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11 results for Claims Processor Administrative And Customer Support in Queens, NY

Compensation & Benefits Specialist
  • Stamford, CT
  • onsite
  • Temporary
  • 34.00 - 39.00 USD / Hourly
  • We are looking for a skilled Compensation & Benefits Specialist to join our team on a long-term contract basis in Stamford, Connecticut. This role is ideal for professionals with a strong background in benefits management and experience in compensation practices. You will play a key role in supporting and administering various health, welfare, and retirement programs, while also contributing to harmonization efforts during a dynamic integration period.<br><br>Responsibilities:<br>• Provide hands-on support for health, welfare, and retirement programs, as well as several global benefit initiatives.<br>• Manage and resolve issues related to benefits, including conducting root cause analysis.<br>• Develop process documentation and create clear communications for associates regarding benefits policies.<br>• Maintain and update SharePoint sites for Benefits and HR policies.<br>• Administer corporate benefit programs such as leaves of absence, tuition reimbursement, and other offerings.<br>• Oversee benefits and retirement administration, including invoice and claims processing, budgeting, reporting, and customer service.<br>• Support the onboarding and harmonization of compensation and benefits plans during mergers and acquisitions.<br>• Assist with compensation benchmarking for both domestic and international markets.<br>• Administer executive compensation programs and equity grants, ensuring accurate reporting and compliance.<br>• Coordinate the annual compensation planning process and manage incentive plan reporting and accruals.
  • 2025-09-29T14:23:42Z
Claims Examiner-Lost Time
  • New Haven, CT
  • remote
  • Temporary
  • 30.00 - 33.00 USD / Hourly
  • <ul><li><strong>Position: Claims Examiner - Lost Time (Contract Role)</strong></li><li><strong>Location: 555 Long Wharf Drive New Haven CT USA 06511-5941</strong></li><li><strong>Type: 100% Onsite</strong></li><li><strong>Hourly Pay Range: $30-33/per hour</strong></li><li><strong>Interview Process: Virtual interview 1-2 round of 30 minute interview</strong></li></ul><p> </p><p><strong>Job Description: </strong></p><p>Job Schedule-100% ONSITE</p><p>Job hours-8:30am-5:00pm EST</p><p> </p><p>3 years of Workers Compensation Lost Time Claim Examiner or Commensurate Experience </p><p> </p><p>Duties and Responsibilities:</p><p>- Handles all aspects of workers compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.</p><p>- Reviews claim and policy information to provide background for investigation.</p><p>- Conducts 3-part ongoing investigations obtaining facts and taking statements as necessary with insured claimant and medical providers.</p><p>- Evaluates the facts gathered through the investigation to determine compensability of the claim.</p><p>- Informs insureds claimants and attorneys of claim denials when applicable.</p><p>- Prepares reports on investigation settlements denials of claims and evaluations of involved parties etc.</p><p>- Timely administration of statutory medical and indemnity benefits throughout the life of the claim.</p><p>- Sets reserves within authority limits for medical indemnity and expenses and recommends reserve changes to Team</p><p>Leader throughout the life of the claim.</p><p>- Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.</p><p>- Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered.</p><p>- Works with attorneys to manage hearings and litigation</p><p>- Controls and directs vendors nurse case managers telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.</p><p>- Complies with customer service requests including Special Claims Handling procedures file status notes and claim reviews.</p><p>- Files workers compensation forms and electronic data with states to ensure compliance with statutory regulations.</p><p>- Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.</p><p>- Works with in-house Technical Assistants Special Investigators Nurse</p><p>Consultants Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service.</p>
  • 2025-09-17T22:08:56Z
Business Analyst (Healthcare / Insurance)
  • Florham Park, NJ
  • onsite
  • Permanent
  • 110000.00 - 140000.00 USD / Yearly
  • <p>A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role involves engaging with stakeholders to gather and analyze requirements, transforming them into actionable functional specifications. Responsibilities include evaluating existing processes, offering solutions to drive business value, and ensuring project success under tight timelines. The position also includes mentoring junior analysts, leading cross-departmental projects, and fostering innovation. Strong analytical and communication skills, along with a solid understanding of software development life cycles, are essential to succeed in this fast-paced environment.