- Healthfirst (NY)
- …experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, etc + Strong communication ... details, while also being able to solve issues that are larger and more complex + Ability to develop relationships and partner with external and internal business… more
- Allied Universal (Bronx, NY)
- …(4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with a minimum of six (6) ... experience conducting complex insurance investigations or adjusting complex claims + Ability to be properly...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 168166 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? ... FlexStaff is seeking a dynamic Claims Management Specialist for our client to...such as billing, coding, and patient services to resolve complex claim issues. - Implement and oversee training programs… more
- Axis (New York, NY)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America ... of his/her direct reports. + Close collaboration with the Specialty Complex Claims team with regard to coverage disputes, including litigation and arbitration… more
- Access: Supports For Living (Middletown, NY)
- …entities and follow up on any issues + Analyzing, identifying and resolving complex claims issues adversely impacting the revenue cycle management and billing ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Oct...throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation,… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of... I is responsible for multiple components of the complex billing and coding process for specialized procedures, including… more
- Travelers Insurance Company (New York, NY)
- …claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned cases ... for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the… more
- Travelers Insurance Company (Melville, NY)
- …Extensive claim and/or legal experience and technical expertise to evaluate severe and + complex claims preferred. + Able to make independent decisions on most ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (New York, NY)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates… more