- 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
- Cognizant (Albany, NY)
- + **Healthcare Accounts Receivables Follow Up - Claim Denials (remote)** + Cognizant is one of the world's leading professional services companies, we help our ... successful candidate performs advanced level work related to resolution of physician claim denials. This position will be responsible for root cause analysis… 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
- 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
- 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
- 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
- Sedgwick (Albany, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- Sedgwick (Albany, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more