- City of New York (New York, NY)
- …available sources to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical ... in a permanent (not provisional) Civil Service title of Claim Specialist. To be considered for this position, PLEASE...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- City of New York (New York, NY)
- …available sources to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims , utilize statistical ... in a permanent (not provisional) Civil Service title of Claim Specialist. To be considered for this position, PLEASE...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim ... records and damages documentation. + Keeps effective diary management system to ensure that all claims are...and control legal expenses Assures appropriate resolution. + Maintains claim files, have an effective diary system ,… more
- CVS Health (Albany, NY)
- … claim processing. Advises team members in resolving complex or escalated claims issues by providing guidance on claim handling procedures, policy ... team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate… more
- Amazon (New York, NY)
- …an experienced application analyst to help architect, configure, and manage our Origami system , for Amazon's Global Risk Management and Claims (GRMC) team. This ... automation to 25+ insurance and risk programs. As a system analyst, you will drive architectural, configuration, and design...and maintained by the Application Analyst cover the full claims lifecycle, encompassing processes such as claim … more
- City of New York (New York, NY)
- …million people in Upstate New York, and has a wastewater conveyance and treatment system capable of processing over 1.3 billion gallons of wastewater per day to ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... the country, with nearly 6,000 employees. DEP's water supply system is comprised of 19 reservoirs and 3 controlled...is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office.… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …and procedures. + Previous experience handling claim disputes. + Claim knowledge including professional, facility and ancillary claims . + Excellent ... The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider payment disputes by… more
- Mount Sinai Health System (New York, NY)
- …schedule that is assigned. + Prepares all downloads of billing files from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House ... preferred) + Edits unbilled/unprocessed accounts (billing) using PFS HIS Systems , Clearing House Claim Scrubber and/or any...Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims… more
- Independent Health (Buffalo, NY)
- …and Federal regulations. + Effectively utilize critical thinking skills to process claims . + Efficiently navigate through systems and applications to locate ... a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental… more
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