- MVP Health Care (Schenectady, NY)
- …the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess ... Commercial Claims Processing Associate, Claims Examiner...experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills… more
- Sedgwick (Buffalo, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictions | Remote We ... payment timelines, and compliance with statutory requirements. + Negotiate settlements of claims within designated authority to reach claim resolution. + Provide… more
- Molina Healthcare (NY)
- …is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it ... written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims processing… more
- New York State Civil Service (Albany, NY)
- …maintain the integrity of the tax credit mid-year advance and year-end claims . Specific duties and responsibilities include but are not limited to:General Division ... compliance and advisory, program improvement, and communication/collaboration; and assist with the claims review process and claims tracking. Audit Planning and… more
- Travelers Insurance Company (New York, 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
- Molina Healthcare (Albany, NY)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... + Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation following SIU… more
- City of New York (New York, NY)
- …support, and advocacy through interactions with law enforcement, the criminal justice system , the medical examiner 's office, and others as necessary. The ... Homicide Detectives. - Assist homicide survivors in navigating the medical Examiner 's office. - Provide immediate emotional support and offering concrete services… more
- City of New York (New York, NY)
- …support, and advocacy through interactions with law enforcement, the criminal justice system , the medical examiner 's office, and others as necessary. This ... families to determine their needs. Help homicide survivors navigate the Medical Examiner 's Office, liaise with Bronx Homicide Detectives, and explain the Criminal… more
- New York State Civil Service (Endicott, NY)
- …information is required.* Accurately process caseloads and work in designated systems , efficiently enough to maintain and meet required deadlines which prevent ... existing, or past payments being provided to check the coordination of claims , if applicable.* Provide any additional information required to assist various internal… more