Claims specialist jobs in Uniondale, New YorkCreate job alerts

Job Description About Us: Join a growing orthopedic practice in New York! We are committed to delivering the highest level of care to our patients while maintaining efficiency in all administrative aspects of the practice. We are seeking a diligent and detail-oriented Billing Specialist to join our team. If you have a passion for medical billing and coding and thrive in a fast-paced environment, this role offers a rewarding opportunity to contribute to a high-volume practice. Job Summary: As a Billing Specialist, your responsibilities will include submitting accurate medical claims to the insurance companies, verify patient insurance coverage and be able to communicate with Attorney offices and the patient to acquire the accurate insurance information if needed. 2 years of medical billing experience required. Key Responsibilities: • Review and submit insurance claims for patient services provided in both clinical and surgical settings., • Verify accuracy of patient information, insurance details, and billing codes., • Process, review, and follow up on unpaid or denied claims, ensuring prompt resolution., • Manage and reconcile patient accounts, including co-payments, deductibles, and any patient responsibility amounts., • Communicate with insurance companies, patients, and staff regarding billing inquiries and claim statuses., • Ensure compliance with all relevant regulations, including HIPAA and payer-specific guidelines., • Maintain up-to-date knowledge of coding standards, including CPT, ICD-10, and HCPCS., • Collaborate with the practice management team to improve billing processes and ensure efficient workflows., • Assist in the development of reports for financial analysis, forecasting, and compliance., • Ensure accurate documentation and filing of all billing and coding records., • Stay current with practice management software and other technology tools relevant to the role. Qualifications: • Education: High school diploma or equivalent required; associate’s degree or certification in medical billing and coding preferred., • Experience: Minimum of 2 years of experience in medical billing, preferably with Workers Compensation and No Fault Claims., • Certifications/Licenses: Certified Professional Biller (CPB) or Certified Professional Coder (CPC) preferred., • Skills and Abilities:, • In-depth knowledge of medical billing practices, including CPT, ICD-10, and HCPCS coding., • Proficiency with EHR systems and practice management software., • Ability to work independently and make decisions regarding billing and coding processes., • Strong analytical skills to identify discrepancies and resolve billing issues., • Excellent organizational skills and attention to detail., • Ability to communicate effectively with patients, insurance representatives, and internal staff., • Ability to multitask and meet deadlines in a fast-paced environment., • Familiarity with managed care and various payer-specific billing requirements. We offer a comprehensive benefits package, including paid holidays, vacation, and sick leave, along with healthcare and financial wellness benefits. Compensation for the role will depend on several factors, including a candidate’s qualifications, skills, and experience. We are proud to be an equal opportunity workplace and an affirmative action employer. We recruit, hire, assign, and promote without regard to race, national origin, religion, age, sex, sexual orientation, gender identity, disability, or veteran status. We also participate in E-Verify to confirm employment eligibility.

Job Description We are looking for a Medical Accounts Receivable Specialist to support revenue cycle operations for a healthcare organization in Westbury, New York. This contract opportunity with permanent potential is ideal for someone who can manage outstanding balances, apply payments accurately, and follow through on commercial insurance collections in a fast-paced setting. The position plays an important role in maintaining cash flow, resolving billing issues, and reducing aged receivables through consistent follow-up and detailed account review. Responsibilities: • Review and manage medical accounts receivable balances to identify unpaid claims and prioritize follow-up activities., • Post and reconcile incoming payments with accuracy, ensuring cash applications are reflected correctly in patient and payer accounts., • Communicate with commercial insurance carriers to research claim status, secure payment, and address outstanding reimbursement issues., • Investigate denied or underpaid claims, determine root causes, and take corrective action to support timely resolution., • Prepare and submit billing corrections when needed to improve claim acceptance and accelerate payment turnaround., • Monitor aging reports and work assigned account inventories to reduce past-due balances and support collection goals., • Maintain complete and organized documentation of collection efforts, account updates, and payer communications., • Collaborate with internal billing and revenue cycle teams to resolve discrepancies that affect account payment or claim processing., • Experience working in medical accounts receivable within a healthcare, hospital, or related billing environment., • Working knowledge of accounts receivable processes, cash posting, and commercial insurance collections., • Familiarity with medical billing practices, including claim review, payment application, and account reconciliation., • Ability to analyze insurance denials and take appropriate steps to support claim resolution., • Strong attention to detail with the ability to manage multiple accounts and deadlines effectively., • Clear written and verbal communication skills for interaction with payers and internal stakeholders., • Proficiency with revenue cycle or billing systems and standard office software tools.

