- Sedgwick (New York, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictions | NY License Required Job Description Are ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...office will be required to work a hybrid schedule Remote for candidates with the right experience outside of… more
- Lincoln Financial (Albany, NY)
- …Omaha, NE (Nebraska); Phoenix, AZ (Arizona); Work from Home **Work Arrangement:** Remote : Work at home employee **Relocation assistance:** is not available for ... excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims ...Absence Claims Specialist to staff our ever-growing claims organization. As an Integrated Absence Claims … more
- New York State Civil Service (Islandia, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #3826 Occupational Category Legal Salary Grade 28 Bargaining ... Code 11749 Duties Description Under the direction of the Senior Workers' Compensation Claims Referee, the duties of the Workers' Compensation Claims Referee will… more
- Sedgwick (Albany, NY)
- …in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_** **PRIMARY PURPOSE** **:** Handles losses and ... claims valued up to $15,000 for property and casualty...processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues that affect ... reimbursement of claims and advising the management team of those trends...third-party payers to obtain payments, research, and resubmit rejected claims to primary payers, obtain and verify insurance information.… more
- Molina Healthcare (Syracuse, NY)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Two95 International Inc. (New York, NY)
- Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively...analyses * Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data quality checks * Partner… more
- Molina Healthcare (Buffalo, NY)
- …narratives, graphs, flowcharts, etc. for use in presentations and audits. Researches claims appeals and grievances using support systems to determine appeal and ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Molina Healthcare (Syracuse, NY)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Molina Healthcare (Rochester, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect ...claims life cycle and all processes that affect claims payment + Develops and maintain standards and best… more
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