- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...Performing related assignments and special projects as required. CLAIM SPECIALIST - 30726 Qualifications 1. A baccalaureate degree from… more
- Zurich NA (New York, NY)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... and interpersonal skills. + Previous experience with DG system claims processing. **Education** + Associate 's degree or...with DG system claims processing. **Education** + Associate 's degree or equivalent experience (high school diploma or… more
- Molina Healthcare (Albany, NY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- Allied Universal (Buffalo, NY)
- …Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property Casualty Underwriter (CPCU) ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....the following: + Bachelor's degree in Criminal Justice + Associate 's degree in Criminal Justice with a minimum of… more
- City of New York (New York, NY)
- …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... as externally to the HRA. Interview/select candidates for Clerical, Eligibility Specialist and Principle Administrative Associate civil service hiring pools.… more
- Molina Healthcare (Buffalo, NY)
- …to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues ... **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a managed… more
- Molina Healthcare (Albany, NY)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more