Why Join GEICO? At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide. Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States. When you join our company, we want you to feel valued, supported, and proud to work here. That's why we offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers. Your Impact at GEICO As an Auto Claims Specialist, you’ll reassure customers and offer solutions when they need us the most with empathy and care. You will guide policyholders through their coverage and the steps to get back on the road safely. What Makes This Opportunity Exciting? Compensation & Incentives: Starting Salary: $25.81 per hour / $52,000 annually Benefits: Health and wellness benefits starting Day 1 (medical, dental, vision, flexible spending accounts and more). Accrue Paid Time Off immediately, plus 13 paid holidays annually (8 fixed, 5 floating). 401(k) with up to 6% match, vested immediately. GEICO Strive, upfront tuition assistance program (up to $5,250 annually). Professional Growth: Licensing and continuing education at no cost, including hundreds of eLearning courses to enhance your skills. Workplace Flexibility: Complete in-office training, then opportunity to work 80% on-site and 20% off-site. Enjoy GEICO Flex, additional weeks annually to work off-site, meeting location and work guidelines. Office Location:2 Huntington Quadrangle, Melville, NY 11747 How You’ll Make a Difference Customer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road. Problem Resolution: Resolve customer concerns ensuring a positive experience. Meaningful Impact: Drive customer satisfaction through meaningful interactions. What We’re Looking For: Experience: Customer-facing Claims experience preferred. Education: High School Diploma or GED required; College degree preferred. Strong customer service, interpersonal, problem-solving, and empathy skills. Adaptable, detail-oriented, and able to prioritize and multitask across platforms. Experienced in high-volume call centers with KPIs and measurable goals. Available to work evenings, weekends, and holidays. #geico200 Annual Salary $23.91 - $37.65 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: Protecting customers through life’s twists and turns with innovation and integrity. Great Careers: Personalized development programs, mentorship, and certification assistance. Great Culture: Inclusive and collaborative culture rooted in shared success. Great Rewards: Competitive pay, benefits, and flexibility to support your well-being and future. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Job Description Claims Specialist As the Claims Specialist, you will coordinate activities critical to the successful completion of clinical reviews projects. You will support programs by monitoring requests, liaising with clinical partners, managing provider and contractor interactions, tracking deliverables and deadlines, and develop project frameworks to support interdisciplinary and interagency communications. Duties include by are not limited to: • Monitor appeal/dispute status and communication received on client portals., • Conduct initial eligibility reviews and recommend course of action to internal team and department management., • Track and assign cases using commercial off-the-shelf and custom software applications., • Monitor and measure key performance indicators., • Identify barriers and roadblocks in work processes, recommend solutions to solve problems, and execute approved solutions., • Routinely present case/project status in huddles and scrums while using an agile, iterative approach to implementation and data presentation., • Schedule regular team status meetings and record decisions (e.g., assigned tasks and next steps)., • Prepare billing invoices at conclusion of cases, submit to the Finance department, and liaise with accounting to track and trend payments. This is an in office position based in IPRO's headquarter office located in Jericho, NY QUALIFICATIONS: • Knowledge and experience with collaborative project management software, electronic documents, and design., • Ability to problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills including phone manner., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative while multi-tasking., • Ability to meet deadlines in time sensitive environment. EDUCATION & EXPERIENCE: • Bachelors or advanced degree in healthcare, business, management digital studies or related field AND 2 years of collaborative project support, required., • OR-, • Associates degree in related field AND 3 years of collaborative project support, required. The salary range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The salary range for this position is $66,300.00 to $70,000.00 . Actual salary and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status.

Job Description General Summary: This position assists and supports the underwriting function by ensuring requests for claims histories and/or coverage verifications for all lines of business are provided timely and accurately, as well as other duties as requested. Important Note: The Coverage Verification Specialist role is a temporary-to-hire employment opportunity. During the three-month trial period, skills, performance, and compatibility with the organization will be evaluated. If both parties find the role suitable after this period, an offer may be extended for regular full-time employment as an Coverage Verification Specialist. Essential Duties & Responsibilities: • Process requests for claims histories and/or coverage verifications from brokers, insureds or third parties, • Review requests for completeness, including proper authorization from insured(s), and request additional information needed; search providers in eOasis CIS and determine all applicable policy types, • Inform Account Manager of loss run requests when appropriate, • Prepare and send claims history and/or coverage verification reports within 5 days of request received, • Generate SAP report for Physician and Healthcare Facility policies as requested, • Prepare reports manually for Healthcare Facility policies, adding data retrieved from eOasis regarding policy coverage and claims; follow guidelines for certain hospitals/facilities prior to providing information, • Send reports via email to requestors; include original request and authorization document (if applicable), • Enter data regarding requests for Physician policies in the Diary in eOasis, • Upload e-mail with reports to OnBase and/or corresponding Healthcare Facility files., • Answer calls regarding COIs and Dec pages, both from automated prompts and operator, • Process requests for copies of COIs and Dec pages; send documents to insureds electronically, • Issue all new COIs to hospitals and facilities at insureds’ requests, • Add COIs to insureds’ policies as requested via eServices or e-mail; provide electronic copies to insureds, • Enter data received for electronic delivery of COIs to Certificate Holders into eOasis, • Assist with sorting of incoming mail, • Responsible for weekly/monthly mass mailings of renewal declarations pages, COIs and other projects, • Maintain highest level of customer service and produce accurate work, • Understand and achieve productivity requirements to meet underwriting objectives, • Respond in a timely and professional manner to internal and external queries and requests received from our brokers and clients regarding requests, • Demonstrate a sense of urgency and consistently meet processing deadlines per underwriting service standards, • Other duties as assigned by management Education & Qualifications: • Associate degree and minimum of 2-3 years office related experience required. Customer service background preferred, • Must be proficient in Microsoft Office Suite, • Participate in assigned projects and departmental efforts as an active and positive team member, • Must demonstrate ability to maintain an effective working relationship with other departments, employees, management and clients, • Excellent verbal and written communication skills, • Must be detail oriented and have good organizational skills, • Ability to work without direct supervision, make independent decisions and meet specific deadlines The actual compensation for this position will be determined by experience and other factors permitted by law.

