- Axis (New York, NY)
- …taking part in the selection process. **Job Description** AXIS is seeking a **Senior Claims Specialist** to join our North America Claims team reporting to the ... Head of Property Program Claims . This position requires senior claims management...a property position, but multi-line experience is a plus. * Preferred candidates will be able to commute to an… more
- Cognizant (Albany, NY)
- **Healthcare Accounts Receivables - Claims Denials (remote)** Cognizant is one of the world's leading professional services companies, we help our clients modernize ... successful candidate performs advanced level work related to resolution of physician claim denials. This position will be responsible for root cause analysis… more
- CVS Health (Albany, NY)
- …Demonstrated ability to handle multiple assignments competently, accurately and efficiently. ** Preferred Qualifications** - 18+ months of medical claim ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Molina Healthcare (Rochester, NY)
- …to providers. **Job Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which ... work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… more
- MetLife (Oriskany, NY)
- …* Bachelor's degree * Knowledge of system applications and Disability claims knowledge/working knowledge of FMLA/Disability/Leave procedures preferred Business ... administer Family & Medical Leave Act standalone/ADA (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and… more
- Sedgwick (Albany, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...required. Professional certification as applicable to line of business preferred . **Experience** Six (6) years of claims … more
- Sedgwick (Albany, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim .... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … more
- Sedgwick (Albany, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim .... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … more
- Sedgwick (Albany, NY)
- …Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing Preferred Are you looking for an opportunity to join a global industry leader ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...+ Bachelor's degree from an accredited college or university preferred . + Professional certification as applicable to line of… more
- Independent Health (Buffalo, NY)
- …High school diploma required; medical office assistant certificate and/or college degree preferred . + Six (6) months of medical claims processing/medical billing ... a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental… more