- City of New York (New York, NY)
- …following: Investigate and assist in the preparation for trial of less serious claims for and against the City. Secures evidence by interviewing interested parties, ... or university and two years of full-time satisfactory experience investigating and/or settling claims for personal injury or property damage or loss; or 3. A… more
- CVS Health (Albany, NY)
- …Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act as ... customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- MTA (Brooklyn, NY)
- …outside counsel that handles a high volume of personal injury and property damage claims and lawsuits brought in state and federal courts against MTA agencies. The ... Responsibilities: + Handle high volume personal injury and/or property damage claims during all phases of litigation, including hearings, depositions, discovery,… more
- Humana (Albany, NY)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- City of New York (New York, NY)
- …obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure accuracy ... denials in a timely manner. - Prepare and batch claims out to third party payers for reimbursements. -...rejection reports. - Edit and make correction to rejected claims and re-batch to third party payers. - Monitor… more
- MetLife (Oriskany, NY)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... processes supported. Required: * 3+ years of experience managing ADA claims . * Experience managing absence claims for a variety of customers and leave programs *… more
- HUB International (New York, NY)
- …brokerage and client services (contract review and guidance, coordinating actuarial services, claims and loss prevention services as required. + Work with the ... the Producer, presenting a detailed renewal proposal. + Responsible for facilitating the claims process - working closely with internal claims resources. +… more
- CDM Smith (Albany, NY)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI… more