</p><p>The ideal candidate will work closely with development and QA teams to monitor project milestones, provide updates to stakeholders, and address any project risks and challenges. A proactive approach to improving application usability and efficiency will be critical. Focusing on the specialty pharmacy sector, the organization provides end-to-end solutions including hub services, pharmacy network management, group purchasing (GPO) services, cutting-edge technology platforms, and more. With a strong presence as an industry advocate, the focus remains on delivering strategic channel management, advanced products, and tailored services to optimize patient outcomes and improve healthcare delivery.</p><p><br></p><p><strong>** Qualified candidates should have experience with pharmacy insurance, medical insurance, and claims processing **</strong></p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Collect and translate business requirements into detailed functional specifications for new and existing systems.</li><li>Perform gap analyses between current system capabilities and business needs using tools like Confluence, flowcharts, and wireframes to document workflows.</li><li>Create use cases for review during functional testing phases by developers and QA teams.</li><li>Work with IT teams to evaluate project scope and affected systems, providing strategic insights.</li><li>Assess new methodologies for feasibility and implementation efficiency.</li><li>Gain in-depth knowledge of internal software platforms and their underlying functionalities.</li><li>Analyze and optimize existing processes to identify inefficiencies and propose re-engineering solutions.</li><li>Host regular meetings with development teams to resolve obstacles and track progress.</li><li>Provide project status reports to business stakeholders.</li><li>Identify potential risks and escalate issues as required.</li><li>Continuously explore opportunities to improve application functionality, making recommendations for enhancements.</li><li>Maintain compliance with HIPAA regulations and related amendments</li></ul>
  • 2025-09-22T20:08:59Z
Expense Processor
  • Neptune, NJ
  • remote
  • Temporary
  • 22.00 - 27.00 USD / Hourly
  • <p>We are looking for an Expense Processor to join our team in New Jersey. This long-term contract position offers an exciting opportunity to contribute to the financial and administrative operations of the company. The ideal candidate will bring a proactive approach, strong organizational skills, and attention to detail to ensure smooth and efficient expense processing and administrative support.</p><p><br></p><p>Responsibilities:</p><p>• Administer and oversee the company's credit card program, ensuring proper usage and compliance with policies.</p><p>• Process employee expense reimbursements accurately and promptly in alignment with company guidelines.</p><p>• Perform monthly reconciliations of company credit card accounts, investigating and resolving any discrepancies.</p><p>• Collect necessary approvals and process payments within accounting software.</p><p>• Address transaction or documentation discrepancies to maintain financial accuracy.</p><p>• Sort and distribute company mail from Central Jersey mailboxes up to three times per week.</p><p>• Handle administrative tasks such as document management, scanning, filing, and maintaining records.</p><p>• Assist with ad hoc projects and operational tasks from the Accounting team and other departments.</p>
  • 2025-09-17T19:43:50Z
Claims Examiner-Lost Time
  • Jersey City, NJ
  • onsite
  • Temporary
  • 31.00 - 34.00 USD / Hourly
  • We are looking for a skilled Claims Examiner specializing in lost time claims to join our team on a contract basis in Jersey City, New Jersey. In this role, you will oversee the full lifecycle of workers' compensation claims, ensuring compliance with regulations while maintaining strong relationships with all involved parties. This position requires someone with excellent attention to detail, capable of managing complex claims processes and delivering high-quality service.<br><br>Responsibilities:<br>• Manage workers' compensation lost time claims from initial setup to closure, maintaining excellent customer relationships throughout the process.<br>• Conduct thorough investigations by reviewing policy details, collecting statements, and gathering facts from claimants, insured parties, and medical providers.<br>• Evaluate gathered information to determine claim compensability and communicate decisions regarding claim approvals or denials to all relevant parties.<br>• Administer statutory medical and indemnity benefits in a timely manner, ensuring compliance with applicable regulations.<br>• Set and adjust claim reserves for medical, indemnity, and related expenses, recommending changes to the Team Leader as necessary.<br>• Partner with attorneys to oversee litigation processes, including hearings, and manage legal documentation.<br>• Direct and coordinate efforts with vendors, nurse case managers, and rehabilitation managers to support medical management and return-to-work initiatives.<br>• Prepare and submit reports on claim settlements, denials, evaluations, and potential exposures to the Team Leader.<br>• Ensure compliance with state regulations by filing workers' compensation forms and electronic data accurately and on time.<br>• Identify subrogation opportunities and work to recover claim-related costs effectively.
