- Sedgwick (New York, NY)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... and specific client service requirements. **ESSENTIAL RESPONSIBILITIES** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Albany, NY)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- New York State Civil Service (New York, NY)
- …Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90 Lost...with case analysis over the anticipated life of the claim ; recommend cases for appeal to WCB; negotiate and/or… more
- Sedgwick (Syracuse, NY)
- …accuracy, and files necessary documentation with state agency. + Communicates claim action/ processing with claimant, client and appropriate medical contact. ... + Ensures claim files are properly documented and claims coding is correct. + May process routine payments and prescriptions and status reports for lifetime… more
- Sedgwick (Rochester, NY)
- …regulations and processes. This position is responsible for managing and processing workers' compensation claims , ensuring timely and accurate decisions ... payment timelines, and compliance with statutory requirements. + **Negotiate** settlements of claims within designated authority to reach claim resolution. +… more
- New York State Civil Service (Albany, NY)
- …Cost Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on ... of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC...project documents and contractor records to determine if the claim has merit and the value of the … more
- Port Authority of New York and New Jersey (New York, NY)
- …the Workers' Compensation Principal Program Coordinator, oversee Third-party Administrator (TPA) claim adjusters in accordance with best practices on all major ... phases of claim handling including coverage, investigation, compensability, medical management, disability...on valuation of the exposure and strategy to resolve claims . Oversee the accident reporting process to ensure that… more
- DXC Technology (New York, NY)
- …experiences. We are seeking a **detail-oriented and customer-focused Annuity Analyst - Death Claims ** to support one of our key financial services accounts. In this ... role, you will process annuity death claims with accuracy, empathy, and efficiency. You'll work closely...beneficiaries, and internal teams to resolve questions or provide claim status updates. + Ensure timely execution of transactions,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …equivalent healthcare experience Preferred: Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred: ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Molina Healthcare (Rochester, NY)
- …is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Responds to incoming calls from providers ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
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