- Ryder System (Albany, NY)
- … are being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact ... Ryder s Liability program. + Assists Claims Manager in the identification of exposures and recommends solutions. + On-going interaction with field and operations… more
- Molina Healthcare (Rochester, NY)
- …Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility from ... processed in accordance with local Health Plan requirements * Works with Claims , Configuration, Contracting, Provider Data Management, and other business partners to… more
- Zurich NA (Albany, NY)
- Claims Team Manager , Workers Comp 126104...not near a Zurich office. Enjoy the benefits of remote work while maintaining the option to collaborate in-person ... in-office attendance should be expected. Zurich is seeking an experienced Workers' Compensation Claims Team Manager with specialized expertise in the New York… more
- Guardian Life (Albany, NY)
- As the ** Claims Case Manager I** , **Supplemental Insurance,** you will be responsible for Accident and Hospital Indemnity claim decision making according to the ... and decisions via telephone and in writing + Prioritize and review new claims to adhere to established departmental turnaround times + Meet productivity requirements… more
- Zurich NA (Albany, NY)
- Marine Claims Specialist II 126114 Zurich North America is...preferred) to join our team! We are open to remote work for the right candidate located within the ... hiring a Marine Claims Senior Claims Specialist Role (With Hull...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #3827 Occupational Category Legal Salary Grade 28 Bargaining ... Duties Description Job Duties: Under the direction of the Senior Workers' Compensation Claims Referee, the duties of the Workers' Compensation Claims Referee… more
- Molina Healthcare (Syracuse, NY)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high volume… more
- Molina Healthcare (Yonkers, NY)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Molina Healthcare (NY)
- …organized and analytical thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to ... encouraged to apply. Further details to be discussed during our interview process. Remote with 10% travel to member's home or facility Work schedule Monday through… more
- Molina Healthcare (Buffalo, NY)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more