Claims Processing Manager jobs in Queens Village, NY

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Insurance & Claims Manager
  • THE DOUGLASTON COMPANIES
  • Douglaston, NY OTHER
  • Job Details

    Job Location:    The Douglaston Companies - Douglaston, NY
    Salary Range:    $110,000.00 - $150,000.00 Salary/year

    Description

    Who we're looking for:

    We're looking to build the best teams possible with highly motivated and engaged employees. We have an exciting opportunity for a Claims Manager to join The Douglaston Companies. If you are looking to work in a collaborative and supportive environment, but also be challenged in your role, we welcome you to apply!

    This role is located in Douglaston,Queens.

    Claims Manager will oversee all insurance losses that potentially affect The Companies’ assets & assist with mitigating those exposures that can produce financial loss and minimize the effect on The Companies’ profits working directly with the VP of Risk Management in the undermentioned responsibilities.

    Essential duties and responsibilities:

    • Manage The Companies’ insurable losses including timely reporting of all occurrences that can lead to claim(s), possess ability to interpret complex coverage issues, assess risk transfer potential & develop info required to successfully address tender issues, maintain electronic loss files, monitoring all losses including reserves through a rigorous diary system, and reporting developments on losses to intercompany stakeholders;
    • Oversee all on site claims investigations by traveling to various constructions sites and properties, including, meeting with staff, remediation contractors, insurance adjusters, and reporting findings to intercompany stakeholders;
    • Manage various direct relationships with our claims handling service (TPA), carriers, defense counsels, brokers so as to be fluent with their systems, be able to request loss runs & report losses, and be able to hold periodic claim reviews & audits needed to effectuate file closings;
    • Prepare, create and run monthly and quarterly loss reports for all coverage lines from multiple sources for various intercompany stakeholders;
    • Review and audit outstanding claims, expedite claims processing when applicable (including review of loss runs), and track & control legal expenses to assure cost-effective resolution;
    • Coordinate with Human Resources & carriers on employee related claims, including return to work and where occasionally appropriate attend off-site trainings, company depositions, mediations, trials, as needed;
    • Maintain various Subcontractor/Consultants/Vendor insurance tracking logs for all projects & properties;
    • Proactively help mitigate future claims by assisting VP of Risk Management in vetting various trade, vendor, consultant insurance policies to ensure that any future claims can be properly tendered back to responsible downstream parties;
    • Assist VP of Risk Management in preparing all underwriting insurance renewal submissions & appropriately deal with any info considered personal and confidential;
    • Monitor & improve Risk Management department intranet site and assist in supervising Insurance & claim administrators, interns, etc; and
    • Perform other tasks as assigned.

    Qualifications


    Qualifications, Skills, and Abilities:

    • Minimum of 5 years of related work experience required, preferably in a construction and property management fields;
    • Superior time management & organizational skills required with proven track record of prioritizing and managing multiple responsibilities simultaneously under tight deadlines;
    • Excellent written & verbal communication skills and detail oriented with strong attention to following set procedures & protocols but remaining flexible to changes, if need be;
    • Superior customer service skills and active listening skills;
    • Self-starter and team player who can work independently & as part of a larger team; and
    • Ability to travel to various project sites and buildings within the 5 boroughs as needed.

     

    What else can you expect from The Douglaston Companies?

    • Health:We proudly offer a full suite of health benefits! Thats medical, dental, vision, FSA, HSA, and even pet insurance for your furry family, to name a few. We also provide Life Insurance employer paid (basic with option to purchase more), Enhanced Short-Term Disability and Long-Term Disability coverage!
    • Wealth:great pay, 401(k) plan with a very generous employer match and vesting schedule because your retirement is just as important to us as it is to you!
    • Development:virtual courses, tuition reimbursement, lunch and learns and wellness programs.
    • Balance:paid time off, 8 company holidays, hybrid work schedule with 4 days in the office and 1 remote (subject to your location and role). We offer a fun-fast paced culture thats a perfect mix of high performance.

     

     

    COVID-19 Vaccination Requirement

    In accordance with the NYC commissioner of healths recommendation, The Douglaston Companies strongly encourages COVID-19 vaccinations. Disclosing COVID-19 vaccination status at time of employment or anytime thereafter is voluntary and not required for employment purposes.

     

     

    Salary Range:

    $100,000-$150,000/ yr.

     

     

    Who we are:

    Douglaston Development, Levine Builders, and Clinton Management are a dynamic privately held group of companies with a unique owner-builder-manager advantage, known collectively as The Douglaston Companies.

     

    The Douglaston Companies started with the founding of Levine Builders in 1979 with just two people. Standing by our core values of integrity and ethics for the past four decades the firm has grown to 200 employees. By providing general contracting and construction management services, Levine Builders has built, renovated, and rehabilitated thousands of residential units and millions of square feet of commercial, hotel, office buildings, retail centers, religious, educational, and healthcare facilities.

     

    With the later establishment of Douglaston Development as the driving engine of the organization, the two companies worked in unison to leverage each others expertise to develop and build most complex projects while also growing and thriving in challenging markets.

     

    In 2002, Clinton Management was founded to manage the expanding portfolio of developments created by Douglaston Development and constructed by Levine Builders. Clinton Management oversees a broad portfolio of moderate-income housing, luxury apartments, commercial, and retail properties.

