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Claims Processing Jobs in New York (NOW HIRING)

Manager Claims Healthcare

Manhattan, NY · On-site

$118K - $132K/yr

The position will be responsible for developing strategies to optimize the claims audit/review process, overseeing the completion of claims audits/reviews of delegated vendors to ensure compliance ...

Manager Claims Healthcare

Manhattan, NY · On-site

$118K - $132K/yr

The position will be responsible for developing strategies to optimize the claims audit/review process, overseeing the completion of claims audits/reviews of delegated vendors to ensure compliance ...

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information entered in hospital claims module (QNXT); determine the process or work flow needed to resolve ...

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Job Title Responsibilities Review hospital claims and determine action needed to resolve pended claims Process and evaluate hospital claims manually or through claims work flow Validate information ...

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Job Title Responsibilities Review hospital claims and determine action needed to resolve pended claims Process and evaluate hospital claims manually or through claims work flow Validate information ...

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Job Title Responsibilities Review hospital claims and determine action needed to resolve pended claims Process and evaluate hospital claims manually or through claims work flow Validate information ...

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Job Title Responsibilities Review hospital claims and determine action needed to resolve pended claims Process and evaluate hospital claims manually or through claims work flow Validate information ...

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information entered in hospital claims module (QNXT); determine the process or work flow needed to resolve ...

Be Seen First

Long Term Temporary, Possible Temporary- to -Direct Hire Medical Billing/Claims Coordinator ... Triage balance billing/fee negotiation inquiries and ensure all documents are processed in a timely ...

Claims Assistant

Garden City, NY · On-site

$21 - $22.50/hr

This position is responsible for the accurate and timely entry, tracking, and processing of claims-related information while ensuring compliance with departmental procedures, quality standards, and ...

Showing results 41-60

Claims Processing information

See New York salary details

$13

$20

$28

How much do claims processing jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for claims processing in New York is $20.97, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $22.60 per hour, depending on experience, location, and employer.

What is the difference between Claims Processing vs Claims Adjuster?

AspectClaims ProcessingClaims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; often state licensing or certifications
Work EnvironmentOffice-based, administrative settingFieldwork and office-based, investigative environment
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusReviewing and processing claims for paymentInvestigating claims, determining liability and settlement

Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, communication skills, and the ability to handle complex or difficult cases, which can contribute to job stress. However, workload and stress levels vary depending on the employer and work environment.

What do claims processing specialists do?

Claims processing specialists review and evaluate insurance claims to determine coverage and payment amounts. They verify information, process claims using specialized software, and ensure compliance with policies and regulations. Strong attention to detail and knowledge of insurance procedures are essential for this role.

What are some common challenges faced by professionals in claims processing, and how can they be managed effectively?

Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.

How to get a job as a claims processing?

To get a job in claims processing, candidates typically need a high school diploma or equivalent, strong attention to detail, and good communication skills. Relevant experience in customer service or administrative roles can be beneficial, and familiarity with claims management software is often preferred. Certifications such as the Certified Claims Professional (CCP) can enhance prospects.

What are the key skills and qualifications needed to thrive as a claims processor?

To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.

What is claims processing?

Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.
What are the most commonly searched types of Claims Processing jobs in New York? The most popular types of Claims Processing jobs in New York are:
Infographic showing various Claims Processing job openings in New York as of August 2026, with employment types broken down into 80% Full Time, 15% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $43,612 per year, or $21 per hour.

Manager Claims Healthcare

Village Care

Manhattan, NY • On-site

$118K - $132K/yr

Full-time

Re-posted 25 days ago


Job description

Position: Manager of Claims DelegationLocation: Hybrid (Must Reside in NY/NJ/CT)Compensation:$118,135.58 - $132,902.53 Job Summary:The position will be responsible for developing strategies to optimize the claims audit/review process, overseeing the completion of claims audits/reviews of delegated vendors to ensure compliance with health plan and regulatory standards and internal policies, monitoring key performance indicators (KPIs) to ensure accurate and timely claims processing, and ensuring that third parties adhere to agreed-upon delegated authority contracts and performance standards.This position will lead a team of claims analysts and will work closely with the Network Management, Utilization Management, Business Intelligence, Member Services, Compliance and Finance departments.A little about usVillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Experience: This position requires a minimum of 5 + years' experience in claims analytics performing increasingly complex data analysis and report/dashboard development, in a healthcare setting, and at least 2 years' experience managing and training staff.Knowledge of medical terminology, ICD-10, CPT, HCPCS coding CMS guidelines and Encoder Pro are required.Must be able to work independently, with high level of productivity and advanced written and verbal communication skills.Excellent technical skills (MS Excel, SQL, Tableau, etc.) Education and certification: Bachelor's Degree
Job Posted by ApplicantPro