- City of New York (New York, NY)
- …on the claim submission and, issuing verification letters to claimants and medical providers; 2) Review and disallow claims for improper service or for ... are made; 5) Send delay or verification letter to medical providers as per the required rules prior to...to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims… more
- Axis (New York, NY)
- …taking part in the selection process. **Job Description** AXIS is seeking a **Senior Claims Specialist** to join our North America Claims team reporting to the ... Head of Property Program Claims . This position requires senior claims management...Third-Party Administrators to ensure reserve adequacy. + Handling oversight claim files involving complex and severe loss as defined… more
- Axis (New York, NY)
- …part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America Claims . ... The candidate should possess the ability to handle primary & excess claims arising from policies issued to AXIS Environmental insureds. This role will be responsible… more
- CVS Health (Albany, NY)
- …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Axis (New York, NY)
- …Team** AXIS is hiring a Senior Claims Specialist - Cyber, Media, and Crime Claims for its North America Claim Team. This role involves managing primary and ... excess claims for AXIS Global Markets Cyber policies. **How does...for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and… more
- Axis (New York, NY)
- …is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing primary claims for AXIS US Primary Casualty ... area to determine coverage, liability, and settlement value. Evaluating coverage and claim exposure, determining appropriate actions, and pursuing claims until… more
- Axis (New York, NY)
- …Documents coverage, investigation, damages, reserve rationale, negotiations, etc. associated with claim * Investigates potentially fraudulent claims and takes ... Hills, NJ and Alpharetta, GA. * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim… more
- Sedgwick (Albany, NY)
- …Coverage Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- MetLife (Oriskany, NY)
- …month for team days. Key Responsibilities: * Handle, review, and administer Family & Medical Leave Act standalone/ADA (as well as other leave) claims and adhere ... procedures and evaluate against appropriate leave plans and make initial claim decisions. * Complete eligibility decisions during intake call, gather pertinent… more
- Cognizant (Albany, NY)
- …High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the… more