Job Description This role is onsite at our Roslyn, NY, Rochester, NY, or Hamilton, NJ office, with the option for a hybrid schedule after the training period. General Summary: A Complex Claims Specialist will possess experience in handling complex medical liability claims, while demonstrating a strong client service focus. Essential Duties & Responsibilities: • Follow standard claims protocols for documentation, coverage verification, and file management, • Maintain accurate and organized claims files, suggesting improvements as necessary., • Manage significant client relationships for claims department, collaborate with underwriting on marketing., • Investigate and document most significant exposures, setting appropriate indemnity and expense reserves, • Develop resolutions strategy and lead negotiations and bring matters to a close, • Attend trials and mediations when necessary, • Adhere to industry Best Practices for effective claim management, • Mentor staff through formal and informal training and development; demonstrate extensive technical expertise to guide and support less experienced claims professionals, • Ensure exceptional data integrity, • Actively manage defense council and partner on litigation strategy, • Proactive communication with insureds, other departments and claim leadership, • Perform additional duties and responsibilities as assigned Education & Qualifications: • Bachelor’s degree or JD required, • Six years’ claims handling experience required; medical professional liability strongly preferred, • NY adjusters license required within the first 6 - 12 months of employment, • Strong analytical and problem-solving skills with attention to detail, • Demonstrate solid and concise business writing proficiency, • Exhibit strong oral communication skills to include presenting information clearly and effectively to diverse audiences, • Ability to work independently as well as assume a mentorship role within a team. Act as a strong example and resource for less experienced colleagues, • Strong ethical judgement and a commitment to maintaining confidentiality, • Must be able to work on site, • Travel required as needed; may include overnight travel The actual compensation for this position will be determined by experience and other factors permitted by law.

Position Summary: The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key Responsibilities: • Initiate and follow up on prior authorization requests for out-of-network services., • Verify patient insurance benefits and eligibility for out-of-network coverage., • Communicate with insurance companies to determine coverage levels, out-of-pocket costs, and authorization requirements., • Track and document authorization status in the EMR and billing systems., • Work closely with billing and collections teams to resolve denied claims and appeals., • Stay current with payer-specific guidelines and regulatory changes affecting out-of-network billing., • Team player and accuracy are key. Qualifications: • High school diploma or equivalent required; associate degree or certification in medical billing preferred., • Minimum of 2–3 years of experience in medical billing, insurance verification, or prior authorization., • Strong knowledge of commercial insurance plans, including PPO, POS, and indemnity plans., • Familiarity with out-of-network billing practices and reimbursement models., • Proficiency in EMR systems and billing software., • Excellent communication, problem-solving, and organizational skills. We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.

What does a Medical Billing and Coding Specialist do?. A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Looking to start a rewarding career path in the h

Position Summary: The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key Responsibilities: • Initiate and follow up on prior authorization requests for out-of-network services., • Verify patient insurance benefits and eligibility for out-of-network coverage., • Communicate with insurance companies to determine coverage levels, out-of-pocket costs, and authorization requirements., • Track and document authorization status in the EMR and billing systems., • Work closely with billing and collections teams to resolve denied claims and appeals., • Stay current with payer-specific guidelines and regulatory changes affecting out-of-network billing., • Team player and accuracy are key. Qualifications: • High school diploma or equivalent required; associate degree or certification in medical billing preferred., • Minimum of 2–3 years of experience in medical billing, insurance verification, or prior authorization., • Strong knowledge of commercial insurance plans, including PPO, POS, and indemnity plans., • Familiarity with out-of-network billing practices and reimbursement models., • Proficiency in EMR systems and billing software., • Excellent communication, problem-solving, and organizational skills. We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.

