Top 262 Claims representative Jobs in New York, Ny

Senior Claims Counsel – Professional Liability
Yoh, A Day & Zimmermann Company —New York, NY
- $80 - $90 an hour
- Contract
- Hybrid work
- 8 years
- Bachelor's degree
- Mentoring
- Health savings account
- Disability insurance
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Sr. Claims Representative, Appraiser
Plymouth Rock Assurance Corporation —Yonkers, NY
- $74,000 - $100,000 a year
- Extended hours
- Customer service
- 5 years
- Driver's License
- Wellness program
- Paid parental leave
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3d
Member Services Representative
SVCMC Inc —New York, NY
- $27.47 - $30.22 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
- Commuter assistance
- Paid holidays
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Health Operations Claims Specialist
Building Service 32BJ Benefit Funds —New York, NY
- $73,000 - $78,000 a year
- Full-time
- Research
- Mid-level
- High school diploma or GED
Quick Apply
Claims Service Correspondent
MetroPlus Health Plan —New York, NY
- $55,000 - $64,518 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Office
Remote Customer Service/Sales Representative
Agent Alliance —Forest Hills, NY
- $65,000 - $70,000 a year
- Full-time
- Remote
- Entry level
- Paid training
- Health insurance
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Assistant Insurance Fund Services Representative
State of New York - Insurance Fund, State —New York, NY
- $57,413 - $69,061 a year
- Full-time
- Remote
- Background check
- Mid-level
- Associate's degree
- Paid holidays
- Health insurance
6d
Enrollment & Credentialing Representative
Weill Cornell Medicine —New York, NY
- $36.76 - $42.25 an hour
- Microsoft Word
- Microsoft Access
- Mid-level
2d
Transit Customer Service Specialist Series (Part-Time)
Metropolitan Transportation Authority —New York, NY
- $49,347 - $72,703 a year
- Part-time
- Mid-level
- High school diploma or GED
- Typing
6d
Telephone Representative II (Provider Relations)
1199SEIU Family of Funds —New York, NY
- $49,940.28 a year
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Vision insurance
Hospital Care Investigator
NYC Health + Hospitals —New York, NY
- $55,437 a year
- Online Application
- Skilled nursing facility
- Nursing home
- HIPAA
- Commuter assistance
- Paid holidays
11d
Billing Specialist II
HEARTSHARE HUMAN SERVICES OF NEW YORK —Brooklyn, NY
- $30.21 - $35.71 an hour
- Email
- Writing skills
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Customer Service Representative
Brighton Health Plan Solutions, LLC —New York, NY
- $40,560 - $47,840 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Health insurance
- Vision insurance
Quick Apply
11d
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Yonkers, NY
- $60,500 - $108,000 a year
- Day shift
- Mid-level
- Driver's License
- Bachelor's degree
- Paid time off
- 401(k) matching
ESIS Senior Claims Representative, WC
Chubb —New York, NY
- $71,000 - $104,000 a year
- Full-time
- Analysis skills
- Bachelor's degree
- Team management
8d
Quality Control Reviewer III
1199SEIU Family of Funds —New York, NY
- $50,741.60 - $64,145.64 a year
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
Customer Service Representative
MedReview —New York, NY
- $24.10 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Health Insurance Biller, Bureau of Revenue
Agency DEPT OF HEALTH/MENTAL HYGIENE —Queens, NY
- $74,079 - $78,470 a year
- Full-time
- Writing skills
- Mid-level
- Office
- Wellness program
- Health insurance
PROVIDER CREDENTIALING SPECIALIST
C2Q Health Solutions —Bronx, NY
- $75,000 - $85,000 a year
- Full-time
- Ability to walk for extended periods
- Medical office experience
- Mid-level
11d
Insurance Services Representative - I
United Brokerage, Inc —Brooklyn, NY
- $45,500 - $57,200 a year
- Weekends as needed
- Office
- High school diploma or GED
- Computer skills
- Paid time off
Quick Apply
12d

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Senior Claims Counsel – Professional Liability

Yoh, A Day & Zimmermann Company -
New York, NY

Quick Apply

Job Details

Contract
$80 - $90 an hour

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
401(k)
Employee assistance program
Vision insurance
Referral program

Qualifications

Evidence preservation
Employee relationship building
Claims negotiation
Professional development support
Mentoring
Legal evidence
Insurance investigations
Managing projects
Liability insurance claims processing

Full Job Description

Job titile: Senior Claims Counsel – Professional Liability
Location: New York - Hybrid
Type: 12 Months contract
Pay Rate: $80 - $90

Our client which is a leading Insurance company is seeking a Senior Claims Counsel – Professional Liability

The Opportunity
The purpose of this role is to oversee the examination, evaluation, and processing of complex Claims estimates and paid Claims values,
ensuring adherence to policy terms and conditions in alignment with the client company's Claims Philosophy. The role also entails supporting the claims
function in specific insurance classes to drive operational efficiency, efficient claims settlement, and fair resolution of claims disputes in line
with company guidelines and philosophy.
The selected candidate will manage the complete investigation, evaluation and resolution of assigned portfolio of complex claims emanating
the lawyers professional and miscellaneous professional liability business segments, Engages, directs and manages external advisors and
vendors including legal service professionals, discovery vendors, data and security experts and consultants across highly complex portfolio of
matters.

