- City of New York (New York, NY)
- …the Senior Executive Director will also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how to process VA claims ... DVS health screeners are connected to mental health resources. Process VA Claims , Provide Veteran Benefits Counseling: Possess high-level knowledge of processing … more
- Raphael and Associates (New York, NY)
- …Adjuster to apply their knowledge of negligence theories while investigating Liability claims . This position provides an opportunity for the right candidate to ... : + End to end management of liability field claims according to client guidelines and state requirements. +...of your interactions and enter them in our internal claims handling software. + Recognition of risk transfer potential.… more
- CVS Health (Albany, NY)
- …and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all ... etc. **Preferred Qualifications** + Experience overseeing or defending product liability claims and litigation. + Familiarity or experience with insurance and… more
- NBC Universal (New York, NY)
- …matters, including general commercial disputes, media litigation (including defamation claims and journalist privilege issues), employment litigation, privacy ... claims , consumer protection claims , intellectual property claims (both affirmative and defensive), insured matters, internal investigations, regulatory… more
- Trinity Health (Albany, NY)
- …required but a plus. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical ... all billed services are submitted to insurances as "Clean Claims " + Works within the working queue to review...working queue to review all charges and submit to claims scrubber + Work all claims scrubber… more
- Oak Orchard Health (Brockport, NY)
- …the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through ... the third-party billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working closely… more
- Sedgwick (New York, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Molina Healthcare (Rochester, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect ...claims life cycle and all processes that affect claims payment + Develops and maintain standards and best… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and communication with Insured, Insured's family, care providers, and adjudication of the claims . All work is directed under the terms and conditions of the various ... of services as is deemed necessary. + Evaluates submitted claims to determine if services billed and provided are...file and claim payment to encourage timely submission of claims . Responsible for ensuring that all claims … more
- Family and Children's Association (Mineola, NY)
- …The Contract Specialist is responsible for the preparation and submission of claims for funding from various funding sources supporting the operations of Family ... that allowable funding is maximized. Responsibilities + Prepare assigned contract claims and supporting documentation needed to meet the requirements of funding… more