Job Description Automotive Parts Advisor – Counter Sales | $19–$22.50/hr + Commission | Hiring Now ???? Westbury, NY (Long Island) ???? $55,000 - $80,000+ (Inclusive of Commission & Bonuses) ???? Full-Time | Weekend Availability Required | Immediate Opening ???? Join Westbury Jeep – VIP Automotive Group Westbury Jeep, part of the VIP Automotive Group of Long Island, is actively hiring an experienced Automotive Parts Advisor / Parts Counterperson / Parts Sales Specialist. We are one of Long Island’s top-performing dealership groups, offering career growth, stable hours, strong earning potential, and a professional dealership environment. This is an excellent opportunity for candidates with dealership parts, auto parts retail, or parts counter sales experience looking to build a long-term automotive career. ???? Compensation & Benefits • ???? $55,000 - $80,000+ (Inclusive of Commission & Bonuses), • ???? Medical & Dental Insurance, • ???? 401(k) with employer match, • ????️ Paid Time Off (PTO), • ???? Employee discounts (vehicles, parts & service), • ????️ Short-Term & Long-Term Disability + Life Insurance, • ???? Performance recognition programs, • ???? Career advancement within VIP Automotive Group, • ???? Ongoing training & manufacturer certifications???? Position Overview The Automotive Parts Advisor / Counter Sales Representative assists service technicians, retail customers, and wholesale clients by identifying, sourcing, and selling OEM and aftermarket automotive parts while supporting dealership parts operations. ???? Key Responsibilities (What You’ll Do) • Assist customers and technicians at the parts counter and via phone/email, • Identify correct OEM and aftermarket parts using catalogs & systems, • Process parts orders, quotes, invoices, and transactions, • Manage special orders, backorders, and customer follow-ups, • Handle core returns, warranty claims, and parts returns, • Cross-sell and upsell parts and accessories, • Support inventory control, stocking, and organization, • Maintain a clean, efficient, and customer-focused parts department, • Work closely with Service Department and Parts Manager✅ Qualifications, • Prior automotive parts advisor / parts counter / dealership parts experience required, • Knowledge of auto parts catalogs, inventory systems, and dealership operations, • Strong customer service, communication, and sales skills, • Ability to work in a fast-paced, high-volume dealership environment, • Detail-oriented with strong organizational skills, • Professional attitude and team-oriented mindset, • Weekend availability required???? Schedule, • Full-Time position, • 5–day work week, • Weekend availability required ???? Location Westbury Jeep – VIP Automotive Group Westbury, NY ???? Apply Today Join a high-performing automotive dealership team where you can grow your career in parts sales and operations. If you’re experienced, customer-focused, and ready to earn, apply now to join Westbury Jeep.

Job DescriptionBenefits: • 401(k) matching, • Bonus based on performance, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off Customer Retention Specialist Insurance Sales & Service Make a Difference. Build Relationships. Grow Your Career. Are you driven to help others while also delivering results? As a Customer Retention Specialist in our growing insurance agency, youll be a trusted resource clients rely on for guidance, support, and protection. This role blends relationship-focused service with meaningful sales opportunitiescreating a dynamic, well-rounded career path in a high-demand industry. From answering coverage questions to identifying opportunities that strengthen protection, your work will build customer confidence, deepen relationships, and directly contribute to agency growth. If youre dependable, positive, and motivated to make an impact, we want to hear from you. Key Responsibilities • Deliver exceptional service through phone, email, and in-person interactions, • Assist clients with billing inquiries, coverage updates, and claims follow-up, • Identify needs and recommend insurance solutions that enhance customer protection, • Build strong rapport to foster trust, satisfaction, and long-term loyalty, • Drive retention through proactive renewals, policy reviews, and consistent follow-up, • Collaborate with team members to ensure a seamless, high-quality customer experienceWhat Were Looking For, • Strong communication, organization, and problem-solving skills, • Customer service and/or sales experience preferred (but not required), • Comfort engaging in consultative, solution-oriented sales conversations, • A calm, positive, and resourceful approach in a fast-paced environment, • Willingness to obtain required insurance licensestraining and support providedWhat We Offer, • Competitive base pay with commission and performance-based bonuses, • Comprehensive training, onboarding, and ongoing mentorship, • Clear pathways for career growth and advancement, • A collaborative, team-driven culture focused on success and developmentReady to build a career where service and sales go hand-in-hand? Apply today and join a team that values relationships, rewards performance, and invests in your future. Equal Opportunity Employer Pete Mathison State Farm is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all applicants and employees and do not discriminate based on race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, or veteran status. This position is with a State Farm independent contractor agent, not with State Farm Insurance Companies.

