Brown** is seeking a **Litigation** **Claims Examiner** for our team in **Garden City**, **New York****.** Wright Public Entity serves as a management company providing claims administration, risk management & loss control, underwriting & marketing, and client services in New York for the NY Schools Insurance Reciprocal (NYSIR: ‘A-' rated by Best), NY Municipal Insurance Reciprocal (NYMIR: ‘A-' rated by Best) and Statewide Schools Health Plan. We also act as a TPA for Workers Compensation for various self-insured schools & municipalities in New York. The **Litigation Claims Examiner** position will be responsible for the adjustment of all litigation losses. **General Adjuster's license REQUIRED** **WHAT YOU'LL DO:** * Coverage assessment * Investigate, evaluate, and bring to a disposition all litigation claims * Assure the proper reserving of all losses * Assign and manage the activities of independent adjustors and other vendors * Work effectively with clients, brokers, attorneys and other departments * Identify subrogation and risk transfer potential * Reinsurance reporting * Preparing comprehensive claim correspondence, including coverage position communications * Attend training classes and/or secure professional designations **WHAT YOU'LL NEED:** * Bachelor's degree * At least five years of experience in handling litigation claims, General Liability and litigation claims * New York General Adjuster's license (series 17-70) * Good telephone demeanor * Proficient use of a PC * Valid driver's license * Occasional travel **WHAT WE OFFER:** * Excellent growth and advancement opportunities * Competitive pay based on experience * Ability to work hybrid * Paid Time Off * Generous benefits package: health, dental, vision, 401(k), and many additional benefits * Employee Stock Purchase Plan * Salary Range: $90,000 - $120,000 We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants. locations Remote, NY, USA time type Full time posted on Posted 30 Days Ago Brown & Brown is a unique and decentralized publicly traded organization (NYSE: BRO) that has grown to become the fifth largest insurance intermediary in the country. We sell property & casualty insurance and employee benefits insurance to mid-sized and large corporations throughout the country. Our size provides us with access to the best products in the marketplace, while still maintaining a very local community feel. Through growing and developing relationships with carrier partners and expert resources, Brown & Brown stands out as a leader in the industry. As our business grows, our people grow with it! Becoming an employee, or as we like to call it “a teammate,” of Brown & Brown introduces you to a career with virtually unlimited possibilities. Our unique culture rewards self-starters and hard workers who adhere to our commitment to do what is best for our customers. With Brown & Brown you will get the training, the mentoring and the tools you need to succeed. Our teammates are bound together by shared goals and our collective commitment to integrity and quality. Brown & Brown's local leaders are actively engaged in their communities and committed to maintaining an established network, as well as creating strong relationships of their own.
    27d ago
  • Claims Specialist - Liability

    Crawford & Co 4.7company rating

    Claim Processor Job In Hauppauge, NY

    Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case inventory to ensure proper/timely closing and billing of files. Makes decisions on claims within delegated limited authority. Responsibilities Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims. Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim. Identifies wage loss expenses and wage exposures on medical claims. Documents receipt and contents of medical reports. Interacts frequently with claimant to understand nature and extent of injury and medical conditions. Reviews and handles other correspondence within authority including material from the team members, and/or clients. Approves payments within scope of payment authority. Evaluates claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations. Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction. With the team managers guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms. Completes all reporting forms and file documentation. Adheres to client and carrier guidelines and prepares written updates for supervisor to review. Develops subrogation/third party recovery potential and follows recovery procedures. Performs other related duties as required or requested. Requirements College degree or the equivalent of education and experience. Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc). Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level. Must possess a valid driver's license. Demonstrates a thorough working knowledge of claim processing and claim policies and procedures. Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions Demonstrates effective and diplomatic oral and written communication skills. Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others. About Us Why Crawford? Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time. At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at *************** When you accept a job with Crawford, you become a part of the One Crawford family. Our total compensation plans provide each of our employees with far more than just a great salary Pay and incentive plans that recognize performance excellence Benefit programs that empower financial, physical, and mental wellness Training programs that promote continuous learning and career progression while enhancing job performance Sustainability programs that give back to the communities in which we live and work A culture of respect, collaboration, entrepreneurial spirit and inclusion Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means. #LI-EM3
    $64k-90k yearly est. 9d ago
  • Claims Specialist, Motor Truck Cargo/Ocean Marine

    CNA Financial Corp 4.6company rating

    Claim Processor Job In Melville, NY

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage primarily motor truck cargo claims with moderate to high complexity and exposure. There may also be opportunity to handle ocean marine claims. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: * Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. * Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information. * Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols. * Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. * Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims. * Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. * Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. * Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation. * Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements. * Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. * May serve as a mentor/coach to less experienced claim professionals May perform additional duties as assigned. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities * Solid working knowledge of motor truck cargo claims handling, liability analysis, policy coverage and claim practices. * Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed. * Demonstrated ability to develop collaborative business relationships with internal and external work partners. * Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions. * Demonstrated investigative experience with an analytical mindset and critical thinking skills. * Strong work ethic, with demonstrated time management and organizational skills. * Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. * Developing ability to negotiate low to moderately complex settlements. * Adaptable to a changing environment. * Knowledge of Microsoft Office Suite and ability to learn business-related software. * Demonstrated ability to value diverse opinions and ideas Education & Experience: * Bachelor's Degree or equivalent experience. * Typically a minimum four years of relevant experience, preferably in claim handling. * Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Professional designations are a plus (e.g. CPCU) #LI-AR1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Maryland, New York and Washington, the national base pay range for this job level is $49,000 to $98,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
    $49k-98k yearly 17d ago
  • Auto FPM Claim Representative

