- Cognizant (Albany, NY)
- …and procedures. Provide support to claims and client for issues related to claims adjudication and adjustments. You will be a valued member of the Cognizant ... is required. **Travel:** None required **About the role:** As Claims Processor (with Facets), you will be responsible for...Facets), you will be responsible for timely and accurate adjudication of professional and hospital claims utilizing… more
- Sedgwick (Albany, NY)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
- Molina Healthcare (Yonkers, NY)
- …with suggested solutions. + Achieves individual performance goals as it relates to claims adjudication . + Assists with training needs of employees as needed. ... Description** **Job Summary** Responsible for work load assignment to the provider Claims adjudicators and senior provider claims adjudicators. Train and coach… more
- Sedgwick (Buffalo, NY)
- …for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge We are seeking a highly… more
- Independent Health (Buffalo, NY)
- …relates to production, accuracy, knowledge of policy and procedure and timeliness of claims adjudication . + Analyze, identify and research, as needed, edits ... a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental… more
- Northwell Health (New York, NY)
- …of insurance experience within a healthcare or managed care setting (preferred) + Claims adjudication experience + Knowledge of MLTC/ Medicaid/Medicaid benefit + ... **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/... CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The … more
- MetLife (Oriskany, NY)
- …Review claims submission for completeness and accuracy. Records data in the Claims system for adjudication and payment to the Beneficiary. May also be ... responsible for setting up new claims , processing incoming mail, and handling expired call-ups. Principal...to handle the original customer inquiry. 3. Use FEGLI claims system to access information required to handle customer… more
- Sedgwick (Albany, NY)
- … claims involving litigation and non-litigated exposures; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability Property Damage | Remote...| General Liability Property Damage | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to… more
- Sedgwick (Syracuse, NY)
- …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Jurisdiction | NY License required… more
- Sedgwick (Albany, NY)
- …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you looking… more