Company Statement

For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.

Claims Examiner II

Bargaining Unit
190QM Requisition #
Thanks for your interest in the Claims Examiner II position. Unfortunately this position has been closed but you can search our 182 open jobs by clicking here.


  • High School Diploma or GED required.
  • Minimum 1-3 years claims processing background and/or minimum of 2-3 years relevant work experience preferably in medical claims billing environment.

  • Some college preferred.

  • Must be computer literate and have ability to enter data into computer system with speed and accuracy.

  • Demonstrate excellent analytical skills in a changing environment.

  • Must be able to demonstrate time management and strong organizational skills.

  • Internal candidates must be consistently meeting or exceeding production, quality and attendance standards.

  • Customer Focus, Dealing with Ambiguity, Problem Solving, Organizing, Functional/Technical Skills, Written Communications.

Test Subjects: 

  • Claims Simulation & Data Entry Assessments

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.

Sponsorship Statement

Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.

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