- MetLife (Oriskany, NY)
- …provisions and manually adjudicate complex FEGLI Life claims to make claim determinations. . Provide UAT support for system enhancements. Typical ... and input information into a Power Builder computer claim system computer system ..... Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. . Work… more
- New York State Civil Service (Schenectady, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Workers' Compensation Examiner (NY HELPS), WCB Item #2361 Occupational Category No Preference Salary Grade 14 ... Zip Code 12305 Duties Description Under the direction of the Senior Workers Compensation Examiner , the Examiner : - Prepares and processes judgments for filing in… more
- Molina Healthcare (Albany, 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
- City of New York (New York, NY)
- …UI claims by obtaining the appropriate separation codes from Payroll Management System (PMS) - Enter all UI claims in the Unemployment Insurance Case ... System (UICTS) - Upload and attach all UI claims in UICTS - Identify all viable separation issues...Only those candidates under consideration will be contacted. SPECIAL EXAMINER (DCAS) - 06668 Qualifications 1. Education and/or experience… more
- Sedgwick (Albany, NY)
- … claim . + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker status ... is professionally documented and enters incident data into computer system . + Educates the assigned FCM on Sedgwick benchmarks...ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case… 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
- 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
- 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
- Highmark Health (Albany, NY)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC)… more