- Highmark Health (Albany, NY)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... ** Company :** Highmark Inc. **Job Description :** **JOB...and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES**… more
- Robert Half Legal (New York, NY)
- Description We are seeking a Claims Technical Specialist to oversee the examination, evaluation, and processing of complex claims estimates and paid claims ... policy terms and conditions in alignment with the client's Claims Philosophy. This role supports the claims ...settlement, and fair resolution of disputes in line with company guidelines. The selected candidate will manage the complete… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and ... case for clinical staff. + Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to provide support to… more
- Raphael and Associates (New York, NY)
- …30+ lbs.) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally ... Adjuster to apply their knowledge of negligence theories while investigating Liability claims . This position provides an opportunity for the right candidate to… more
- Sedgwick (Albany, NY)
- …**:** To supervise the activities of the adjuster department; to assign caseload of claims to adjusters and to ensure customer satisfaction of claims services ... + Develops standards, programs, processes, and initiatives to assure quality claim files and results. + Resolves complaints and problems which have… more
- MTA (Brooklyn, NY)
- …workers' compensation claims to ensure rapid closure while maintaining the required claim information in the claims database to ensure information is up to ... (Case Management), is responsible for effective management of worker compensation claims for their assigned area of responsibility. This person supports the… 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
- GE Vernova (Schenectady, NY)
- …and other EPC claims + Research, pursue, negotiate and obtain insurance claim recoveries + Drive Supplier recovery working in conjunction with Sourcing + Ensure ... commercial expert in preventing and mitigating high dollar value claims and risks. In this role, you will: +...for this position is between $126,300.00 and $210,500.00. The Company pays a geographic differential of 110%, 120% or… more
- Sedgwick (Albany, NY)
- …& Insurance Adjuster Regional Marine **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. +… more
- Carrington (Albany, NY)
- …* Intermediate math skills needed to calculate Motions for Relief and Proof of Claim figures **Our Company :** Carrington Mortgage Services is part of The ... all applicable investor timelines and in accordance with the company 's policies and procedures, all US state and federal...Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of… more