Manage a diverse portfolio of complex claims which includes conducting fact, liability and loss investigations and interpreting insurance

contracts in an effective and efficient manner

Evaluate and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with applicable

laws, regulations, statutes, best practices and Department of Insurance (DOI) compliance

Drive the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim

outcomes

Collaborate with outside representative counsel to formulate litigation strategy ensuring achievement of desired outcome and effective

litigation management strategies

Directs and manage external advisors and vendors including legal service professionals, discovery vendors, data and security experts and

consultants.

Oversee projects and planning surrounding departmental initiatives to achieve strategic objectives
Analyze, develop and determine appropriate case reserves on all assigned claim files and recommend changes where necessary to ensure

actuarial accuracy

Advise on specific professional liability areas of specialization and coordinates efforts to disseminate information and guide learning and

thought leadership in those areas; serve as the subject matter expert

Represent client company's by participating in and attending industry seminars or authoring articles pertaining to professional liability subjects
Collaborate with Underwriters to identify, understand and address novel or complex risks to appropriately price and negotiate terms including

participation in sales calls and requests for proposals (RFPs)

Manage relationships with external vendors to deliver accurate, timely, and cost-effective solutions.
Take ownership for personal development and career planning, and development of required skills, tools, techniques, and technology to

continually add value to the organization.

Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for

expenses to meet requirements and achieve fiscal responsibility

Required Education

Bachelor's Degree or equivalent combination of education and work experience

Required Experience

8 years relevant experience

Generate original, innovative solutions to difficult or unusual situations

Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim
Financial and business acumen and awareness of financial responsibility
Quickly change direction when working on multiple projects or issues
Properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures
Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
Assume a methodical approach to a given situation and develop a systematic procedure as a response
Develop effective negotiation strategies and prepare a plan of action
Build and capitalize on beneficial internal and external relationships including competitors
Actively contributes towards continuously improving performance and mentor team with feedback, on-the-job skill enhancement opportunities

and career advice

Build and establish constructive and cooperative working relationships and open lines of communication
Utilize effective communication skills to influence and persuade decision makers
Manage a diverse and extensive portfolio of management and professional liability claims with varying levels of complexity and activity.
Collaborate with internal resources to resolve difficult claims situations and drive resolution opportunities with internal and external

stakeholders

Preferred Education

Juris Doctor

Estimated Min Rate: $80.00
Estimated Max Rate: $90.00

What’s In It for You?
We welcome you to be a part of the largest and legendary global staffing companies to meet your career aspirations. Yoh’s network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh’s extensive talent community that will provide you with access to Yoh’s vast network of opportunities and gain access to this exclusive opportunity available to you. Benefit eligibility is in accordance with applicable laws and client requirements. Benefits include:

Medical, Prescription, Dental & Vision Benefits (for employees working 20+ hours per week)
Health Savings Account (HSA) (for employees working 20+ hours per week)
Life & Disability Insurance (for employees working 20+ hours per week)
MetLife Voluntary Benefits
Employee Assistance Program (EAP)
401K Retirement Savings Plan
Direct Deposit & weekly epayroll
Referral Bonus Programs
Certification and training opportunities

Note: Any pay ranges displayed are estimations. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Visit https://www.yoh.com/applicants-with-disabilities to contact us if you are an individual with a disability and require accommodation in the application process.

For California applicants, qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All of the material job duties described in this posting are job duties for which a criminal history may have a direct, adverse, and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

By applying and submitting your resume, you authorize Yoh to review and reformat your resume to meet Yoh’s hiring clients’ preferences. To learn more about Yoh’s privacy practices, please see our Candidate Privacy Notice: https://www.yoh.com/privacy-notice

Stay Safe During Your Job Search
Fraudulent recruiting communications have become increasingly common. Emails from Yoh recruiters will only come from an @yoh.com email address. Yoh will never ask candidates to pay fees, purchase equipment, send gift cards, or transfer funds as part of the recruiting or hiring process. If you receive a communication that appears suspicious or requests payment, contact Yoh directly before responding or sharing personal information.
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Refine Your Search

claims representative jobs in new york, ny

Senior Claims Counsel – Professional Liability

Sr. Claims Representative, Appraiser

Member Services Representative

Health Operations Claims Specialist

Claims Service Correspondent

Remote Customer Service/Sales Representative

Assistant Insurance Fund Services Representative

Enrollment & Credentialing Representative

Transit Customer Service Specialist Series (Part-Time)

Telephone Representative II (Provider Relations)

Hospital Care Investigator

Billing Specialist II

Customer Service Representative

Claims - Field Claims Representative

ESIS Senior Claims Representative, WC

Quality Control Reviewer III

Customer Service Representative

Health Insurance Biller, Bureau of Revenue

PROVIDER CREDENTIALING SPECIALIST

Insurance Services Representative - I

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