- New York State Civil Service (Menands, NY)
- …with general or claim -specific information as applicable. Responding to claim -specific questions may require reviewing and processing claims , performing ... searches using information provided by claimants; identifying and linking additional claim properties; determining and requesting in writing required proof and… more
- AON (New York, NY)
- …and capabilities to be able to leverage carriers effectively. + Engage the Aon FSG claims and legal advocacy group for claim administration and counsel as per ... to leverage carriers effectively. + Engage the Aon FSG claims and legal advocacy group for claim administration and counsel as per established protocols and as… more
- Momentive Performance Materials Inc. (Niskayuna, NY)
- …focus on execution. + Receive, enter, and manage customer non-conformance claims , ensuring accurate complaint entry, coding, coordinator assignment, and clear ... and Quality teams. + Proactively keep clients informed about claim status and take appropriate actions to enhance service...and features. + Analyze SAP data to monitor open claims and determine necessary follow-up actions. + Build and… more
- Travelers Insurance Company (Queens, NY)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more
- Alaant (Latham, NY)
- … + Process outgoing mail, adhering to office polices regarding distribution + Enter claims into claim system and ensure it is within compliance with state ... administrative tasks within specified timeframes, including letters, forms, notices and claim records **Requirements for theOffice Assistant:** + HS Diploma with 1-2… more
- CVS Health (Albany, NY)
- …as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to ... any benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees and the… more
- CVS Health (Albany, NY)
- …a highly skilled and experienced Senior Product Owner to join our Commercial Claim Adjudication engineering team. As a Senior Product Owner, you will contribute to ... by: + Leading the development and enhancement of Commercial Claim products or services. + Conducting market research. +...market trends to help drive the success of Commercial Claim products and ensure they meet customer needs and… more
- City of New York (New York, NY)
- …Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when ... in the best interest of the city, settles pre-litigation claims for and against the City of New York....and against the City of New York. In resolving claims before litigation is commenced, BLA protects the fiscal… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more
- City of New York (New York, NY)
- …The role is responsible for overseeing staff responsible for the reconciling of claims payments within the City's self-funded health plan effective January 1, 2026. ... obligations, regulatory requirements, and internal policies related to health claims and monthly admin fee payments. o Oversee the... reports and the monthly reports which detail the claim associated fees. o Coordinate with the external auditor… more