- Cognizant (Albany, NY)
- …coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/ quality assurance procedures + Must be able to work ... business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**... Processors to join our growing team. The **Medical** ** Claims Processor** is responsible for the timely and accurate… more
- General Dynamics Information Technology (Menands, NY)
- …Required:** None **Job Family:** Professional Engineering **Skills:** Healthcare Claims , Quality Assurance (QA),Structured Query Language (SQL) **Experience:** ... 2 + years of related experience **Job Description:** Quality Analyst (Regression Tester) Transform technology into opportunity as...TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience… more
- Sedgwick (Albany, NY)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, Liability **PRIMARY PURPOSE** : To supervise...contract requirements, and quality standards. + Acts as second level of appeal… more
- Sedgwick (Albany, NY)
- …reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To...contract requirements and quality standards. + Reviews… more
- Sedgwick (Buffalo, NY)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge We are...contract requirements, and quality standards. + Acts as second level of appeal… more
- Cognizant (Albany, NY)
- …of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. + Excellent ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
- Cognizant (Albany, NY)
- …1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. * Must be able ... claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate… more
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file quality and timely… more
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Travelers Insurance Company (Melville, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life ... claim results of others. + Apply the Company's claim quality management protocols, and metrics to all claims... quality management protocols, and metrics to all claims ; document the rationale for any departure from applicable… more