  • 2025-09-18T17:08:44Z
Deductions Analyst
  • Bristol, PA
  • onsite
  • Permanent
  • 65000.00 - 75000.00 USD / Yearly
  • We are looking for a meticulous Deductions Analyst to join our team in Bristol, Pennsylvania. In this role, you will be responsible for managing client deductions, analyzing trends, and ensuring accurate resolution of claims. This position is ideal for someone with a strong background in accounts receivable and a keen problem-solving mindset.<br><br>Responsibilities:<br>• Investigate and resolve client deductions, including promotional discounts, pricing discrepancies, shipping claims, rebates, freight charges, and product returns.<br>• Analyze trends in incoming deductions and propose actionable solutions to address recurring issues.<br>• Collaborate with internal teams to research and validate the legitimacy of client claims.<br>• Prioritize tasks efficiently to handle multiple responsibilities and make informed decisions.<br>• Work independently to ensure accurate and timely processing of deductions.<br>• Maintain clear and effective communication with clients and internal stakeholders.<br>• Utilize relevant systems to track and process deductions effectively.<br>• Perform additional duties and projects as assigned to support the accounts receivable department.
  • 2025-09-12T12:13:50Z
Financial Data Analyst
  • Woodbridge, NJ
  • remote
  • Temporary
  • 47.50 - 55.00 USD / Hourly
  • <p>Model Development & Maintenance</p><p> • Develop and maintain actuarial models and data-driven processes using Python, R, and SQL to support insurance pricing, reserving, and risk management.</p><p> • Implement and enhance month-end processes, rate change calculations, and ad-hoc analyses with a focus on completeness, accuracy, and consistency to ensure data is of the highest quality.</p><p> • Work with the Actuarial and Financial Planning and Analysis (FP& A) teams to automate and improve model performance using Python-based scripting and automation.</p><p> • Ensure accuracy, consistency, and efficiency of actuarial models and methodologies.</p><p> Traditional Actuarial Tasks</p><p> • Support reserving analysis to estimate unpaid claim liabilities primarily in partnership with internal and external actuaries.</p><p> • Develop and maintain loss development triangles and incurred but not reported (IBNR) calculations both based on financial and operational data (e.g., claims closing ratios).</p><p> • Support the development and validation of actuarial assumptions for pricing, reserving, and forecasting.</p><p> • Develop and regularly report on rate change calculations including bifurcation of exposure changes from pure rate by line of business.</p><p> Financial Modeling & Risk Assessment</p><p> • Conduct stress testing and scenario analysis to assess financial impacts.</p><p> • Develop, update, and maintain models for predictive analytics, profitability analysis, and business planning.</p><p> • Assist in forecasting financial performance and evaluating risk exposure.</p><p> </p><p> </p>
  • 2025-09-23T12:54:05Z
Legal Billing Specialist
  • Morristown, NJ
  • onsite
  • Permanent
  • 55000.00 - 70000.00 USD / Yearly
  • <p>We’re hiring a detail-focused Legal Billing Coordinator to support our client's billing operations. This role involves managing billing for assigned attorneys, preparing and submitting invoices, and ensuring accuracy across electronic billing platforms. The ideal candidate will have at least 2 years of law firm billing experience, strong communication skills, and a solid grasp of billing systems—SurePoint experience is a plus.</p><p><br></p><p>What You’ll Do:</p><ul><li>Oversee billing for designated attorneys or partners</li><li>Prepare and distribute prebills and final invoices</li><li>Submit e-bills and manage billing portals</li><li>Resolve billing issues, including rejections and appeals</li><li>Track outstanding balances and follow up as needed</li><li>Collaborate with attorneys and legal staff on billing matters</li><li>Assist with new matter setup and other billing-related tasks</li></ul><p><br></p>
  • 2025-09-12T02:18:44Z