    Travelers Insurance Company 4.4company rating

    Claim Processor Job In Melville, NY

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $59,200.00 - $97,700.00 **Target Openings** 3 **What Is the Opportunity?** This position is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement and payment process. This may include applying laws and statutes for multiple state jurisdictions. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. **What Will You Do?** + Customer Contacts/Experience: + Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follow-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC). + Coverage Analysis: + Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for assigned jurisdictions. Verifies the benefits available, the injured party's eligibility and the applicable limits. Addresses proper application of any deductibles, co-insurance, coverage limits, etc. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration other issues such as Social Security, Workers Compensation or others relevant to the jurisdiction. + Investigation/Evaluation: + Investigates each claim to obtain relevant facts necessary to determine coverage, causation/damages, medical necessity, treatment plan, damages, and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g. policyholders, medical providers and technical experts). This may also include investigation of wage loss and essential services claims. Takes recorded statements as necessary. + Proactively manages medical treatment based on the nature and extent of injury, mechanism of injury, type of treatment received or anticipated, and wage loss through case management and use of medical resources as needed. Proactively manages the process to ensure proper payment, (i.e. review medical bills and medical records for appropriateness of billing/fees and the services rendered ensuring that all records have a determination of medical necessity and causal relationship to the loss). + Reserving: + Establishes timely and maintains appropriate claim and expense reserves to reflect the overall claim exposure. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner. + Negotiation/Resolution: + Determines settlement amounts, negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to insureds and claimants. + May handle litigated files on appropriately assigned cases. Develops resolution plan with staff or panel counsel, and track and control legal expenses; Reviews conciliations and prepares submissions for arbitration and/or mediation hearings. May also attend arbitrations as Company witness. + Insurance License: + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Associate's Degree or Bachelor's degree with 2 years auto claim handling experience preferred. + Prior Auto First Party Medical experience preferred. + Knowledge of medical terminology preferred. + Demonstrated ownership attitude and customer centric response to all assigned tasks. + Attention to detail ensuring accuracy. + Ability to work in a high volume, fast paced environment managing multiple priorities. + Keyboard skills and Windows proficiency, including Excel and Word - Intermediate + Verbal and written communication skills - Intermediate + Analytical Thinking: Intermediate. + Judgment/Decision Making: Intermediate. + Negotiation: Intermediate. + Insurance Contract Knowledge: Intermediate. + Principles of Investigation: Intermediate. + Value Determination: Intermediate. + Settlement Techniques: Intermediate. + Legal Knowledge: Basic. + Medical Knowledge: Intermediate. **What is a Must Have?** + High School Degree or GED with a minimum of one year auto claim handling experience or successful completion of Travelers Claim Representative training program required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $59.2k-97.7k yearly 33d ago
  • Experienced Insurance Claims Follow-up Specialist

    Pom Recoveries 3.9company rating

    Claim Processor Job In Farmingdale, NY

    Full-time only positions available In Office - Hybrid - Remote positions available MUST HAVE 2 YEARS MINIMUM HOSPITAL IN-PATIENT AND OUT-PATIENT CLAIMS FOLLOW-UP EXPERIENCE Reporting to the Client Billing Team Leader, the Insurance Claims Follow-up Specialist must have a strong knowledge of medical collections, denial processing, appeal submission, and EOB review. This position is responsible for resolving outstanding in-patient and out-patient facility claims not paid. KEY RESPONSIBLITIES: The ideal candidate will possess strong expertise in the following areas: Insurance billing, follow-up, and verification. Review of correspondence, including refund requests and medical necessity documentation. Conducting detailed follow-ups with insurance providers. Investigating accounts requiring additional action and resolving issues with insurance companies on unpaid claims. Responding to claim denials and verifyng reimbursements according to payer contracts. EXPERIENCE IN THE FOLLOWING AREAS IS REQUIRED: Denial Management Writing and submitting appeals. Correcting claims (e.g., NDC or coding issues.) Claims status follow-up. Correcting and resubmitting denied claims using systems such as Cerner, EPIC, or A2K. Retro authorizations (Retro Auth) Payment and balance reclassification Utilizing the Change Healthcrae billing portal Offered Salary: Up to $32.00 per hour (based on experience)
    $32 hourly 60d+ ago
  • Clinical Sample Processor I

    Icon Clinical Research

    Claim Processor Job In Farmingdale, NY

    Clinical Sample Processor -Farmingdale, NY, Onsite ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development. We are currently seeking a Clinical Sample Processor I to join our diverse and dynamic team. As a Clinical Sample Processor I at ICON, you will play a pivotal role in the collection, processing, and tracking of clinical trial samples to ensure accurate and timely analysis, contributing to the advancement of Innovative treatments and therapies. **What you will be doing** + Collecting, receiving, and logging clinical trial samples according to study protocols and standard operating procedures (SOPs). + Processing samples using various laboratory techniques and equipment, ensuring proper handling and storage conditions. + Performing data entry and maintaining accurate records of sample receipt, processing, and distribution. + Participating in inventory management activities, including ordering supplies and maintaining stock levels. + Assisting with the disposal of samples and hazardous waste in compliance with regulatory requirements. **Your profile** + Associate or bachelor's degree in a scientific discipline or related field, or equivalent combination of education and experience. + Previous experience in a laboratory or clinical research setting preferred. + Familiarity with laboratory techniques and equipment used for sample processing. + Strong attention to detail and ability to follow standard operating procedures (SOPs) and safety guidelines. + **Location:** Farmingdale, NY + **Hours are varied:** Including M-F 8A-4:30P, T-F 9A-5:30P and if you do a Saturday its 10A-6:30p. \#LI-JG1 \#LI-ONSITE **What ICON can offer you:** Our success depends on the quality of our people. That's why we've made it a priority to build a diverse culture that rewards high performance and nurtures talent. In addition to your competitive salary, ICON offers a range of additional benefits. Our benefits are designed to be competitive within each country and are focused on well-being and work life balance opportunities for you and your family. Our benefits examples include: + Various annual leave entitlements + A range of health insurance offerings to suit you and your family's needs. + Competitive retirement planning offerings to maximize savings and plan with confidence for the years ahead. + Global Employee Assistance Programme, LifeWorks, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family's well-being. + Life assurance + Flexible country-specific optional benefits, including childcare vouchers, bike purchase schemes, discounted gym memberships, subsidized travel passes, health assessments, among others. Visit our careers site (************************************* to read more about the benefits ICON offers. At ICON, diversity, inclusion & belonging are fundamental to our culture and values. Our rich diversity makes us more innovative which helps us better serve our people, patients, customers, and our communities. We're proud of our diverse workforce and the work we've done to become a more inclusive organisation. We're dedicated to providing an inclusive and accessible environment for all candidates. ICON is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know or submit a request here (****************************************************** Interested in the role, but unsure if you meet all of the requirements? We would encourage you to apply regardless - there's every chance you're exactly what we're looking for here at ICON whether it is for this or other roles. Salary range: $35,208.00-$44,010.00 Bonus, Com, Stock, Benefits & Disclaimer verbiage: Actual compensation will be determined based on factors such as geographic location, work experience, education/training, and skill level. You may be eligible for a bonus, stock compensation and commissions in some cases depending on your role and performance. Are you a current ICON Employee? Please click here (****************************************************** to apply
    $35.2k-44k yearly 54d ago
  • Claims Processing Specialist

