- New York State Civil Service (White Plains, NY)
- NY HELP Yes Agency Insurance Fund, State Title Claims Service Representative 1/Trainee 1/2 Occupational Category Other Professional Careers Salary Grade NS ... 10601 Duties Description Under the general supervision of a Claims Services Representative 2, the incumbent will...Representative Trainee 1: * Reachable on current Civil Service eligible list for this title; OR* One year… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for ... further resolution of the callers issue while adhering to CPHLs policies. + Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends + Prepares correspondence, maintains phone and contact logs, and documents… more
- New York State Civil Service (White Plains, NY)
- …1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, Claims Service Representative 1, Claims Services ... to:* Analyze and evaluate applications for workers' compensation insurance policies* Service policies and resolve underwriting issues that are potentially difficult,… more
- Sedgwick (Albany, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Comp (CA experience preferred) **PRIMARY PURPOSE** ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Zurich NA (Albany, NY)
- Claims Call Centre Representative 125071 Zurich is...in August 2025. If you are passionate about customer service and want to help people, we want to talk ... complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex...on to or involve others to provide an effective service and clear advice to colleagues and customers. +… more
- Independent Health (Buffalo, NY)
- …benefit designs, and claim payments working in conjunction with the Customer Service Representative . **Qualifications** + High school diploma required; medical ... certificate and/or college degree preferred. + Six (6) months of medical claims processing/medical billing experience, customer service experience preferably in… more
- CRST (Amherst, NY)
- …analysis, and processing of-and reporting on-insurance and self-insurance programs and claims . Risk management personnel manage the company's risk by analyzing and ... purchasing risk transfer products; assessing, investigating, and settling claims to limit. ultimate liability; monitoring and assisting the work of outside legal… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative , Bilingual, assists members, physicians, hospitals, revenue agencies and other healthcare providers with ... member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives must be able to work in various shifts… more
- CDPHP (Albany, NY)
- …values and invites you to be a part of that experience. The Document Service Representative shall assume full responsibility for the completion of the necessary ... mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with...queue for handling by each business area. The Document Service Representative will work closely with Member… more
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