Billing Specialist
  • New York, NY
  • remote
  • Temporary
  • 40.85 - 47.30 USD / Hourly
  • <p>We are looking for a detail-oriented Billing Specialist to join our team in New York, New York. This contract position offers an exciting opportunity to contribute to the efficiency and accuracy of billing processes within a dynamic environment. The ideal candidate will possess strong analytical skills and a deep understanding billing practices.</p><p><br></p><p>Responsibilities:</p><ul><li>Manage client billing packages and ensure invoices are accurate and delivered on time.</li><li>Support backlog clean-up of delayed invoices (Q1/Q2) and ongoing billing through year-end.</li><li>Work primarily on priority account, with exposure other large portfolio clients.</li><li>Investigate and resolve invoice discrepancies, escalating when needed.</li><li>Prepare and distribute monthly billing reports, accruals, and client-facing documentation.</li><li>Partner with account teams, finance leadership, and shared services to ensure billing accuracy.</li><li>Use Mediaocean Prisma and Microsoft Excel daily; troubleshoot system-generated billing reports.</li><li>Participate in billing meetings and cross-departmental projects as required.</li></ul><p><br></p>
  • 2025-09-29T20:39:01Z
Financial Data Analyst
  • Woodbridge, NJ
  • remote
  • Temporary
  • 60.00 - 70.00 USD / Hourly
  • We are looking for a skilled Financial Data Analyst to join our team on a contract basis in Woodbridge, New Jersey. In this role, you will apply your expertise in actuarial modeling, financial analysis, and data management to support critical decision-making processes in the financial services industry. This position provides an excellent opportunity to work collaboratively with actuaries and financial teams, leveraging advanced tools and techniques to drive insights and optimize operations.<br><br>Responsibilities:<br>• Design and maintain actuarial models and data-driven workflows using Python and R to support insurance pricing, reserving, and risk management initiatives.<br>• Streamline month-end processes and rate change calculations, ensuring accuracy, consistency, and completeness in all data outputs.<br>• Collaborate with Actuarial and FP& A teams to automate processes and enhance model efficiency through Python-based scripting.<br>• Conduct reserving analysis to estimate claim liabilities in partnership with internal and external actuaries.<br>• Create and update loss development triangles and incurred but not reported (IBNR) calculations using operational and financial data.<br>• Assist in developing and validating actuarial assumptions for pricing, reserving, and forecasting purposes.<br>• Perform stress testing and scenario analysis to evaluate financial impacts and risk exposure.<br>• Develop predictive analytics models and profitability analyses to support business planning and forecasting.<br>• Extract and transform large datasets using SQL and Python libraries, identifying trends and optimization opportunities.<br>• Automate data processing and reporting workflows through the development of advanced Python scripts.
  • 2025-09-30T19:24:15Z
Medical Billing Specialist
  • Stonybrook, NY
  • onsite
  • Contract / Temporary to Hire
  • 22.00 - 24.00 USD / Hourly
  • <p>We are looking for a dedicated Medical Billing Specialist to join our team! This position offers an opportunity to become a full cycle Revenue Specialist involved in all aspects of medical billing, coding, appeals, denials, and claims. Willing to train but prefer a certification in medical billing/coding and ideally 1-2 years' experience. Great organization with opportunities for growth beyond!</p><p><br></p><p>Responsibilities:</p><p>• Manage the full cycle of medical billing processes, including coding, claims submission, and payment reconciliation.</p><p>• Investigate and resolve claim rejections, denials, and appeals with insurance companies to secure proper reimbursement.</p><p>• Collaborate with the team to identify and address billing discrepancies or revenue losses.</p><p><br></p>
  • 2025-09-30T16:38:44Z