    Professional Physical Therapy 4.6company rating

    Claim Processor Job In Melville, NY

    Position Description: The Claims Processing Specialist is responsible for reviewing and processing all claims from the billing system and the clearinghouse. Responsible for working exception and rejection reports to ensure claims get cleared and processed to the payer in a timely manner. Pay: $22.28 - $24.40 Hours: Monday-Friday 8:00 am - 4:30 pm Responsibilities: · Works claims to clear edits, scrub for errors or rejections and ensure claims get processed to payer for payment. · Trains new hires on basics of daily work. · Reviews Raintree BLING Follow-Up Dashboard for first and second edit rejections (R-T, R-Z). · Reviews and contacts patients as needed for pre-claim eligiblity exceptions for inactive coverage or subscriber demographic issues. · Monitors claims processing emails and responds in a timely manner. · Performs claim correction tickets as needed. · Easily navigates through Raintree to ensure claim edits are cleared and claims are submitted to payers. · Monitors No Response from Clearinghouse exceptions and ensures all claims are received an on file with payer. · Completes billing review and posts splint charges to ledger. · Successfully enters charges onto the DOL and Claim Connect Portals. · Stays abreast of laws and regulationsaffecting reimbursement. · Knowledge of insurance and insurance payer guidelines. · Ensures accounts are processed and submitted to payers. · Identifies billing issues within Raintree Billing System and the clearinghouse; escalates as necessary and resolves issues to ensure clean claims are submitted. · Maintains a working knowledge of HIPAA, OSHA, Risk Management and compliance regulations. · Practices confidentiality in accordance with Company policies and all laws and regulations. · Attends Company meetings as required. · Other duties as assigned by RCO Management. Requirements · At least three years of Revenue Cycle experience required. · Knowledge and understanding of processes for varous payer groups and functions within the department. · Must demonstrate consistency in exceeding productivity goals. · Fully proficient in Raintree Navigation. · Able to demonstrate extensive knowledge using applicable tools/software applications and can identify trends/issues as needed. · Fully cross trained to work other functions in the department. · Bachelor's degree preferred · Behaves in a manner consistent with Professional's mission, vision and values. · Ability to work independently and follow-through and handle multiple tasks and/or special projects simultaneously.
    $22.3-24.4 hourly 10d ago
  • Clinical Sample Processor I

    Icon 4.8company rating

    Claim Processor Job In Farmingdale, NY

    - Farmingdale JR126299 - ICON Full Service & Corporate Support - Clinical Supplies - Office Based **About the role** Clinical Sample Processor -Farmingdale, NY, Onsite ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development. We are currently seeking a Clinical Sample Processor I to join our diverse and dynamic team. As a Clinical Sample Processor I at ICON, you will play a pivotal role in the collection, processing, and tracking of clinical trial samples to ensure accurate and timely analysis, contributing to the advancement of Innovative treatments and therapies. **What you will be doing** * Collecting, receiving, and logging clinical trial samples according to study protocols and standard operating procedures (SOPs). * Processing samples using various laboratory techniques and equipment, ensuring proper handling and storage conditions. * Performing data entry and maintaining accurate records of sample receipt, processing, and distribution. * Participating in inventory management activities, including ordering supplies and maintaining stock levels. * Assisting with the disposal of samples and hazardous waste in compliance with regulatory requirements. **Your profile** * Associate or bachelor's degree in a scientific discipline or related field, or equivalent combination of education and experience. * Previous experience in a laboratory or clinical research setting preferred. * Familiarity with laboratory techniques and equipment used for sample processing. * Strong attention to detail and ability to follow standard operating procedures (SOPs) and safety guidelines. * **Location:** Farmingdale, NY * **Hours are varied:** Including M-F 8A-4:30P, T-F 9A-5:30P and if you do a Saturday its 10A-6:30p. #LI-JG1 #LI-ONSITE **What ICON can offer you:** Our success depends on the quality of our people. That's why we've made it a priority to build a diverse culture that rewards high performance and nurtures talent. In addition to your competitive salary, ICON offers a range of additional benefits. Our benefits are designed to be competitive within each country and are focused on well-being and work life balance opportunities for you and your family. Our benefits examples include: * Various annual leave entitlements * A range of health insurance offerings to suit you and your family's needs. * Competitive retirement planning offerings to maximize savings and plan with confidence for the years ahead. * Global Employee Assistance Programme, LifeWorks, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family's well-being. * Life assurance * Flexible country-specific optional benefits, including childcare vouchers, bike purchase schemes, discounted gym memberships, subsidized travel passes, health assessments, among others. Visit our to read more about the benefits ICON offers. At ICON, diversity, inclusion & belonging are fundamental to our culture and values. Our rich diversity makes us more innovative which helps us better serve our people, patients, customers, and our communities. We're proud of our diverse workforce and the work we've done to become a more inclusive organisation. We're dedicated to providing an inclusive and accessible environment for all candidates. ICON is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know or submit a request Salary range: $34,456.00-$43,070.00 Bonus, Com, Stock, Benefits & Disclaimer verbiage: Actual compensation will be determined based on factors such as geographic location, work experience, education/training, and skill level. You may be eligible for a bonus, stock compensation and commissions in some cases depending on your role and performance. to apply - Farmingdale JR126299 - ICON Full Service & Corporate Support - Clinical Supplies - Office Based At ICON, our employees are our greatest strength . That's why we are committed to empowering you to live your best life , both inside and outside of work. Whether your ambition is lead a global team, become a deep scientific or technical expert, work in-house with our customers or gain experience in a variety of different ICON functions, we will support you in realising your full potential. Location Ireland, Dublin Location Dublin Description We are currently seeking a Clinical Sample Processor I to join our diverse and dynamic team. As a Clinical Sample Processor I at ICON, you will play a pivotal role in the collection, processing, and t Location US, New York, NY, Farmingdale Location Farmingdale Description We are currently seeking a Sample Management Coordinator I to join our diverse and dynamic team. As a Sample Management Coordinator at ICON, you will play a pivotal role in coordinating the shipment o Location US, Blue Bell (ICON) Location Blue Bell Description At ICON, it's our people that set us apart. Our diverse teams enable us to become a better partner to our customers and help us to fulfil our mission to advance and improve patients' lives.Our ‘Own It Location Argentina, Buenos Aires Location Buenos Aires Description At ICON, it's our people that set us apart. Our diverse teams enable us to become a better partner to our customers and help us to fulfil our mission to advance and improve patients' lives.Our ‘Own It Location Mexico, Mexico City Location Sao Paulo Mexico City Description JR126128Global Logistics Associate (GLA) Mexico City - Office BasedICON plc is a world-leading healthcare intelligence and clinical research organization. From molecule to medicine, we advance clinical Location Poland, Warsaw Location Sofia Warsaw Description Global Logistics Associate, office based flex in Warsaw, PolandWe are currently seeking a Global Logistics Associate to join our diverse and dynamic team. As a Global Logistics Associate at ICON, you **Your Privacy** User ID: 810924a3-5762-4a14-b054-25a568eeb522
    28d ago
  • Worker Compensation Claims Specialist

