- CVS Health (Albany, NY)
- …every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity ... use multiple systems and screens to obtain and record claim information - Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Travelers Insurance Company (Albany, NY)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- Molina Healthcare (Rochester, NY)
- …7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Axis (New York, NY)
- …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)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty 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
- Molina Healthcare (Yonkers, NY)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing ... overpayment notification and supporting documentation such as explanation of benefits , claims and attachments. + Maintains and...claims as a refund or auto debit in claim systems and in recovery application meeting expected production… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... claims in accordance with plan provisions. + Examine claim submissions and documentation to confirm coverage and assess...and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you have experience… more
- Axis (New York, NY)
- …AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America Claim Team. This role involves managing primary and excess ... claims for various AXIS policy forms. How does this...Management and Vendor Management teams. Maintaining accurate records of claim activities and updating systems with relevant information in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to Level I qualifications) * One (1) year of experience in a Level I Claims Specialist role. * Adept at multi-tasking to efficiently resolve moderately complex ... indexes all incoming and outgoing correspondences from the LTC Benefits Department using the digital record retention system; and...Two (2) years of experience in a Level II Claims Specialist role. * Ability to multi-task… more
- Axis (New York, NY)
- …Role?** + Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North America Claim team. + Managing a diverse range of ... insurance and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is… more
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