- Oracle (Albany, NY)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering ... for developing the Claim Denial Prevention and Appeals features of Oracle Health...comprehensive benefits package which includes the following: 1. Medical, dental , and vision insurance , including expert medical… more
- CRC Insurance Services, Inc. (NY)
- …correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to ensure claims are paid ... drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims...additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance , various types of...and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you have experience… more
- New York State Civil Service (Liverpool, NY)
- NY HELP Yes Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) ( Claims Medpay DBL-PHS) (NYHELPS) Occupational Category IT ... Code 13088 Duties Description As a member of NYSIF's Claims MedPay DBL-PHS team, incumbents of these positions will...of permanent, competitive class service as an Information Technology Specialist 2; OR * One year of permanent, competitive… more
- Allied Universal (Albany, NY)
- … Investigator. Claim Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 - NYHELPS Occupational Category Other Professional Careers Salary ... with case analysis over the anticipated life of the claim * Recommend cases for appeal to WCB* Negotiate...eligible titles include but are not limited to: Administrative Specialist Trainee 2, Claims Services Representative DB… more
- Sedgwick (Albany, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical ... of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from work, ... Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization… more
- New York State Civil Service (Albany, NY)
- …and dependents can choose from a variety of affordable and generous health insurance programs.* Family dental and vision benefits at no additional ... HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1...perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use… more
- Arc Allegany-Steuben (Bath, NY)
- …our team! We offer a generous benefits package to include options for medical, dental , vision, employer paid life insurance , 403 b with employer contribution, ... to be paid! Job Summary The Self Direction Billing Specialist is responsible for ensuring timely, accurate, and compliant...Management + Review, prepare, and submit Self Direction billing claims through eVero on a monthly basis. + Cross-check… more