    Foundation Risk Partners 3.8company rating

    Claim Processor Job In Rockville Centre, NY

    Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Claims Specialist to their growing team at the Durnan Group in Rockville Centre, NY. Claims Specialist works under direct supervision of the Vice President of Risk Management, receiving and processing incoming workers compensation claims, assisting in the claims management process and managing communication with regard to claims. Responsible for managing data extraction regarding potential Claims from fax, email or other communication sources. Examine, evaluates claims for denial, subrogation and possible fraud and report to Enter claims in system; review claims, update/correct information in system Assist in maintaining all medical documentation and records regarding workers' compensation cases Make & maintain contacts (4 point contact) with client, adjuster, employee and provider Report claims to carrier and VP of Risk Management Manage correspondence; answer emails and phone calls, note files Participate in claims reviews with Client representatives when needed. Ensure all claimants complete all necessary paperwork regarding claim case, i.e. incident report, medical release form, LD forms and special programs are being carried out initially Job Competencies: Strong computer literacy Knowledge of insurance related laws and medical and legal terminology Excellent written/oral communication skills and ability to interact with personnel at various levels Excellent organizational skills Strong sense of accuracy and attention to detail Ability to exercise tact and discretion in handling of confidential material Ability to manage multiple projects, tasks and priorities to achieve desired goals Ability to work effectively with employees at all levels within the organization Education & Experience: 2 years insurance industry experience preferred Associates degree preferred, or equivalent years of experience Establish and maintain effective liaising between claimant, adjuster, provider and client. Provide VP of Risk Management with weekly/monthly overview and assurances that all services have been effective. This range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees. Pay Transparency Range$65,000—$70,000 USD Disclaimer: While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary. Equal Employment Opportunity (EEO): FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law. Benefits: FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!
    $65k-70k yearly 15d ago
  • Claims Processor - Insurance

    KofC Charity Convoy

    Claim Processor Job In New Haven, CT

    Processes death claims for life and annuity products and life riders for all products; terminates policies, creates coverages for secondary insureds upon death of primary insured, calculates value of death benefits and taxable portion if any. Responds to inquiries from agents, clients, or beneficiaries regarding outstanding requirements for pending claims. ****Core Responsibilities**** * Reviews all documents associated with death claims, ensuring all information matches and is complete; terminates policies * Reviews all policies held by insured to determine beneficiaries * Corresponds with claimants, agents or others to obtain required forms or documentation that have not been submitted; explains procedures, provides guidance, corrects misconceptions and explains problem resolution * Determines death claim benefits based on terms of policy and date of death; calculates payments, including dividends, premiums, loans and date of birth adjustments on death claim proceeds; processes any online accounting in order to adjust the claim values to the date of death; transfers proceeds to appropriate account for reduction of an outstanding loan on other policies or payment of initial premium on new applications; processes funeral assignments and payments to funding companies * Composes correspondence and transmittal letters to beneficiaries regarding benefit amounts and tax consequences; provides documents to department typist for processing * Calculates federal and state withholding amounts based on the taxable portion of the death benefit. Performs manual calculations in case of multiple beneficiaries; processes transfers to other companies, confirm that fraternal death claims meet the required criteria * Calculates paid up coverage amounts on policies that insure more than one client and then creates coverages, through file maintenance, on all surviving insureds; removes coverages on policies when required * May split policy depending on wishes of claimants, converting to new or transferring to other existing policies; sets up settlement options and deferred payment streams; coordinates with New Business as necessary for new applications and policy numbers * Performs other related duties as assigned ****Skills Qualifications**** * Thorough knowledge of KofC life and annuity products * Mathematical skills * Detail oriented; ability to determine and correct errors related to job duties * Communication skills * Customer service skills Systems/Technical Knowledge: * Ability to enter and review data in Ingenium; basic knowledge of Life70 * Ability to use AWD * Ability to use DCLM system * Ability to use PC and related software, including Microsoft Office ****Education**** Required: * High school diploma * 3-5 years of KofC insurance experience with knowledge of tax laws governing payment of death claims ****Physical Demands**** Must be able to remain in a stationary position for a majority of the workday. **Nearest Major Market:** New Haven **Nearest Secondary Market:** Hartford
    $42k-52k yearly est. 27d ago
  • Specimen Processor (Overnight) (Temp)

    Antech Diagnostics 3.7company rating

    Claim Processor Job In Lake Success, NY

    We understand that the world we want tomorrow starts with how we do business today, and that's why we're inspired to make A Better World for Pets. Antech is comprised of a diverse team of individuals who are committed to each other's growth and development. Our culture is centered on our guiding philosophy, The Five Principles: Quality, Responsibility, Mutuality, Efficiency and Freedom. Today Antech is driving the future of pet health as part of Mars Science & Diagnostics, a family-owned company focused on veterinary care. Current Associates will need to apply through the internal career site. Please log into Workday and click on Menu or View All Apps, select the Jobs Hub app, then click the magnifying glass to Browse Jobs. Work Shift: Night shift 35hrs/.88, Monday - Saturday 11pm-6:30am Training Monday-Friday 12am-7am for 6-8 weeks Work Type: On-Site This is an On-Site role based out of one of Laboratory located in Lake Success, New York. The Target Pay for this position is $22.12 an hour. At Antech, pay decisions are determined using factors such as relevant job-related skills, experience, education, training and budget. PURPOSE OF JOB: The Specimen Processor accession, receive and prepares samples for laboratory analyses. Specimen Processors are responsible for processing the majority of samples that comes into the department. Specimen Processors are required to keep inventory of samples after testing has been completed by scanning them into storage racks. They will also be required to search the lab for any samples not scanned into storage racks. May be cross-trained to perform basic Laboratory Technician or Lab Aide duties. May be responsible for various support activities, including maintaining supply inventory, record-keeping, cleaning, clerical tasks, supply shipping and receiving, mail distribution and other related duties. ESSENTIAL DUTIES AND RESPONSIBILITIES: Receives and prepares samples for laboratory analyses. Accurately process standard requisitions per approved procedures, heartworm multi-test forms, fecal multi-test forms, and 2-D requisitions. Removes specimens from transport bags enter patient data, label samples and aliquot as needed for multiple testing. Sort samples for distribution throughout the lab (X-rays, Coggins, cytology, etc.). Scan tubes into storage racks and enter specimen data into database to verify the accuracy of information. Accession various specimens to include but not limited to urine, whole blood and plasma, feces, and biopsies. Check all trash containers within the Specimen Processing department when assigned. Assists other lab personnel with specimen storage. Ensure Turn Around Times (TAT's) are met. Reads, understands and follows applicable Standard Operating Procedures (SOP's), including safety and quality procedures. Maintains clean and organized work area. Restocks supplies as needed. May be responsible for various post production duties such as maintaining supply inventory, recordkeeping, shipping and receiving, cleaning and other related duties. Stock shelves and maintain order in stockroom. Ensures documents are completed according to established SOPs and reflect current manufacturing processes and label claims. May assemble equipment as needed. Prepares and ships supplies, including processing related documentation. Performs variety of administrative duties, such as answering and routing incoming calls, maintain temperature logs and other related activities. Consult with senior peers on non-complex specimen processing tasks to learn through experience. Applies job skills and lab policies and procedures to complete a variety of tasks. Works on specimen processing tasks that are semi-routine in nature without deviating from SOP's is required. May be asked to participate in enterprise initiatives, special projects, and other duties as assigned. We share a collaborative obligation to ensure that we conduct ourselves in the utmost ethical manner and that we hold each other accountable to the values and standards of the organization. Every employee has the responsibility to ask questions, seek guidance, and report concerns and/or violations of company policy or ethical standards. Antech Diagnostics has several processes in place to communicate with leadership and expects that employees will have a commitment to integrity and uncompromising values. EDUCATION/EXPERIENCE: High school diploma or equivalent required, 2 to 4 year degree in Science-related field preferred. Typically 0-1 years of related experience. REQUIRED SKILLS AND ABILITIES: Laboratory skills, with experience helpful. Knowledge of medical and laboratory terminology and specimen processing procedures and equipment helpful. General science background, including hematology/chemistry helpful. Attention to detail. Organized with ability to multi-task in a fast paced environment. Ability to work independently and as part of a team. Communication skills, both verbal and written. Positive, can-do attitude Basic math, interpretive and analytical skills. Strong Data Entry skills required. (Minimum 6,000 KPH) Personal computer skills, and proficient use of Microsoft Office. PHYSICAL DEMANDS: Extensive sitting, and computer use. Capable of standing continuously for up to 2 hours. Extend and reach with hands and arms and use hands and fingers. Occasionally required to bend, kneel, stoop, or crouch May be required to lift, move, and carry up to 50 lbs. Specific vision abilities required include close vision, color vision, depth perception, and the ability to adjust focus. Hearing ability to effectively communicate via the telephone and in person. Ability to communicate verbally on the phone and in person. Fluency in the English language. Extended hours may be needed. WORK ENVIRONMENT: Laboratory environment with potential biohazards present that are mitigated by the mandatory use of PPE. Works under close to moderate supervision with limited latitude for independent judgment. Normally receives general instructions on routine work, detailed instructions on new assignments. Potential for exposure to agents known to cause zoonotic disease in humans and use of potentially hazardous chemicals as defined by the National Hazard Communication Standards. A complete list of such chemicals is available from department supervision. About Antech Antech is a leader in veterinary diagnostics, driven by our passion for innovation that delivers better animal health outcomes. Our products and services span 90+ reference laboratories around the globe; in-house diagnostic laboratory instruments and consumables, including rapid assay diagnostic products and digital cytology services; local and cloud-based data services; practice information management software and related software and support; veterinary imaging and technology; veterinary professional education and training; and board-certified specialist support services. Antech offers an industry competitive benefits package and continues to invest in and evolve benefits programs that meet the health, wellness and financial needs of our associates. All Full-time associates are eligible for the following benefits and more: Paid Time Off & Holidays Medical, Dental, Vision (Multiple Plans Available) Basic Life (Company Paid) & Supplemental Life Short and Long Term Disability (Company Paid) Flexible Spending Accounts/Health Savings Accounts Paid Parental Leave 401(k) with company match Tuition/Continuing Education Reimbursement Life Assistance Program Pet Care Discounts We are proud to be an Equal Opportunity Employer - Veterans / Disabled. For a complete EEO statement, please see our Career page at Antech Careers. Note to Search Firms/Agencies Antech Diagnostics, Inc. and its subsidiaries and affiliates (Antech) do not compensate search firms for unsolicited assistance unless they have a written search agreement with Antech and the requisition is position-specific. Any resumes, curriculum vitae, and other unsolicited assistance from search firms that do not have a written search agreement or position-specific requisition submitted to any Associate of Antech will be deemed the sole property of Antech and no fee will be paid in the event the candidate is hired by Antech.
    $22.1 hourly 5h ago
  • Senior Claims Analyst, Management & Professional Liability

