Claims specialist jobs in Valley Stream, 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 • Should be able to credential our specialists to different Health Insurances as Fidelis Care, Metro Plus, Health First, United Health Care, Oxford Liberty, Molina Health Care, Aetna, other health insurances., • Part-time medical billing to include A medical biller, or insurance billing specialist, processes healthcare claims to ensure accurate billing and timely reimbursement from insurance companies and other payers. Duties you may want to include in your medical biller job description are: • Reviewing claims for accuracy., • Submitting claims to the correct payer and appealing denied claims.

Job Description State Farm Agent, located in Forest Hills, NY, is seeking a qualified professional for the role of Life Insurance Specialist. As a customer-oriented expert, you will market the best Life/Health insurance services and products to benefit clients and their families. Your sales experience equips you to continually grow your income as you provide the needed security for times of distress and vulnerability. Ideal candidate will be an energetic professional interested in helping our agency grow through value-based conversations and remarkable customer experience. If you are a motivated self-starter who thrives in a fast-paced environment, then this is your opportunity for a rewarding career with excellent income and growth potential. Must have an active Life, Accident and Health insurance license to be considered. Responsibilities include but not limited to: • Sell Medicare, Life and Health insurance policies to new and existing clients., • Conduct needs analysis to identify the best insurance products for clients., • Explain policy features, benefits, and exclusions to clients., • Assist clients with claims and policy changes., • Develop and maintain client relationships to foster long-term trust., • Stay updated on industry trends and new product offerings., • Ensure compliance with state and federal regulations. As an Agent Team Member, you will receive... • Base hourly pay $31.25 per hour plus 10% commissions on Life Sales, • Annual bonus if office achieves a bonus, • Paid time off (10 days paid vacation and 5 sick days plus major holidays), • 401(k) retirement plan (after 1 year of employment), • Potential for remote work from home depending on licensing and State Farm experience, • Valuable experience, • Growth potential/Opportunity for advancement Qualifications: • Must have and maintain a New York Life, Accident, Health (LAH) insurance license., • Bilingual a plus! Spanish, Korean, and Mandarin are all spoken in the office., • Sales experience with emphasis on Life and Health insurance preferred., • Strong communication and interpersonal skills., • Ability to understand and explain complex insurance products., • Detail-oriented with excellent organizational skills., • Ability to build and maintain client relationships., • Proficiency with insurance agency software. If you are motivated to succeed and can see yourself in this role, please submit your resume. We will follow up with you on the next steps in the interview process. This position is with a State Farm independent contractor agent, not with State Farm Insurance Companies. Employees of State Farm agents must be able to successfully complete any applicable licensing requirements and training programs. State Farm agents are independent contractors who hire their own employees. State Farm agents’ employees are not employees of State Farm. #SMA

Job DescriptionDescription: The Billing and Credentialing Specialist is responsible for medical billing processes and overseeing provider credentialing activities. This role ensures accurate and timely claim submission, reimbursement, and compliance with payer requirements while maintaining provider credentials with insurance networks and regulatory bodies. This role is onsite in Jamaica, NY. Requirements: Billing Duties • Prepare, review, and submit medical claims to insurance carriers in an accurate and timely manner, • Verify patient insurance coverage and benefits prior to billing, • Monitor claim status and follow up on unpaid or denied claims, • Resolve billing discrepancies and work with payers to ensure proper reimbursement, • Post payments, adjustments, and denials into the billing system, • Maintain compliance with payer guidelines and healthcare regulations (HIPAA, etc.), • Communicate with patients regarding billing inquiries and payment optionsCredentialing Duties, • Manage the credentialing and re-credentialing process for healthcare providers, • Prepare and submit credentialing applications to insurance companies and regulatory agencies, • Track application status and follow up to ensure timely approval, • Maintain up-to-date provider records, licenses, certifications, and continuing education, • Ensure providers are enrolled and active with appropriate payer networks, • Monitor expiration dates and renew credentials as needed, • Maintain compliance with organizational policies and industry standardsQualifications, • High school diploma or equivalent required; associate or bachelor’s degree preferred, • 3+ years of experience in medical billing or credentialing, or a related healthcare role, • Knowledge of CPT, ICD-10, and HCPCS coding preferred, • Familiarity with insurance verification, claims processing, and denial management, • Experience with credentialing software and electronic medical record (EMR) systems, • Strong attention to detail and organizational skills, • Excellent communication and problem-solving abilities

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.

