- Highmark Health (Albany, NY)
- …Agent Plan personnel to ensure the resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, ... Agent Plan personnel to ensure the resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues,… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …to existing clients into the PBM adjudication platform. Works closely with the Benefit Operations Supervisor in ensuring the team's goals are met. Translates client ... benefit needs into the PBM platform and all associated...Perform day-to-day operations supporting ProAct's adjudication platform and the Benefit Operations Supervisor. The position will act as a… more
- Prestige Employee Administrators (Melville, NY)
- …the overall scope of the client. They will be the primary lead for benefit management and growth for the Client; Work Site Employees; Brokers & Insurance vendors. ... for retention and growth opportunities + Lead team of Benefits Specialist in day-to-day management + Conduct presentations and...and meet with employees to discuss the array of benefit choices available. + Manage the renewal process +… more
- CVS Health (Albany, NY)
- …Qualifications** + Knowledge and experience with medical, dental, and vision benefits . + Familiarity with benefit terminology. + General understanding ... and amending or restating medical, dental, and vision plan documents, including Summaries of Benefits and Coverage (SBCs). You will be assigned to one of two teams:… more
- CVS Health (Albany, NY)
- …with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in ... daily to junior staff. + Trains and mentors claim benefit specialists. + Makes outbound calls to obtain required...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Centene Corporation (Getzville, NY)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Field Based Community ... - Spanish, Arabic or any other language** **Position Purpose:** The Health Benefit Representative (HBR) sells Fidelis Care products and services by first identifying… more
- Kelly Services (Buffalo, NY)
- …opportunity. Join the Kelly(R) Professional & Industrial team as a **Bilingual** ** Benefits Customer Service Representative** at a premier client near Buffalo, NY. ... your career be the best it can be. **Title:** Bilingual Benefits Customer Service Representative-Virtual/Remote **Location:** Buffalo, NY- **_Must reside within 2… more
- CVS Health (Albany, NY)
- …and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity to enhance and improve member satisfaction ... a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix… more
- CVS Health (Albany, NY)
- …Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for claim or ... a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix… more
- CVS Health (Amherst, NY)
- …a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix ... of pay and benefits - investing in the physical, emotional and financial...weight management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences… more