    Riverstone Resources LLC 4.7company rating

    Claim Processor Job In Rockville Centre, NY

    Reporting to the Head of Management & Professional Liability, this role is primarily responsible for direct handling a mix of Directors' & Officers (D & O) , Errors & Omissions (E & O), Employment Practices Liability Insurance (EPLI), and other Professional Liability claim types. The candidate will manage a portfolio of primary and excess claims that include higher exposure, greater severity and/or complexity. Duties include resolution of coverage and liability issues, claim evaluation, establishment of adequate reserves, litigation management, case resolution and transaction processing, and implementation of strategic initiatives relating to liability work matters, in alignment with the Company's Strategic Vision. * Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving management and professional liability insurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims. * Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving management and professional liability primary and excess policies. * Manages litigation with Preferred Counsel under Alternative Fee Arrangements or other defense fee structures. * Pursues and maximizes all risk transfer opportunities by contract or by insurance policy language. * Assigns and manages of work of defense counsel, assignment of expert witnesses and interfacing with peer carriers including design and execution of defense and indemnity contracts, evaluation of liability and damages and participation in settlement negations. * Ensures proper file setup, reserving, general handling and application of company procedure. * Participates in developing claims handling strategy, including defense coordination, litigation strategy and budgets, and expense control. * Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records. * Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company's exposure and assist s in providing notice to client reinsurers. * Handles diverse and dynamic claims effectively. * Empowered to make decisions within job description and authority. Seeks guidance where appropriate. * Develops creative ideas and solutions to real time business problems and /or business opportunities; takes reasonable, calculated risks even if failure is possible. * Empowers self and teammates to continuously improve Arya/RiverStone's business processes/systems and develops and escalates ideas and solutions. * Seeks continuous development by identifying areas for growth and improvement. Works with continuous improvement team to implement process and technical improvements. * Consistently delivers superior customer service to both internal and external business partners. * Understands Key Performance Indicators and manages towards those priorities. * Performs special projects and assignments related to area of authority as necessary. * Maintains confidentiality. * Establishes and maintains professional relationships. * Assists in Due Diligence inquiries as assigned. * Travels as required. * Obtains and maintains claims adjuster licenses in those states requiring them. * Mastery of the Claims Analyst functions. * Anticipates and identifies risks and opportunities on coverage and liability. * Mentors and guides less experienced claim analysts. * Assists the Liability Claim Manager with departmental problem solving. * Serves on Companywide committees and projects as assigned. * Demonstrates ability and flexibility in a dynamic environment. * Excellent analytical , interpersonal and communications skills, both written and oral. * Customer service oriented with the ability of developing long lasting relationships with internal and external business partners. * Effective organizational skills are required. Must be able to prioritize and handle multiple assignments or projects simultaneously and meet established deadlines. * Critical thinking and problem solving skills. * Business acumen. * Ability to negotiate contracts and implement cost containment strategies. * Must be able to delegate tasks and follow up through delivery. * Excellent interpersonal skills with an ability to interact with people at all levels of the organization. * Strong verbal and written communication skills Related Functions Required Skills * Substantial knowledge of issues in D&O and E&O liability claims. * Excellent negotiation and communication skills. Some technical writing experience. Proficient with Microsoft Office products, internet research and typing. * Excellent interpersonal and organization skills. * Ability to accurately and timely analyze coverage and instruct and collaborate with counsel regarding litigation strategy and claim resolution, and resolve claims and otherwise act within the scope of delegated authority. Organizational * Demonstrates alignment with Arya/ RiverStone's Commitments. * Prioritizes and organizes work in self-directed manner. * Attains and maintains knowledge of assigned department. * Performs other duties as required, including supporting and coordinating with other department colleagues. Other * We empower people to make decisions, in a supportive environment, with accountability for the outcomes. 5-10 years' experience in Management/ Professional Liability claims or related civil litigation role. Required Education Four-year college degree is required Preferred Education or Certification JD, CPCU, RPLU, SCLA, CCLA Work Environment / Physical Demands This position operates in a professional, collaborative environment and must have the ability to timely produce thorough, accurate work with many competing demands, deadlines, and distractions. The position uses standard equipment such as phones, computers, copiers/printers and filing cabinets. Noise level is moderate. Other Duties (Disclaimer Statement) RiverStone retains the right to change or assign other duties to this position as needed. Core Competencies Learning on the Fly: Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and the underlying structure of anything. Problem Solving : Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn't stop at the first answers. Process Management: Good at figuring out the processes necessary to get things done; knows how to organize people and activities; understands how to separate and combine tasks into efficient flow; knows what to measure and how to measure it; can see opportunities for synergy and integration where others can't; can simplify complex processes; gets more out of fewer resources.
    $100k-122k yearly est. 28d ago
  • Specimen Processor - evening

