- CVS Health (Albany, NY)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- MTA (Brooklyn, NY)
- …Completed Authority: TA/OA Department: Law Division/Unit: Torts Work Location: 130 Livingston Hours of Work: As required Compensation Claim Examiner: Min: ... and four years of full-time experience investigating and settling liability claims ; or Senior Claim Examiner One (1) year of permanent service in the title… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental ... claims against established criteria, and in accordance with specific...to respond to client, member, and/or provider inquiries on claim status, benefit designs, and claim payments… more
- CVS Health (Amherst, NY)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more
- Allied Universal (Buffalo, NY)
- …+ **Pay Rate: $22** **- $28** **/** **hr** Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- CRC Insurance Services, Inc. (NY)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with...computer and office skills 12. Ability to work extended hours when necessary **Preferred Qualifications:** 1. New York adjuster… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #4014, #4214 Occupational Category Legal Salary Grade 28 ... Jurisdictional Class Competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To...Duties: Under the direction of the Senior Workers' Compensation Claims Referee, the duties of the Workers' Compensation … more
- CVS Health (Albany, NY)
- …regarding urgent processing, pricing disputes, and escalated issues. + Manage pending claims , claim follow-ups, and complex claim research scenarios, ... all with heart, each and every day. **A Brief Overview** The ** Claims Research** **Consultant** handles escalated customer service inquiries and issues for clients… more
- Humana (Albany, NY)
- …backdrop, we are seeking an accomplished executive to join our team and lead our claims horizontal. The VP, Claims Process & Operations will play an essential ... To support Humana's customer growth, retention, and satisfaction, the Claims Operations team ensures Humana's 9+ million Medicare and...members receive the access to care they need and claim payments associated with their care are paid accurately… more
- Zurich NA (New York, NY)
- …match and an additional 401K contribution, flexible work options, work/life balance, summer hours and a great culture. The Claims Professional will handle ... Legal Claims Professional - Financial Lines 121916 Zurich is...and coverage denial letters + Notify Underwriters of significant claim developments, account performance, etc. + Draft case summary… more
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