- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or ... specialty claims , submitted via paper. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer… more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding ... Configuration and Membership and Billing to resolve provider inquiries as defined within Claims Operations procedures. The Claims Representative is required… more
- Sedgwick (Rochester, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are ... distance to Syracuse, NY** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate and… more
- Humana (Albany, NY)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages...(Spanish / English) (see Language Proficiency Testing below)** + ** 1 or more years of Call Center or Telephonic… more
- New York State Civil Service (Hicksville, NY)
- NY HELP Yes Agency Labor, Department of Title Labor Services Representative /Trainee 1 /2 (Spanish Language) - Hicksville (NY HELPS) Occupational Category Other ... NY HELPS minimum qualifications.NY HELPS Non-Competitive Minimum Qualifications:Labor Services Representative Trainee 1 (Spanish Language):Four years of… more
- Travelers Insurance Company (Albany, NY)
- …us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and ... incentive awards. **Salary Range** $52,600.00 - $86,800.00 **Target Openings** 1 **What Is the Opportunity?** Be the Hero in...guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating… more
- City of New York (New York, NY)
- …statutory, regulatory, and contractual standards. The Division of Financial Review and Processing (DFRP) is responsible for the initiation of adverse actions on cash ... of the Bureau of Fraud Investigation, Liens and Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their...seven Eligibility Specialist level IIIs to function as Group Processing Workers, who will: - Confirm accuracy of data… more
- Molina Healthcare (Yonkers, NY)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...call center member relations. Required Qualifications * At least 1 year related experience, including call center or customer… more
- New York State Civil Service (Albany, NY)
- …to the Claimant Services Unit and be responsible for reviewing and processing claims , performing database searches using information provided by claimants; ... Yes Agency State Comptroller, Office of the Title Office Assistant 1 , SG-06(NYHELPS) Item# 06018(Multiple) Occupational Category Clerical, Secretarial, Office Aide… more
- Ryder System (Albany, NY)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more