    Sonic Healthcare USA, Inc. 4.4company rating

    Claim Processor Job In Hicksville, NY

    ** You are the definition of reliable. You enjoy interacting with people, feel comfortable behind the wheel, and always signal before you turn. You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career. Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. **LOCATION: 250 Miller Place, Hicksville, NY 11801** **HOURS: 1:00pm - 9:30pm; Tuesday - Saturday** **FULL TIME: Benefits Eligible** **In this role you will:** * Ensure that all specimens brought to the laboratory are accurately identified (by name/specimen type), sorted and labeled for testing * Assign and identify bar coded numbers to a test request form * Identify specimen types and tests requested **All you need is:** * High School diploma or GED * Proficient data entry skills * Knowledge of medical terminology, preferred Salary starting at is $19.00. Pay is commensurate with experience; geographic differentials to the pay range may apply. Sonic Healthcare USA, reserves the right to pay more or less than the posted range. Any difference between actual compensation and the posted range will be based on factors other than race, color, religion, sex (including pregnancy) or national origin. **Scheduled Weekly Hours:** 40**Work Shift:** 1st Shift (United States of America)**Job Category:** Laboratory Operations**Company:** Sunrise Medical Laboratories, Inc.**Our** **Mission******:**** Highest quality laboratory testing **Our Passion:** Helping people live better, healthier lives **When you join Sunrise Medical Labs, you are well supported by everyone - from colleagues and management alike. We have a warm, welcoming culture which is laid back, but professional. Our management staff is attentive and helpful and coworkers enjoy working together. Here, you are not a number, you are a vital part of our workplace community. And, if you're motivated to standout, we'll give you every opportunity to succeed and grow.** **We'll give you:** * **Appreciation for your work** * **Lots of flexibility** * **A feeling of satisfaction that you've helped people** * **Friendly coworkers** * **Opportunity to grow in your profession** * **Management that you will admire** * **A free ride to and from the train station** * **Fun events throughout the year** * **Fitness Friday & on-site gym** * **A day off on your birthday** * **Free lab services for you and your dependents** * **A sense of belonging-we're a community!** **New York | Maryland | New Jersey | Virginia | Washington DC | W. Virginia** ****Join us! We offer Medical, Vision and Dental Insurance | Short Term and Long-Term disability | Voluntary term life | 401-K plus match | Paid Time Off| Paid holidays**** Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
    27d ago
  • Specimen Processor - Evening

    Springtide

    Claim Processor Job In Hicksville, NY

    ** You are the definition of reliable. You enjoy interacting with people, feel comfortable behind the wheel, and always signal before you turn. You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career. Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. **LOCATION: 250 Miller Place, Hicksville, NY 11801** **HOURS: 8 :00pm - 4:30am; Monday - Friday with** **rotating weekends** **FULL TIME: Benefits Eligible** **In this role you will:** * Be responsible for accessioning and problem resolution as well as assuring that all specimens brought to the laboratory are accurately identified (by name/specimen type), sorted and labeled for testing. * You will assign and identify bar coded numbers to a test request form to ensure all specimens received match the identification on the form and all requests are processed. **All you need is:** * High School Diploma or GED * Proficient data entry skills Salary starting at is $19.00. Pay is commensurate with experience; geographic differentials to the pay range may apply. Sonic Healthcare USA, reserves the right to pay more or less than the posted range. Any difference between actual compensation and the posted range will be based on factors other than race, color, religion, sex (including pregnancy) or national origin. **Scheduled Weekly Hours:** 40**Work Shift:** **Job Category:** Laboratory Operations**Company:** Sunrise Medical Laboratories, Inc.**Our** **Mission:**Highest quality laboratory testing **Our Passion:** Helping people live better, healthier lives **When you join Sunrise Medical Labs, you are well supported by everyone - from colleagues and management alike. We have a warm, welcoming culture which is laid back, but professional. Our management staff is attentive and helpful and coworkers enjoy working together. Here, you are not a number, you are a vital part of our workplace community. And, if you're motivated to standout, we'll give you every opportunity to succeed and grow.** **We'll give you:** * **Appreciation for your work** * **Lots of flexibility** * **A feeling of satisfaction that you've helped people** * **Friendly coworkers** * **Opportunity to grow in your profession** * **Management that you will admire** * **A free ride to and from the train station** * **Fun events throughout the year** * **Fitness Friday & on-site gym** * **A day off on your birthday** * **Free lab services for you and your dependents** * **A sense of belonging-we're a community!** **New York | Maryland | New Jersey | Virginia | Washington DC | W. Virginia** ****Join us! We offer Medical, Vision and Dental Insurance | Short Term and Long-Term disability | Voluntary term life | 401-K plus match | Paid Time Off| Paid holidays**** Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
    27d ago
  • Plasma Processor

    Grifols Canada Therapeutics Inc.

    Claim Processor Job In Stamford, CT

    You may obtain more information in the ** Plasma Processor** Contract Type: Regular Full-Time Area: Nursing/Healthcare Req Id: 522484 **Plasma Processor ( Customer Service ) - We train** **You are a fit for us if you have:** Superior customer service standards A High School diploma or GED Ability to work a flexible schedule An interest in making a difference in the world **Plasma Processor** Our ideal Plasma Processor has great organizational, computer, and trouble-shooting skills, and feels comfortable being exposed to extreme temperatures. Handles responsibilities in many operational areas of the plasma center such as maintaining accurate donor files, shipping, and inventory control. **Primary Responsibilities:** Collects and processes donor samples for processing and testing. Records weight of product and samples. Labels samples and freezes units for final packing within required timeframe. Packs units for final shipment; packs samples and prepares shipping box to send samples to the testing lab. Monitors stored products and reports working conditions of equipment. Maintains active communication and quality. We're Grifols, a global healthcare company that produces essential plasma-derived medicines for patients and provides hospitals and healthcare professionals with the tools, information and services they need to deliver expert medical care. #biomatusa Third Party Agency and Recruiter Notice: Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate. **Grifols provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other characteristic or status protected by law. We will consider for employment all qualified Applicants in a manner consistent with the requirements of applicable state and local laws** **Location: NORTH AMERICA : USA : CT-Stamford :USSTAMF - Stamford CT-Hope St-BIO** Provider Description Enabled SAP / Grifols **SAP as service provider:** * "JSESSIONID" is placed on the visitor's device during the session so the server can identify the visitor. **Grifols:** * "JSESSIONID" is placed on the visitor's device during the session so the server can identify the visitor. * "TS01xxxxxxxx" is used to manage the web session. * "GUEST\_LANGUAGE\_ID" is used to remember the user's linguistic preferences. Provider Description Enabled Google Tag Manager * "cc\_ut" is used to collect data for advertising purposes.
    $28k-40k yearly est. 27d ago
  • Claim Representative, Auto I