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 healthcare industry? Use Dreambound to find a Medical Bi

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 DescriptionBenefits: • 401(k), • 401(k) matching, • Paid time off, • Training & development, • Bonus based on performance Entry-Level Marketing Specialist / Telemarketer Location: Rego Park, NY Job Type: Full-Time Compensation: Hourly + Commission/Bonus About Us: Join our rapidly growing insurance agency as an Entry-Level Marketing Specialist! Were seeking a motivated and organized individual to support our agents by building strong customer relationships, generating leads, and helping clients find the right insurance solutions. This role offers an excellent opportunity to gain industry experience, earn commissions, and advance your career. Key Responsibilities: • Develop and nurture positive relationships with customers, • Generate leads and schedule appointments to support sales efforts, • Identify customer needs and recommend suitable insurance products, • Deliver friendly, accurate customer service by answering questions about policies, claims, billing, and coverage, • Collaborate closely with the team to achieve marketing and sales targets, • Use effective communication skills to educate customers and drive business growthQualifications:, • Strong customer service orientation with a positive attitude, • Sales experience preferred (inside/outside sales, retail, or telemarketing), • Team player who thrives in a fast-paced environment, • Interest in marketing insurance and financial products, • Proactive problem-solver with a can-do mindset, • Ability to multitask efficiently and work well within a team, • Detail-oriented and organized, • Must have or be willing to obtain Property & Casualty license, • Must have or be willing to obtain Life and Health license, • Bilingual in Spanish is a plus, • This position is in-person at our office: 9662 Queens Blvd, Rego Park, NY 11374Benefits:, • Competitive hourly wage plus commissions and bonuses, • Paid time off including vacation, personal, and sick days, • 401(k) eligibility after one year, • Paid training and support for licensing and certifications, • Clear sales goals with opportunities for career advancement, • Chance to market a wide range of insurance and banking productsReady to take the next step? Apply today and start building your career in insurance marketing with our dynamic team!

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 DescriptionBenefits: • 401(k), • 401(k) matching, • Paid time off, • Training & development, • Bonus based on performance Office Representative Entry-Level Marketing Specialist Location: 9662 Queens Blvd Rego Park NY 11374 Type: Full-Time, Entry-Level About Us: Were a fast-growing insurance agency committed to helping customers find the right insurance solutions. Were looking for an energetic and organized Office Representative to support our sales team and help build strong client relationships. This is an exciting entry-level marketing specialist role with excellent opportunities for growth and development. What Youll Do: • Build and maintain strong relationships with customers through timely follow-ups and support., • Generate leads, schedule appointments, and match customers with insurance products that meet their needs., • Provide outstanding customer service by answering questions about policies, claims, billing, and coverage options., • Support marketing campaigns through calls, emails, direct mail, and presentations., • Collaborate with the sales team to meet and exceed sales goals., • Assist customers with insurance education and needs-based reviews.What Were Looking For:, • Positive attitude and passion for helping people., • Previous sales experience is a plus but not required., • Interest in marketing insurance and financial products, • Problem-solving mindset and proactive attitude, • Team-oriented with good multitasking abilities, • Ability to multitask and solve problems proactively, • A positive, team-oriented attitude, • Detail oriented, • Ability to work in a team environment, • Property & Casualty (must have or be able to obtain), • Life and Health license (must have or be able to obtain), • Strong communication and interpersonal skills., • Ability to work well both independently and as part of a team., • In person- Office location: 9662 Queens Blvd, Rego Park NY 11374, • Bilingual candidates (Spanish preferred) encouraged to apply.Why Join Us?, • Competitive hourly pay plus commission and bonusesyour earning potential grows with your success., • 401K after one year, • Paid time off including vacation, sick days, and holidays., • Paid training and certification to become licensed in insurance products., • Supportive team environment focused on your growth and success., • Clear path for career advancement within the agency.Ready to start your career in insurance marketing? Apply now and join our team to build a rewarding and successful future!

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

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