- Molina Healthcare (NY)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... Standard Operating Procedures (SOPs). * Responds to provider correspondence related to claims recovery requests and provider remittances where recovery … more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Sr Claims & Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- City of New York (New York, NY)
- … Claims and Insurance Takeover procedures; - Follow stated timelines for handling all claims ; - Settle outcomes for the maximum recovery for the City on ... employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume… more
- MTA (New York, NY)
- Claims Specialist Job ID: 12936 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Office of Insurance ... Mgt Date Posted: Sep 4, 2025 Description JOB TITLE: Claims Specialist DEPT/DIV: Risk & Insurance Management...MTA and its subsidiaries and affiliates to ensure timely recovery of settlement funds from liable adverse carriers. +… more
- Whitsons Culinary Group (Islandia, NY)
- Workers Compensation Specialist Islandia, NY, USA Requisition Number 15632 Location Corporate Human Resources-00103 Job Description SUMMARY: The Workers Compensation ... Specialist is responsible for managing the end-to-end workers' compensation claims process, ensuring timely, accurate, and cost-effective resolution of all … more
- Travelers Insurance Company (Albany, NY)
- …efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle recovery efforts ... negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices....and/or engage and direct Company resources for recovery efforts. + Responsible for prompt and proper disposition… more
- CDM Smith (Buffalo, NY)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... gather information from applicants, and understands each applicants' projects and recovery priorities. * Supports the communication process with the applicant about… more
- GE Vernova (Schenectady, NY)
- …in the market **Job Description** + Implement risk mitigation strategies + Develop claims settlement agreements + Manage and drive Contract Change Order execution in ... with GE entitlement, including pursuing extension of time and other claims against Engineering, Procurement and Construction (EPC) Companies + Pursue, negotiate… more
- Molina Healthcare (Rochester, NY)
- …for oversight, production, and resolution of health plan payment integrity (PI) recovery concepts. Executes and monitors health plan scoreable action items (SAIs) to ... (CMS) and state regulatory requirements are met for pre-pay edits and overpayment recovery . Manages inventory and works in collaboration with PI team to ensure SAI… more
- CDM Smith (Woodbury, NY)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... estimate lost profits, continuing expenses, and extra costs incurred during the recovery period. * Investigating Fraudulent Claims : Detect red flags, investigate… more