    Travelers Insurance Company 4.4company rating

    Claim Processor Job In Melville, NY

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $53,700.00 - $88,600.00 **Target Openings** 2 **What Is the Opportunity?** This position is responsible for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. This may include applying laws and statutes for multiple state jurisdictions. Claim types include multi-vehicle (2 or more cars) auto damage with unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto, property related damage. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. **What Will You Do?** + Customer Contacts/Experience: + Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC). + Coverage Analysis: + Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for Auto Damage only claims in assigned jurisdictions. Addresses proper application of any deductibles and verifies benefits available and coverage limits that will apply. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration other issues relevant to the jurisdiction. + Investigation/Evaluation: + Investigates each claim to obtain relevant facts necessary to determine coverage, causation, extent of liability/establishment of negligence, damages, contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g.. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, etc.) Takes recorded statements as necessary. + Recognizes and requests appropriate inspection type based on the details of the loss and coordinates the appraisal process. Maintains oversight of the repair process and ensures appropriate expense handling. + Refers claims beyond authority as appropriate based on exposure and established guidelines. Recognizes and forwards appropriate files to subject matter experts (i.e., Subrogation, SIU, Property, Adverse Subrogation, etc.). + Reserving: + Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner. + Negotiation/Resolution: + Determines settlement amounts based upon appraisal estimate, negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to insureds and claimants. + May provide support to other parts of Auto Line of Business (e.g. Total Loss, Salvage, etc.) when needed. + Insurance License: + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's degree preferred. + Demonstrated ownership attitude and customer centric response to all assigned tasks + Ability to work in a high volume, fast paced environment managing multiple priorities + Attention to detail ensuring accuracy + Keyboard skills and Windows proficiency, including Excel and Word - Intermediate + Verbal and written communication skills - Intermediate + Analytical Thinking- Intermediate + Judgment/Decision Making- Intermediate + Negotiation- Intermediate + Insurance Contract Knowledge- + Basic + Principles of Investigation- Intermediate + Value Determination- Basic + Settlement Techniques- Basic **What is a Must Have?** + High School Diploma or GED required. + A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $53.7k-88.6k yearly 8d ago
  • Specimen Processor (Day)

    Antech Diagnostics 3.7company rating

    Claim Processor Job In Lake Success, NY

    We understand that the world we want tomorrow starts with how we do business today, and that's why we're inspired to make A Better World for Pets. Antech is comprised of a diverse team of individuals who are committed to each other's growth and development. Our culture is centered on our guiding philosophy, The Five Principles: Quality, Responsibility, Mutuality, Efficiency and Freedom. Today Antech is driving the future of pet health as part of Mars Science & Diagnostics, a family-owned company focused on veterinary care. Current Associates will need to apply through the internal career site. Please log into Workday and click on Menu or View All Apps, select the Jobs Hub app, then click the magnifying glass to Browse Jobs. **Work Shift:** **Monday - Saturday 3-9:30pm** **Training Monday-Friday 12am-7am** **for 6-8 weeks** **Work Type: On-Site** **This is an On-Site role based out of one of Laboratory located in Lake Success, New York.** **The Target Pay for this position is $22.12 an hour. At Antech, pay decisions are determined using factors such as relevant job-related skills, experience, education, training and budget.** **PURPOSE OF JOB:** The Specimen Processor accession, receive and prepares samples for laboratory analyses. Specimen Processors are responsible for processing the majority of samples that comes into the department. Specimen Processors are required to keep inventory of samples after testing has been completed by scanning them into storage racks. They will also be required to search the lab for any samples not scanned into storage racks. May be cross-trained to perform basic Laboratory Technician or Lab Aide duties. May be responsible for various support activities, including maintaining supply inventory, record-keeping, cleaning, clerical tasks, supply shipping and receiving, mail distribution and other related duties. **ESSENTIAL DUTIES AND RESPONSIBILITIES:** + Receives and prepares samples for laboratory analyses. + Accurately process standard requisitions per approved procedures, heartworm multi-test forms, fecal multi-test forms, and 2-D requisitions. + Removes specimens from transport bags enter patient data, label samples and aliquot as needed for multiple testing. + Sort samples for distribution throughout the lab (X-rays, Coggins, cytology, etc.). + Scan tubes into storage racks and enter specimen data into database to verify the accuracy of information. + Accession various specimens to include but not limited to urine, whole blood and plasma, feces, and biopsies. + Check all trash containers within the Specimen Processing department when assigned. + Assists other lab personnel with specimen storage. + Ensure Turn Around Times (TAT's) are met. + Reads, understands and follows applicable Standard Operating Procedures (SOP's), including safety and quality procedures. Maintains clean and organized work area. Restocks supplies as needed. + May be responsible for various post production duties such as maintaining supply inventory, recordkeeping, shipping and receiving, cleaning and other related duties. Stock shelves and maintain order in stockroom. Ensures documents are completed according to established SOPs and reflect current manufacturing processes and label claims. May assemble equipment as needed. Prepares and ships supplies, including processing related documentation. Performs variety of administrative duties, such as answering and routing incoming calls, maintain temperature logs and other related activities. + Consult with senior peers on non-complex specimen processing tasks to learn through experience. + Applies job skills and lab policies and procedures to complete a variety of tasks. + Works on specimen processing tasks that are semi-routine in nature without deviating from SOP's is required. + May be asked to participate in enterprise initiatives, special projects, and other duties as assigned. + We share a collaborative obligation to ensure that we conduct ourselves in the utmost ethical manner and that we hold each other accountable to the values and standards of the organization. Every employee has the responsibility to ask questions, seek guidance, and report concerns and/or violations of company policy or ethical standards. + Antech Diagnostics has several processes in place to communicate with leadership and expects that employees will have a commitment to integrity and uncompromising values. **EDUCATION/EXPERIENCE:** High school diploma or equivalent required, 2 to 4 year degree in Science-related field preferred. Typically 0-1 years of related experience. **REQUIRED SKILLS AND ABILITIES:** + Laboratory skills, with experience helpful. + Knowledge of medical and laboratory terminology and specimen processing procedures and equipment helpful. + General science background, including hematology/chemistry helpful. + Attention to detail. + Organized with ability to multi-task in a fast paced environment. + Ability to work independently and as part of a team. + Communication skills, both verbal and written. + Positive, can-do attitude + Basic math, interpretive and analytical skills. + Strong Data Entry skills required. (Minimum 6,000 KPH) + Personal computer skills, and proficient use of Microsoft Office. **PHYSICAL DEMANDS:** + Extensive sitting, and computer use. + Capable of standing continuously for up to 2 hours. + Extend and reach with hands and arms and use hands and fingers. + Occasionally required to bend, kneel, stoop, or crouch May be required to lift, move, and carry up to 50 lbs. + Specific vision abilities required include close vision, color vision, depth perception, and the ability to adjust focus. + Hearing ability to effectively communicate via the telephone and in person. + Ability to communicate verbally on the phone and in person. + Fluency in the English language. + Extended hours may be needed. **WORK ENVIRONMENT:** + Laboratory environment with potential biohazards present that are mitigated by the mandatory use of PPE. + Works under close to moderate supervision with limited latitude for independent judgment. + Normally receives general instructions on routine work, detailed instructions on new assignments. + Potential for exposure to agents known to cause zoonotic disease in humans and use of potentially hazardous chemicals as defined by the National Hazard Communication Standards. A complete list of such chemicals is available from department supervision. _Antech offers an industry competitive benefits package and continues to invest in and evolve benefits programs that meet the health, wellness and financial needs of our associates._ + All Full-time associates are eligible for the following benefits and more: + Paid Time Off & Holidays + Medical, Dental, Vision (Multiple Plans Available) + Basic Life (Company Paid) & Supplemental Life + Short and Long Term Disability (Company Paid) + Flexible Spending Accounts/Health Savings Accounts + Paid Parental Leave + 401(k) with company match + Tuition/Continuing Education Reimbursement + Life Assistance Program + Pet Care Discounts We are proud to be an Equal Opportunity Employer - Veterans / Disabled. For a complete EEO statement, please see our Career page at Antech Careers (************************************************************** .
    $22.1 hourly 40d ago
  • Specimen Processor - Evening

