- CenterLight Health System (NY)
- JOB PURPOSE: The Claim Appeals and Audit Specialist will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by timely ... accurate processing of claims appeals and performing claims audit, ensuring payment integrity and compliance with all...to determine if system or procedural changes could enhance claim workflow and efficiency. + Analyze patient and medical… more
- Axis (New York, NY)
- …the posting and maintaining of accurate reserves * Identify opportunities for contribution, subrogation , and risk transfer to the claim * Maintains and develops ... selection process. 'Key Duties and Responsibilities: * Excels in best practices claim environment, thoroughly documenting the claim process * Conducts… more
- Sedgwick (Buffalo, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Environmental Claims Specialist **Job Description Summary** To analyze complex or ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- FlexStaff (Bronx, NY)
- **Req Number** 158358 FlexStaff is seeking a Temp to Perm Claims Specialist for our client, a non-profit healthcare organization providing home and ... community-based healthcare and services for the elderly. The Claims Specialist will support department operations related to provider communication, pended … more
- Axis (New York, NY)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Excess Claims_** to join our North America Claims ... of claim and to make recommendation regarding settlement/disposition of claims . The candidate's key duties and responsibilities include, but are not limited… more
- Actalent (Bronx, NY)
- NOW HIRING Claims Specialist The Claims Specialist will support department operations related to provider communication, pended claim review, ... to identify Coordination of Benefits (COB), Worker's Compensation, No-Fault, and Subrogation conditions. Skills & Qualifications: + Claims processing and… more
- FlexStaff (Bronx, NY)
- **Req Number** 154447 FlexStaff is seeking a Claims Specialist to support department operations related to provider communication, pending claim review, ... Hybrid Wednesday and Friday in the office. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA, including the application of contractual… more
- Travelers Insurance Company (New York, NY)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...external resources for specific activities required to effectively evaluate claims , such as Subrogation , Risk Control, nurse… more
- Travelers Insurance Company (Melville, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim...external resources for specific activities required to effectively evaluate claims , such as Subrogation , Risk Control, nurse… more
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...external resources for specific activities required to effectively evaluate claims , such as Subrogation , Risk Control, nurse… more
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