Top 954 Claims manager Jobs in New York State

Claims Manager
Amalgamated Life Insurance —West Harrison, NY
- $85,000 - $95,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Analysis skills
- Free parking
- Commuter assistance
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Senior Client Service Manager
Gallagher —New York, NY
- $82,000 - $136,500 a year
- Full-time
- High school diploma or GED
- Bachelor's degree
- Mentoring
- Paid parental leave
- Health savings account
Private Client Services Manager
Gallagher —Rye Brook, NY
- $84,000 - $140,500 a year
- High school diploma or GED
- Analysis skills
- Supervising experience
5d
Private Client Services Manager
Gallagher —Rye Brook, NY
- $65,500 - $127,500 a year
- High school diploma or GED
- Analysis skills
- Supervising experience
5d
Care Manager, Concurrent Review (Remote)
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Nursing
- Microsoft Outlook
- RN License
Manager of Claims & Encounter Analytics and Reporting
Amida Care —New York, NY
- $98,819 - $123,534 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- 5 years
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Field Reimbursement Manager - Long Island, NY ( Includes, Brooklyn, Queens and Long Island)
Amgen —New York, NY
- $145,470.70 - $196,813.30 a year
- Hybrid work
- Clean driving record
- Doctoral degree
- Computer literacy
- Disability insurance
- Health insurance
Manager, Benefits Coordination and Claims
EmblemHealth —New York, NY
- $77,760 - $149,040 a year
- Microsoft Outlook
- 5 years
- HIPAA
Claims Manager, D&O
Starr Companies —New York, NY
- $170,000 - $190,000 a year
- Full-time
- 5 years
- Office
- Bachelor's degree
Senior Manager of Revenue Cycle Management
FreedomCare —New York, NY
- $120,000 - $170,000 a year
- Remote
- Finance
- Master's degree
- 8 years
- Health insurance
- Retirement plan
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Manager Claims Healthcare
VIllageCare of New York —New York, NY
- $118,135.58 - $132,902.53 a year
- Full-time
- Hybrid work
- SQL
- Bachelor's degree
- Team management
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Claims Manager, EPL - Financial Lines
Starr Companies —New York, NY
- $140,000 - $155,000 a year
- Full-time
- 5 years
- Office
- Bachelor's degree
Senior Estimator/Project Manager
Mark Cerrone, Inc. —Niagara Falls, NY
- $125,000 - $150,000 a year
- Extended hours
- Microsoft Excel
- Construction site
- Office
- Paid holidays
- Health insurance
Quick Apply
4d
Safety & Claims Manager – Transportation & Warehouse
Confidential —Holtsville, NY
- $90,000 - $115,000 a year
- Full-time
- CDL A
- 3 years
- Case management
- Paid holidays
- Health insurance
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Regional Risk Manager
Tutor Perini Corporation —New Rochelle, NY
- $125,000 - $150,000 a year
- Full-time
- 5 years
- Office
- US work authorization
14d
Licensed Personal Lines Insurance Producer / Account Manager (P&C Licensed)
JSM Brokerage, Inc. —Mattituck, NY
- $55,000 - $70,000 a year
- Full-time
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- 401(k)
Quick Apply
7d
Legal Department – Portfolio Manager of L&T cases
Dolphin Property Services LLC —New York, NY
- $80,000 - $90,000 a year
- Full-time
- Background check
- Office
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse Case Manager
Public Employer Risk Management Association, Inc. (PERMA) —Latham, NY
- $70,000 - $90,000 a year
- Full-time
- Hybrid work
- Background check
- RN License
- Microsoft Office
- Health savings account
- Health insurance
Quick Apply
11d
Construction Project Manager
Zoladz Construction Company Inc —Alden, NY
- $100,000 - $120,000 a year
- Full-time
- Mid-level
- Office
- Microsoft Office
- Health insurance
- Dental insurance
Quick Apply
Supervisor, Retirement
Amalgamated Life Insurance —West Harrison, NY
- $60,000 - $62,000 a year
- Weekends as needed
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Free parking
- Paid jury duty
Quick Apply

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Claims Manager

Amalgamated Life Insurance -
West Harrison, NY

Quick Apply

Job Details

Full-time
$85,000 - $95,000 a year

Benefits

Free parking
Commuter assistance
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Work from home
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Life insurance
Retirement plan

Qualifications

Appeals
Contract documentation review
Customer communication
Contract review
Regulatory compliance in claims processing
Contract interpretation
State healthcare regulations
Analysis skills
Insurance regulation
Team management
Attention to detail
Disability determination
Managing insurance claims teams
Empathy
Disability benefits management
Medical terminology

Full Job Description

Job Summary

The Manager, Group Disability Claims oversees the review and management of disability claims, ensuring compliance with applicable company policy, contract language and State regulations. They lead a small team responsible for the entire claims lifecycle, including but not limited to evaluating medical records, coordinating with providers, and communicating with claimants to determine eligibility for benefits. The Manager will take the lead in resolving disputes, detecting fraud, and improving operational efficiency through strong analytical and communication skills.