    Sonic Healthcare USA, Inc. 4.4company rating

    Claim Processor Job In Hicksville, NY

    ** You are the definition of reliable. You enjoy interacting with people, feel comfortable behind the wheel, and always signal before you turn. You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career. Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. **LOCATION: 250 Miller Place, Hicksville, NY 11801** **HOURS: 8 :00pm - 4:30am; Monday - Friday with** **rotating weekends** **FULL TIME: Benefits Eligible** **In this role you will:** * Be responsible for accessioning and problem resolution as well as assuring that all specimens brought to the laboratory are accurately identified (by name/specimen type), sorted and labeled for testing. * You will assign and identify bar coded numbers to a test request form to ensure all specimens received match the identification on the form and all requests are processed. **All you need is:** * High School Diploma or GED * Proficient data entry skills Salary starting at is $19.00. Pay is commensurate with experience; geographic differentials to the pay range may apply. Sonic Healthcare USA, reserves the right to pay more or less than the posted range. Any difference between actual compensation and the posted range will be based on factors other than race, color, religion, sex (including pregnancy) or national origin. **Scheduled Weekly Hours:** 40**Work Shift:** **Job Category:** Laboratory Operations**Company:** Sunrise Medical Laboratories, Inc.**Our** **Mission:**Highest quality laboratory testing **Our Passion:** Helping people live better, healthier lives **When you join Sunrise Medical Labs, you are well supported by everyone - from colleagues and management alike. We have a warm, welcoming culture which is laid back, but professional. Our management staff is attentive and helpful and coworkers enjoy working together. Here, you are not a number, you are a vital part of our workplace community. And, if you're motivated to standout, we'll give you every opportunity to succeed and grow.** **We'll give you:** * **Appreciation for your work** * **Lots of flexibility** * **A feeling of satisfaction that you've helped people** * **Friendly coworkers** * **Opportunity to grow in your profession** * **Management that you will admire** * **A free ride to and from the train station** * **Fun events throughout the year** * **Fitness Friday & on-site gym** * **A day off on your birthday** * **Free lab services for you and your dependents** * **A sense of belonging-we're a community!** **New York | Maryland | New Jersey | Virginia | Washington DC | W. Virginia** ****Join us! We offer Medical, Vision and Dental Insurance | Short Term and Long-Term disability | Voluntary term life | 401-K plus match | Paid Time Off| Paid holidays**** Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
    27d ago
  • Specimen Processor - Evening

    Springtide

    Claim Processor Job In Hicksville, NY

    Pathology Watch ** You are the definition of reliable. You enjoy interacting with people, feel comfortable behind the wheel, and always signal before you turn. You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career. Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. **LOCATION: 250 Miller Place, Hicksville, NY 11801** **HOURS: 8 :00pm - 4:30am; Monday - Friday with** **rotating weekends** **FULL TIME: Benefits Eligible** **In this role you will:** * Be responsible for accessioning and problem resolution as well as assuring that all specimens brought to the laboratory are accurately identified (by name/specimen type), sorted and labeled for testing. * You will assign and identify bar coded numbers to a test request form to ensure all specimens received match the identification on the form and all requests are processed. **All you need is:** * High School Diploma or GED * Proficient data entry skills Salary starting at is $19.00. Pay is commensurate with experience; geographic differentials to the pay range may apply. Sonic Healthcare USA, reserves the right to pay more or less than the posted range. Any difference between actual compensation and the posted range will be based on factors other than race, color, religion, sex (including pregnancy) or national origin. **Scheduled Weekly Hours:** 40**Work Shift:** **Job Category:** Laboratory Operations**Company:** Sunrise Medical Laboratories, Inc.**Our** **Mission:**Highest quality laboratory testing **Our Passion:** Helping people live better, healthier lives **When you join Sunrise Medical Labs, you are well supported by everyone - from colleagues and management alike. We have a warm, welcoming culture which is laid back, but professional. Our management staff is attentive and helpful and coworkers enjoy working together. Here, you are not a number, you are a vital part of our workplace community. And, if you're motivated to standout, we'll give you every opportunity to succeed and grow.** **We'll give you:** * **Appreciation for your work** * **Lots of flexibility** * **A feeling of satisfaction that you've helped people** * **Friendly coworkers** * **Opportunity to grow in your profession** * **Management that you will admire** * **A free ride to and from the train station** * **Fun events throughout the year** * **Fitness Friday & on-site gym** * **A day off on your birthday** * **Free lab services for you and your dependents** * **A sense of belonging-we're a community!** **New York | Maryland | New Jersey | Virginia | Washington DC | W. Virginia** ****Join us! We offer Medical, Vision and Dental Insurance | Short Term and Long-Term disability | Voluntary term life | 401-K plus match | Paid Time Off| Paid holidays**** Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
    28d ago

Learn More About Claim Processor Jobs

How much does a Claim Processor earn in East Patchogue, NY?

The average claim processor in East Patchogue, NY earns between $26,000 and $86,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average Claim Processor Salary In East Patchogue, NY

$47,000
Job type you want
Full Time
Part Time
Internship
Temporary