Job DescriptionNassau Financial Federal Credit UnionUniversal Membership SpecialistFarmingdale, New York Full-time $20 - $23 hourly About the Job: Universal Membership Specialist - Banking. • Salary: $20.00 - $23.00., • Shift: 40-hour work week; Monday through Friday and Saturdays on rotation., • Work Location: Farmingdale, NY - In-person., • Benefits: Medical, Dental, 401K, Vision, Short Term Disability, Long Term Disability and Paid Time Off, Tuition Reimbursement. Working at Nassau Financial Federal Credit Union means being part of something larger than yourself. At Nassau Financial, it is more than a job; we offer a career experience where you can grow personally and professionally while being an integral part of advancing our service mission of “Improving the financial well-being of each member and the communities we serve.” At Nassau Financial, our team of professionals are the backbone of achieving our mission each day. One of the primary means to achieve this end is to develop a highly effective team of employees and advance each employee to their highest potential through coaching and leadership. Our employees are responsible for ensuring that outstanding service is delivered to both internal and external members. A key component of this service is to identify the financial needs of the member and recommend an appropriate credit union solution. Our corporate tenets are an integral part of our culture and how we do business: • Commitment to Service: Providing extraordinary service with every interaction both internally and externally to exceed the expectations of our members., • Teamwork: Together we succeed through a spirit of mutual respect and collaboration. Feedback is welcomed and contributes to building a positive team spirit to achieve organizational goals., • Professionalism: Team members are approachable and treat others with respect and consideration; accept responsibility for their own actions; follow through on commitments., • Fun: We work hard, that’s why it’s called a job! However, working efficiently and effectively with others to achieve our goals can be fun too., • Community Engagement: Our industry was founded on the principles of people helping people. Being involved in the community through volunteerism is a great way to help others., • Continuous Improvement: An ongoing effort to make sure that our processes, methods, and practices are as efficient, accurate, and as effective as possible. We do this by examining and improving our processes to eliminate bottlenecks, use the best software, and take advantage of the most efficient methods. Overview of the Role: This role will be responsible for effectively developing and maintaining a financial relationship with our members. This includes identifying member inquiries and providing account resolution and solutions matched to member needs by building relationships to determine their needs. To provide a product and/or service solution to help meet the member’s need in a professional, prompt, and efficient manner. Overall, responsible for exceeding credit union goals. This position will be a hybrid of remote and in-branch work environment. Accountabilities and Responsibilities: • To deliver service consistent with our Service Promises., • Strive for one call resolution and execute best practices in accordance with the call monitoring scoresheet., • Conduct profile assessments for cross-sell opportunities., • Recommend products that fulfill the financial requirements of members within lending and credit guidelines., • Register leads into Synapsys CRM tool for “next step” follow-up action., • Partner with internal departments to resolve member inquiries across all channels, i.e.; Lending, Auditing, OSS, Accounting, and Real Estate. General: • Cross-sell appropriate products suited to member’s profile and confirmed through needs-based questions to attain sales goals covering member acquisition, new checking accounts, loan production, cross-sell, and insurance-related policies. Build multi-product relationships with each member to increase the loyalty factor., • Participate in monthly contests to achieve new product goals and the ongoing goal of opening new checking accounts., • Possess proficient product knowledge as measured by the annual product knowledge certification assessment., • Identify Member’s needs, clarify information, research every issue, and provide solutions and/or alternatives. Utilize effective listening and questioning techniques to identify the primary needs of members., • Accountable for the appropriate and timely response and resolution to member issues and concerns., • Responsible for properly maintaining and processing share and consumer loan applications from all delivery channels through our core processing software in an efficient and timely manner., • Responsible & accountable for remaining current on changes within the legal, regulatory, economic, competitive, and technology environments which may affect share, consumer lending, and Internet programs, • Provide technical expertise in the resolution of any problems related to internet-related products including but not limited to, mobile -t Banking, Bill Pay, and e-statements., • Effectively communicate with Members through various digital/electronic channels such as e-mail, e-chat, and mobile banking., • Process account inquiries, address changes, closing accounts, when necessary, account maintenance requests, reconciliation, and payroll requests., • Proactively modify performance based on Management coaching and/or feedback resulting from performance management tools., • Notify management or applicable personnel of any system issues in a timely manner., • Responsible for seeking out the appropriate training to further enhance expertise and professional development., • Handle Shared banking inquiries and transactions and members to the closest shared branch, if possible., • Individuals will be responsible and accountable for contributing to the credit union's goals., • Comply with Verafin guidelines, re: internal watch list, alerts for loan fraud, check disbursements, and wire transfer fraud., • Respond knowledgeably and courteously to members' questions concerning Credit Union policies and procedures., • Accountable for knowledge of Credit Union Policies and Procedures and how to appropriately communicate to members., • BSA/AML compliance (and compliance with the Office of Foreign Assets Control) is the responsibility of all employees throughout the organization. This is achieved through annual training, reporting compliance issues to the attention of the Compliance Officer, and keeping aware of regulatory requirements. In-Branch: • Responsible for facilitating account opening inquiries & the opening of new accounts to existing members, verifying and obtaining proper documentation. Distribution of the appropriate disclosures through the mail or electronic mail in order to comply with regulatory guidelines., • Conduct interviews to develop information concerning a member’s financial need and cross-sell all products and /or services including those of credit union-affiliated partners., • Responsible for all IRA opening, processing, and completion of all documents., • Process member death claims and follow-up documentation., • Conduct account transactions that are unable to be performed at the ITM or at peak times, such as but not limited to:, • Account closures., • Transfers., • Check Disbursals., • Check Deposits., • At the direction of, or in the absence of, the Manager: balance and perform daily maintenance of ITM, Coin Machine. Other Duties: • Performs functions related to the ITM Teller when necessary to meet the needs of the Credit Union and its members., • Possess knowledge in Lending and Home Equities., • Work Schedule requires the ability to work flexible hours and Saturdays. May be assigned to other branches/departments as business dictates., • Working remotely (from home) may be required., • The ability to capture and scan loan documentation., • Effectively participate in department meetings, training, credit union promotions, community events, and business development efforts., • Perform other duties as assigned. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, specific job duties, certifications, etc. Nassau Financial FCU is an Equal Opportunity Employer. m/f/h/v.

