- Excellus BlueCross BlueShield (Rochester, NY)
- …to Level I qualifications) * One (1) year of experience in a Level I Claims Specialist role. * Adept at multi-tasking to efficiently resolve moderately complex ... Level II qualifications) * Two (2) years of experience in a Level II Claims Specialist role. * Ability to multi-task efficiently to resolve a wide variety of… more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- CRC Insurance Services, Inc. (NY)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential… more
- MetLife (Oriskany, NY)
- …meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... if additional information is needed to make a reasonable and logical claims determination based off the information available * Collaborates with both external… more
- MetLife (Oriskany, NY)
- …member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately investigates ... Preferred: . Associate Degree . 2 plus years of claims management experience preferably in Healthcare field . 5...Prior STD, state leave and/or Family Medical Leave Act claims knowledge preferred. * Strong communication skills, both written… more
- Healthfirst (NY)
- …experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, etc + Strong communication ... skills (both verbal and written) + Ability to work collaboratively, confidently and influentially various levels of staff and clients + Excellent organizational skills + Demonstrated ability to focus on the most tedious of details, while also being able to… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal ... of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with… more
- World Insurance Associates, LLC. (Cedarhurst, NY)
- …to work from one of our multiple offices throughout the region. Position Overview The Claims Specialist is responsible for managing claims filed with the ... insurance company, ensuring thorough investigation, and seeing claims through to closure. Primary Responsibilities + Initial contact with injured workers or insured… more
- Robert Half Legal (New York, NY)
- Description We are seeking a Claims Technical Specialist to oversee the examination, evaluation, and processing of complex claims estimates and paid ... experts, and consultants across a highly complex portfolio of matters. Claims Technical Specialist Location: New York, NY (On-site) Work Arrangement: Hybrid Pay… more