- Sedgwick (Albany, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to mid-level ... auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...+ Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims ... cost control standards. **KNOWLEDGE/SKILLS/ABILITIES** + Evaluates the adjudication of claims using standard principles and state specific policies and regulations… more
- Northwell Health (New York, NY)
- **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The ... conditions + Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Attends JOC meetings with providers as appropriate to assist… more
- New York State Civil Service (Islandia, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #3826 Occupational Category Legal Salary Grade 28 Bargaining ... Description Under the direction of the Senior Workers' Compensation Claims Referee, the duties of the Workers' Compensation ...Claims Referee, the duties of the Workers' Compensation Claims Referee will include, but are not limited to,… more
- Molina Healthcare (Albany, NY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and...fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions… more
- Axis (New York, NY)
- …Agile methodologies and Scrum Master responsibilities to support strategic initiatives within our Claims function. This role is ideal for a professional who can flex ... enhance operational efficiency, customer experience, and digital capabilities across our global Claims organization. **What will you do in this role?** + Lead the… more
- DePaul (Rochester, NY)
- Overview DePaul is looking for an Insurance and Claims Manager to manage the organization's insurance procurement and claims program. This includes managing the ... reporting, processing, and adjustment of claims relating to our All-Risk Property and Business Interruption, Builder's Risk, General and Professional Liability,… more
- MTA (Brooklyn, NY)
- Claims Examiner Series - Law Job ID: 12387 Business Unit: MABSTOA Location: Brooklyn, NY, United States Regular/Temporary: Regular Department: Torts Date Posted: Aug ... of investigation, assessment, and resolution of personal injury and/or property damage claims . The incumbent must manage a high-volume caseload and timely and… more
- Molina Healthcare (Rochester, NY)
- …Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility from ... processed in accordance with local Health Plan requirements * Works with Claims , Configuration, Contracting, Provider Data Management, and other business partners to… more
- City of New York (New York, NY)
- …vehicles at the DCAS Office of Real Time Tracking (FORT). Within NYC Fleet Claims Unit is responsible for the administration of affirmative vehicular claims for ... include, but are not limited to: - Subrogation of claims including filing new claims , preparation of subrogation packets and interaction with insurance companies… more