Duties

The Manager, Group Disability Claims leads the team that will:

Review medical records, policy guidelines, contract language, and financial information to assess claim validity and determine financial liability.
Evaluate AEBA nurse recommendations including referrals for IMEs.
Collaborate with healthcare providers, vocational experts, and other resources to gather necessary information (e.g., medical records to verify diagnoses and treatment plans) for a thorough and complete claim evaluation.
Reach out to employers to verify Claimant’s status, appropriate return to work if Claimant is not working, and if possible, whether light duty is available.
Serve as a point of contact for the Claimant, providing prompt and accurate updates on claim status, explaining the claims process, and addressing related Claimant inquiries.
Ensure claims are processed in accordance with relevant legal regulations and applicable company policies.
Identify and carefully examine potential fraud within the claims process.
Work to resolve issues and disputes that may arise during the claims process including, but not limited to, working with AEBA’s Appeals Department and relevant state regulatory agencies.
Develop long term department strategies and policies and Implement best practices to enhance efficiency and effectiveness in claims processing.

Requirements

A bachelor’s degree in insurance, healthcare, or a related field and/or extensive work experience handling and processing disability claims.
The ability to analyze complex information from various sources, including contract terms, conditions, limitations, and exclusions, is crucial for accurate decision-making.
A demonstrated deep understanding of insurance policies, medical terminology, and relevant regulations (i.e., disability laws) is essential.
Strong written and verbal communication skills, including empathetic listening and a high level of customer service, are vital for this role which interacts with Claimants and stakeholders.
Meticulous attention to detail to ensure accuracy in claim assessment, determinations and documentation
Compassionate customer service when working with Claimants navigating challenging personal circumstances.
Familiarity with the software and systems used for disability claims processing.
4+ years of progressive experience in absence/disability management, insurance claims or the health benefits industry preferred.
2+ years’ experience managing others
Disability claims experience preferred.

Benefits from Amalgamated:

Hybrid work environment. 4 days in White Plains, NY with 1 scheduled work from home day.
Commuter benefits including free onsite parking and shuttle service from White Plains Train Station.
Training, growth and development opportunities.
Generous vacation, paid time off and holidays.
Subsidized company-sponsored Medical, Dental, and Vision insurance.
Employer sponsored life insurance and long-term disability.
Employee Assistance Program.
401K plan with employer contribution.
Defined benefit pension.
A team working environment with an established culture of inclusion and belonging which supports a healthy work/life balance.
Employee recognition events.

About Amalgamated Life Insurance Company

Amalgamated Life is a leading provider of life and health insurance serving working men and women since 1943. Amalgamated Life has consistently earned the “A” (Excellent) rating from A.M. Best Company since 1975, attesting to our proven policies and procedures, adherence to the industry’s highest standards, strong fiscal conditions and excellent claims-paying ability.

Pay: $85,000.00 - $95,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Parental leave
Retirement plan
Tuition reimbursement
Vision insurance

Work Location: Hybrid remote in West Harrison, NY 10604

Quick Apply

Refine Your Search

claims manager jobs in new york state

Claims Manager

Senior Client Service Manager

Private Client Services Manager

Private Client Services Manager

Care Manager, Concurrent Review (Remote)

Manager of Claims & Encounter Analytics and Reporting

Field Reimbursement Manager - Long Island, NY ( Includes, Brooklyn, Queens and Long Island)

Manager, Benefits Coordination and Claims

Claims Manager, D&O

Senior Manager of Revenue Cycle Management

Manager Claims Healthcare

Claims Manager, EPL - Financial Lines

Senior Estimator/Project Manager

Safety & Claims Manager – Transportation & Warehouse

Regional Risk Manager

Licensed Personal Lines Insurance Producer / Account Manager (P&C Licensed)

Legal Department – Portfolio Manager of L&T cases

Registered Nurse Case Manager

Construction Project Manager

Supervisor, Retirement

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