Job Description As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to: • Confirm and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. This position requires working on-site at the Jericho, NY office. Qualifications: • Excellent interpersonal and communication skills, both written and verbal., • Ability to relate effectively with technical, medical, analytical and administrative personnel., • Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint., • Being able to handle sensitive and confidential information., • Ability to work in a team environment and independently. Education & Experience: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required, • Bachelor’s degree in healthcare administration or health information management preferred., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Some experience in utilization reviews preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Company Overview: Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If youre ready to grow with the best, explore a career with us and make a difference. Allied Universal is hiring a Special Investigations Unit (SIU) Investigator with New York Labor Law construction investigation experience. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution. • Must possess a valid driver's license with at least one year of driving experience, • Pay Rate: $32 - $40 / hr RESPONSIBILITIES: • Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers compensation, general liability, property and casualty and disability, • Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance, • Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed, • Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct, • Run appropriate database indices if necessary and verify the accuracy of results found, • Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor QUALIFICATIONS (MUST HAVE): • Experience with New York Labor Laws: N.Y. 240, N.Y. 241 & N.Y. 200, • Construction Investigative experience, • Must possess one or more of the following:, • Bachelors degree in Criminal Justice, • High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud, • Ability to be properly licensed as a Private Investigator as required by the state where work Is completed, • Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course, • Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims, • Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area., • Proficient in utilizing laptop computers and cell phones., • Special Investigative Unit (SIU) Compliance knowledge, • Ability to type 40+ words per minute with minimum error, • Flexibility to work varied and irregular hours and days including weekends and holidays PREFERRED QUALIFICATIONS (NICE TO HAVE): • OSHA Certification, • Construction Related Experience, • Bilingual in English and Spanish, • Military experience, • Law enforcement, • Insurance administration experience, • Familiarity with California SIU regulations, • One or more of the following professional industry certifications:, • Certified Fraud Investigator (CFE), • Certified Insurance Fraud Investigator (CIFI), • Fraud Claim Law Associate (FCLA), • Fraud Claim Law Specialist (FCLS), • Certified Protection Professional (CPP), • Associate in Claims (AIC), • Chartered Property Casualty Underwriter (CPCU) BENEFITS: • Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance, • Seven paid holidays annually, sick days available where required by law, • Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: _ If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: _. .

Claims Specialists conduct interviews with the public to obtain, clarify, and verify information about initial and continuing eligibility for retirement, survivors, disability, health insurance benefits, and eligibility for supplemental security income including State supplements.

Job Description Job Description: Who We Are: At Community Mainstreaming, our mission is to support individuals with developmental disabilities in living fulfilling, independent lives. Through our comprehensive services, we promote inclusion and empower those we serve to thrive within their communities. We are driven by compassion, innovation, and a strong commitment to making a difference. Learn more about our impactful work at communitymainstreaming.org Overview: The Benefits Specialist is responsible for administering and managing all employee benefits programs and leave of absence processes. This includes health, dental, vision, life and disability insurance, retirement plans, and wellness initiatives, as well as federal, state, and employer-sponsored leaves such as FMLA, Paid Family Leave (PFL), Workers' Compensation, and Disability. This role ensures compliance with applicable laws and policies and provides excellent service to employees throughout their benefits and leave experiences. Why You’ll Love Working with Us: A supportive, inclusive team culture where your contributions make a real difference. The chance to work for an organization that transforms lives and empowers individuals with developmental disabilities. Opportunities for career advancement and professional development. Minimum Qualifications: • Associate or bachelor’s degree in human resources, business administration, or related field is preferred, • 2+ years of experience in benefits and/or leave of absence administration., • Familiarity with FMLA, PFL, ADA, Workers’ Compensation, and disability programs., • Knowledge of relevant employment laws and benefits regulations., • Experience with HRIS and benefits systems (ADP)., • Strong communication, problem-solving, and customer service skills., • Ability to maintain confidentiality and manage sensitive information., • Smartphone required. Generous Benefits: • Medical Benefits: Generous employer contribution; eligibility begins the first day of the month following 60 days of employment., • Dental Benefits: Employer-paid., • Vision Plan, • Accident Insurance, • Critical Illness Insurance, • Pet Insurance, • Identity Theft & Fraud Protection, • Legal Services, • 403(B) Retirement Plan: Organization match of up to 5%., • Life Insurance: Employer sponsored, • Tuition Assistance, • Section 125 Flexible Spending Program, • Additional Voluntary Life Insurance and Long-Term Disability Benefits Paid Time Off: • Up to 80 hours of vacation during the first calendar year of employment. Employees accrue an additional 8 vacation hours each subsequent calendar year, up to a maximum of 120 hours., • Up to 40 hours of personal time per calendar year., • 10 paid holidays. As a non-profit organization, we offer employees the opportunity to qualify for Public Service Loan Forgiveness. Join our team and make a positive impact in the community while benefiting from this valuable financial relief. Pay: $55,000 - $60,000/year What You Will Do: Benefits Administration • Serve as the primary point of contact for employee questions regarding eligibility, coverage and provision for our health, dental, vision, life, disability insurance, and retirement benefits., • Coordinate benefits enrollment for new hires and process changes due to qualifying life events., • Facilitate annual open enrollment, including preparation of materials, vendor coordination, and employee education., • Maintain accurate benefit records in HRIS and benefit systems; ensure timely updates., • Responsible for all billing and reconciliation of benefit invoices and resolve billing discrepancies with carriers and finance., • Ensure compliance with ERISA, COBRA, HIPAA, ACA, and other benefits-related regulations., • Distribute mandatory notices and benefit plan documents., • Support wellness programs, education campaigns, and benefit-related employee communications. Leave of Absence Management • Manage all aspects of employee leaves of absence, including FMLA, Paid Family Leave (PFL), Workers' Compensation, Short-Term Disability (STD), and Long-Term Disability (LTD)., • Communicate leave eligibility, required documentation, and timelines to employees., • Coordinate with third-party administrators, insurance carriers, and internal departments (e.g., payroll) to ensure timely processing of leave claims and pay., • Track leave usage and maintain accurate records of employee status and return-to-work dates., • Ensure compliance with federal, state, and local leave laws and organizational policies., • Provide support and guidance to managers on employee leave processes and coverage planning. Work Location: Westbury, NY (Nassau County) Work Hours/Schedule: Full-time, Monday – Friday, 9 AM – 5 PM _ Community Mainstreaming Associates is an equal opportunity employer._ Monday - Friday, 9:00 am to 5:00 pm Job Type: Full-time Work Location: In person #FMLA #WorkersComp #WorkersCompensation #Disability #DisabilityBenefits #LeaveOfAbsence #MedicalLeave #FamilyLeave #SickLeave #ShortTermDisability #LongTermDisability

