- Sedgwick (Albany, NY)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Albany, NY)
- …level of expertise. This role will be responsible for analyzing and processing **complex commercial trucking transportation claims ** by reviewing coverage, ... of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex commercial trucking claims , including bodily injury, and ensures claim files are… more
- Sedgwick (Syracuse, 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
- Molina Healthcare (Buffalo, NY)
- …member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * ... Job Summary Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim … more
- Sedgwick (Syracuse, 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
- CDPHP (Latham, NY)
- …preferred. Strong PC skills and Microsoft Windows and working knowledge with on-line claims processing and procedural review highly preferred. + Experience with ... + Demonstrated ability to determine, analyze and solve problems related to benefits, claims appeals, claims pricing/ processing by utilizing all applicable… more
- Axis (New York, NY)
- …to resolve complex or contentious claims . Leading initiatives to enhance claims processing efficiency and accuracy within the team. Providing expert opinions ... is hiring a Claims Specialist, Health Care Claims , for its North America Claim Team....and directing the development of training materials relevant to claims processing . Show a commitment to continuous… 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
- Molina Healthcare (NY)
- …role is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Assists in the reviews of state or ... **Job Summary** Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim … 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