     

    Each affiliate company works together to cohesively acquire property, develop it to its full potential, and manage it efficiently, assuring that each investment achieves and maintains maximum value and profitability while strengthening the community in which the assets are located.

     

    The Douglaston Companies is proud to be an Equal Opportunity Employer. We do not discriminate based upon race, religion, color, gender, gender identity or expression, sexual orientation, genetic information, national origin, ancestry, medical condition, disability, marital status, caregiver status, pregnancy, citizenship, age, military or veteran status, or other applicable legally protected characteristics.

  • 1 Month Ago

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Technical Support - Bilingual in Chinese
  • Universal Processing
  • Flushing, NY FULL_TIME
  • Are you ready to go uP? We are named in Top Workplaces NYC for 2024We are one of the winners of USPAACC’s Fast 100 Asian American Business awardsWe are recognized as one of the Top 5000 in Inc. Magazi...
  • Just Posted

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UI Design Intern - Bilingual in Chinese (Unpaid)
  • Universal Processing
  • Flushing, NY INTERN
  • Are you ready to go uP? We are named in Top Workplaces NYC for 2024We are one of the winners of USPAACC’s Fast 100 Asian American Business awardsWe are recognized as one of the Top 5000 in Inc. Magazi...
  • Just Posted

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Software Engineer - Bilingual in Chinese
  • Universal Processing
  • Flushing, NY FULL_TIME
  • *We are recognized as one of the top 5000 on Inc. Magazine’s Annual List of America’s Fastest-Growing Private Companies and one of the winners of USPAACC's "Fast 100 Asian AmericanBusiness Awards". *S...
  • 7 Days Ago

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Claims Analyst
  • MARTIN DE PORRES YOUTH & FAMILY SERVICES, Inc.
  • Springfield, NY FULL_TIME
  • DescriptionEmployee’s Name: TBD Job Title: CFTSS and HCBS Claims AnalystSupervisor: Director of CFTSS and HCBS Start Date: TBDDepartment: CFTSS and HCBS FLSA Status: Full Time – Exempt================...
  • 6 Days Ago

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Insurance Claims Reconstruction Coordinator
  • Paul Davis Restoration of Metro New York / New...
  • Bellerose, NY FULL_TIME
  • Paul Davis is looking for a Insurance Claims Reconstruction Coordinator. At Paul Davis, we help homeowners put their lives together after a traumatic event. If you like helping others and would enjoy ...
  • 22 Days Ago

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0 Claims Processing Manager jobs found in Queens Village, NY area

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Head of Program Management & Center of Excellence, Finance & Strategy
  • Stripe
  • New York, NY
  • Who we are About Stripe Stripe is a financial infrastructure platform for businesses. Millions of companies - from the w...
  • 4/25/2024 12:00:00 AM

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Process Management Analyst
  • Mindlance
  • Englewood Cliffs, NJ
  • Job Title: Artwork Process Management Specialist Location: Englewood Cliffs, NJ | Hybrid Duration: 06 months with possib...
  • 4/24/2024 12:00:00 AM

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Project Coordinator
  • Northwell Health
  • New Hyde Park, NY
  • Job Description Job Description Assists the Project Manager in all phases of a project; Initiation, Planning, Executing ...
  • 4/24/2024 12:00:00 AM

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Process Management Analyst
  • Mindlance
  • Englewood Cliffs, NJ
  • Job Title: Artwork Process Management Specialist Location: Englewood Cliffs, NJ | Hybrid Duration: 06 months with possib...
  • 4/22/2024 12:00:00 AM

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Compensation Lead
  • Tandym Group
  • New York, NY
  • Our client is a Global Commercial Real Estate firm looking to add a Compensation Lead to their team. This individual wil...
  • 4/22/2024 12:00:00 AM

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Operations Manager- Kiewit Power Delivery
  • Kiewit Infrastructure Co.
  • New York, NY
  • ** Operations Manager- Kiewit Power Delivery** Location: Woodcliff Lake, NJ, US **Requisition ID: **132359**** **Job Lev...
  • 4/22/2024 12:00:00 AM

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Operational Process, Manager
  • Veterinary Emergency Group
  • White Plains, NY
  • WHO WE ARE Veterinary Emergency Group (VEG) is a rapidly growing, venture-backed veterinary emergency company with hospi...
  • 4/21/2024 12:00:00 AM

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Infrastructure Process Manager/ Data Analyst
  • Bloomberg
  • New York, NY
  • Infrastructure Process Manager/ Data Analyst **New York, NY** Posted Apr 19, 2024 - Requisition No. 124722 **The Role:**...
  • 4/21/2024 12:00:00 AM

Queens Village is a mostly residential middle class neighborhood in the eastern part of the New York City borough of Queens. The Queens Village Post Office serves the ZIP codes of 11427 (Hollis Hills and Bellaire), 11428 (central Queens Village), and 11429 (Southern Queens Village south of the LIRR Main Line). The neighborhood is part of Queens Community Board 13. Shopping in the community is located along Braddock Avenue, Hillside Avenue, Hempstead Avenue, and Jamaica Avenue (NY 25), as well as on Springfield Boulevard. Located just east of Queens Village, in Nassau County, is the Belmont Par...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$110,179 to $142,303
Queens Village, New York area prices
were up 1.5% from a year ago

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The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
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Managers can review workflow queues and see what is in each processor’s queue.
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A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
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