Claims Specialists conduct interviews with the public to obtain, clarify, and verify information about initial and continuing eligibility for retirement, survivors, disability, health insurance benefits, and eligibility for supplemental security income including State supplements.

Interagency Career Transition Assistance Program (ICTAP) eligibles only in the commuting area of the selected duty location.LOCATION: This position is located in various Field Offices throughout the Social Security Administration.TOUR OF DUTY: Multiple work schedules.TYPE OF POSITION: Temporary, NTE

As the Claims Specialist, you will coordinate activities critical to the successful completion of clinical reviews projects.

Enter all claims into Epic and generate Acord notices and follow up with carriers to ensure that the claim was reported, obtain necessary adjuster contact information and claim number then provide client with this information.

Job Description JOB SUMMARY: This management position exists in several Program Divisions. Under the general supervision of the Divisional Vice President of Supportive Housing and Adult Homes is responsible for the oversight of the administrative, operational, staffing, and clinical aspects of the program. Responsible for personnel management, fiscal operations, inventory management, client services, safety and welfare of staff and clients, hiring and training of personnel, directing and coordinating the activities of the staff, and general administration of the program. ESSENTIAL JOB FUNCTIONS: To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency Provides Clinical Services: • Directs clinical treatment services provided to consumers, oversees the development, implementation, and review of treatment plans, • Conduct supervision with program supervisor, in accordance with agency and division policy, • Conduct CORE audits of case records to evaluate the completeness and quality of treatment plans, quarterly assessments, apartment inspections and progress notes, • Conducts staff meetings to review and discuss compliance, recreational and social activities, interagency Referrals, • Conduct High Risk meetings with Pathways to Wellness and RN, to collaborate on ways to support clients who are on the high risk list, • Conduct rent arrears review meeting with program staff and interagency departments from a clinical and client-centered perspective, • Immediately reports serious incidents, allegations of abuse, incidents, or sensitive situations and completes incident reports in accordance with agency policy, • Regularly directs meetings concerning clinical issues with clients care team, • Initiates and participates in case conferences with mental health treatment team, and inpatient psychiatric team, • Completes SPOA referrals for IMT, ACT Team, and Non- Medicaid Care Coordination, • Utilizes Mental Health Hygiene Warrant when needed, • Conduct intakes for new referrals via ICL Hope, • Provide clinical crisis intervention regarding clients and support staff, • Ensure all psychosocial assessments and all assessment necessary for client care, • Conduct clinical trainings regarding motivational interviewing, harm-reduction, person-centered care, • Conduct eviction meeting regarding court case, documentation require, coordinate and collaborate with Real Properties., • Supervise the Clinical Specialist for SIBN, provide clinical support, and training., • Other clinical duties as assigned by Vice President of Supported Housing and Adult Homes Direct and Supervise Personnel: • Establishes and maintains work schedules in accordance with agency policy and assignments of staff. Responsible for managing the completion of time clock edits of staff within the suspense established by the Human Resources Department, • Ensures staff compliance with the agency's time and attendance policy; recommends disciplinary action for those out of compliance, • Manages the completion of performance evaluations, recommends staff for the employee recognition award, • Conducts new apartment viewings, and ensures all apartments are set up with needed items. when vacating an apartment, conducts walkthroughs with landlord, • Administers disciplinary actions in accordance with agency disciplinary policy, conducts disciplinary counseling, completes disciplinary action reports, and recommends employee terminations as needed, • Reviews authorized staff positions, submits Request for Personnel (RFP), on vacant staff position(s), interviews candidates for employment in accordance with agency policy and employment law., • Ensures that staff have attended required monthly RELIAS trainings, • Manages employee accident reporting and initial submission of workers' compensation claims., • Monitors employee morale and the climate of the work environment, • Monitors employee accrual totals, approves or recommends approval of employee requests for time off, and notifies the Department of Human Resources when an employee should be placed on or taken off Family and Medical Leave (FMLA). Maintains contact with staff while out on FMLA, • Provides oversight in the area of administrative recordkeeping, maintenance