- Sedgwick (Rochester, NY)
- …payment timelines, and compliance with statutory requirements. + **Negotiate** settlements of claims within designated authority to reach claim resolution. + ... and timely manner. + **Maintain** accurate and comprehensive records in the claims management system , documenting all actions, decisions, and correspondence… 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
- Axis (New York, NY)
- …the Team AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America Claim Team. This role involves managing primary and ... excess claims for various AXIS policy forms. How does this...Management and Vendor Management teams. Maintaining accurate records of claim activities and updating systems with relevant… more
- DXC Technology (New York, NY)
- …DXC Technology (NYSE: DXC) helps global companies run their mission-critical systems and operations while modernizing IT, optimizing data architectures, and ensuring ... 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… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …including basic analysis of identified trends. + Analyzes audit results to recommend system or procedural changes to increase claim accuracy and/or identify ... 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)
- …issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems . ... and investigation/research experience. Outcome focused and knowledge of multiple systems . 1+ years of claims research and/or...knowledge of multiple systems . 1+ years of claims research and/or issue resolution or analysis of reimbursement… more
- Axis (New York, NY)
- …particularly within claims operations. + 5+ years of experience with Claims Admin systems , preferably Duck Creek or similar platforms. + Proficiency ... available upon request for candidates taking part in the selection process. ** Claims Business Analyst** **How does this role contribute to our collective success?**… more
- AIG (New York, NY)
- Join us as a Complex Claims Director- Cyber, Media, & Technology to grow your experience in Claims . Make your mark in Claims Our Claims teams are the ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …offices, clinics, social day cares, home care agencies, DME suppliers) regarding claim decision and payments across all Centers Plan for Healthy Living (CPHL) ... product offerings. + Thoroughly and efficiently gather claim information, assess and fulfill the caller's needs and...on the first call; navigate through the appropriate computer system (s) to identify the current status of the issue.… more
- Justworks (New York, NY)
- Unemployment Claims Associate New York, New York Apply Who We Are At Justworks, you'll enjoy a welcoming and casual environment, great benefits, wellness program ... to prioritize effectively in a fast-paced setting. Learning new systems and tools comes naturally to you, and you're...comfortable using technology to streamline your work. As a Claims Associate on the Unemployment Operations team, you'll play… more