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HumanHire

Medical Claims Specialist - 13425

Career Insights for Claims Adjuster / Specialist (General)

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Based on New York data

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What they do

A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.

$81,405 / year median in New York

+2% projected growth

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Job Description

Medical Claims Specialist White Plains, NY | Full-Time | Up to $22/hour + Excellent Benefits HumanHire is partnering with one of New York's largest and most established insurance organizations to hire a Medical Claims Specialist for its White Plains office. With more than 75 years of success in the health insurance industry, this organization offers long-term career growth, outstanding benefits, and a stable work environment. Compensation & Benefits Up to $22/hour Weekly pay Union benefits 401(k) with company participation Bonus opportunities Comprehensive benefits package Stable Monday-Friday schedule
Schedule :
Monday-Friday | 8:00 AM - 4:15 PM Key Responsibilities Review, analyze, and process medical insurance claims in accordance with policy guidelines and coverage requirements Determine claim eligibility and accurately approve, deny, or adjust claims Maintain detailed documentation within claims processing systems Communicate claim decisions and explanations to members, providers, and internal teams Collaborate with billing, coding, and claims departments to resolve complex cases and appeals Identify and escalate potential fraud, waste, or abuse concerns Ensure compliance with healthcare regulations and insurance policies Qualifications Experience in medical claims processing, medical billing, medical coding, healthcare administration, or insurance claims preferred Understanding of medical terminology, CPT/ICD coding concepts, EOBs, and insurance verification processes Strong attention to detail and accuracy Excellent organizational and data-entry skills Ability to manage multiple priorities in a fast-paced healthcare environment Relevant education, certification, or equivalent industry experience considered Apply today! Qualified candidates will be contacted by a recruiter within 48 hours of application review. If this is not the ideal position for you but you are still interested in hearing about what other job opportunities are available in your area please visit www.humanhirellc.com!! HumanHire is a national executive search and staffing firm who with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary and payrolling services. We have cultivated long-lasting relationships and utilize them to connect our candidates and clients in several industries and job functions:
Human Resources Customer Service Administration Finance & Accounting Operations Executive Search Non-Clinical Healthcare Information Technologies Supply Chain & Logistics Legal Real Estate Sales & Marketing Job Types:
Full-time, Contract Pay:
Up to $22.00 per hour
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Ability to
Commute:
White Plains, NY 10604 (Required)
Work Location:
In person