- MetLife (Oriskany, NY)
- …claims to identify claim situations requiring referral to Complex Case Manager Specialist or Claims Quality Specialist . . Maintain good rapport with ... . Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. . Work...reports, homicide investigations, etc.) . Coach new Case Manager Specialist on FEGLI Life procedures and workflow. . Interpret… 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 ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage… more
- City of New York (New York, NY)
- …process. - Maintains control over physical inventory of decedent remains, including medical examiner cases and claim only cases. - Supervises decedent case ... Job Description The Office of Chief Medical Examiner investigates cases of persons who die within...under the auspices of the Office of Chief Medical Examiner (OCME). Typical tasks include but are not limited… more
- City of New York (New York, NY)
- …through interactions with law enforcement, the criminal justice system, the medical examiner 's office, and others as necessary. This position will report directly to ... families to determine their needs. Help homicide survivors navigate the Medical Examiner 's Office, liaise with Bronx Homicide Detectives, and explain the Criminal… more
- CDM Smith (Albany, NY)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- New York State Civil Service (Endicott, NY)
- …only Case Manager in the NYS Segment.* Work-up and process Workers' Compensation claims .* Approve and deny medical bills.* Respond to claimant and provider inquiries ... via phone and email.* Routinely communicate with employers to obtain info about claims .* File forms and correspond with the Workers' Compensation Board.* Review … more