of office equipment, reception of visitors, phone reception, and stocking office supplies, • Manages the orientation of new personnel, • Conducts employment interviews that meet federal, state, and agency regulatory guidelines. Completes associated Human Resources forms and sends these forms to the Department of Human Resources Maintains Property Accountability: • Maintains accountability and serviceability of all ICL property assigned to the program to include vehicles, report lost stolen items, missing, or damaged property in accordance with ICL policy, • Authorizes the purchase of supplies and equipment; properly secures all property and equipment, • Conducts inspection of apartment keys and repair list, • Ensure office space is in accordance to ICL Policy, • Ensure all units leased by ICL are in accordance to OMH funding and organization’s values Provides Quality Assurance Oversight: • Ensures internal program compliance with federal, state, city, and agency regulatory requirements., • Responsible for the development of a program mission statement and program goals that supports the division and agency mission statements and goals., • Coordinates with the Department of Quality Management and the departments in the Administrative Division for staff assistance in the preparation for an audit, • Reviews plans of corrective action, incident reports, and program evaluation reports and addresses areas that need improvement, • Provides oversight in submission of statistical data, • Ensure all KPI are meet for the program such as home visits, referrals, vacancies, rental arrears, etc. Assures Fiscal Control and Accountability: • Ensure all clients rental payments are in accordance to ICL policy, processed, tracker, and ensure all logistics with the finance and entitlement department., • Approves/disapproves all purchase orders and financial requests from staff, • Manages consumer rent payments, keeps a spreadsheet of all monthly rent payments. Keeps a log of all rent arrears, and payment plans., • Monitors census, and vacancy report and maintains census at expected occupancy levels per OMH. Fosters Community Relations: • Promotes Mental Health and Managed Care programs in local communities; maintains liaison between local elected officials and community boards, educates citizens in the community on mental illness., • Educates staff and residents/consumers on the importance of a constructive relationship with local elected officials, community boards, and community citizens., • Cooperates with other organizations in development of understanding and interest participating in long range plans for mental health program development., • Engage in new partnership with community-based organization, hospitals, community boards, etc. ADDITIONAL TASKS: • May conduct regular inspections of apartments and contacts landlords to report repairs that need to be made in accordance with rental agreements., • May be responsible for facility maintenance and reports needed repairs to the Director of Real Property Operations., • May review drafts, procedures, and job descriptions., • May be involved in hosting visitors from community, regulatory offices, and/or other agencies., • May be chairperson or member of an agency or division committee(s)., • Conducts reviews of HRA2010E, and scheduled screenings of potential consumers. Performs other job-related duties as assigned. ESSENTIAL KNOWLEDGE SKILLS AND ABILITIES: • Ability to lead a multi-disciplinary staff of professionals in providing treatment services., • Ability to manage multiple projects, delegate tasks, and check on the completion of assigned tasks., • Ability to manage resources, which includes money, material, time, and people., • Ability to work in a team model, • Positive attitude willing to think outside of the box, • Serves as a role model to staff and consumers/residents., • Strong interpersonal skills, communication, emotional intelligence, and flexibility, • Highly-developed clinical, engagement, and motivational skills;, • Experience with risk assessment and risk management;, • Track record of delivering quality treatment services to individuals with SMI, • Experience delivering treatment, rehabilitation and support services in the community;, • Proficient in computers and Electronic Health Record (EHR), • Ability to effectively hold field staff accountable and to go into the field as needed, • Willingness and ability to use ICL supplied communication tools (e.g. computers, mobile telephone, fax, etc.) regularly in the course of conducting business, • Ability to travel. QUALIFICATIONS AND EXPERIENCE: MINIMUM REQUIRED EDUCATION AND/OR EXPERIENCE: • Master’s degree in social work, Psychology, or other mental health field with three years of professional mental health experience (depending on program size and complexity) including at least three years (depending on program size and complexity) in a supervisory capacity. Experience with housing, individuals with Serious Mental Illness and Substance Use. PREFERRED: • NYS Licensure in a recognized mental health profession (LMSW or LMHC), • Bilingual in Spanish #ICLOTHER