- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Kaleida Health (Buffalo, NY)
- ** Supervisor Claims PFS** **Location:** **Larkin Bldg @ Exchange Street** **Location of Job** **: US:NY:Buffalo** **Work Type** **: Full-Time** **Shift 1** **Job ... culture of equity and inclusion where diversity is valued and celebrated!_ **Position** Supervisor Claims PFS **Location** US:NY:Buffalo or Hybrid | Management |… more
- Sedgwick (Albany, NY)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (New York, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Ryder System (Albany, NY)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- City of New York (New York, NY)
- …Conduct unit/section meetings and/or trainings as needed. - Assign, evaluate, review and approve claims /establishment/recovery actions for accuracy referred to ... cases. It was enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims for the… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: $65,102.17 - $100,908.37 Salary Range: $28.99 - $46.39 The Supervisor is responsible for the day to day staff oversight and daily billing ... unit is comprised of 25 ASA level staff. The Supervisor shall use independent judgment and discretion as it...daily basis Validate timely follow up on all outstanding claims Validate timely submission of all payor appeals for… more
- City of New York (New York, NY)
- …DSS complies with all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the office of Revenue. ... of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also assess the income and resources...Associate Fraud Investigator II to function as a Group Supervisor , who will: - Oversee two investigative units engaged… more
- Independent Health (Buffalo, NY)
- …culture that fosters growth, innovation and collaboration. **Overview** The Supervisor -Operations will be accountable for the performance, quality, satisfaction and ... and mentoring and managing employee issues for assigned team members. The Supervisor will work closely with the Manager-Operations in providing their team with… more
- City of New York (New York, NY)
- …processing of premium payments to avoid insurance policy cancellation, interview, review , and process reimbursement claims for related Medicaid reimbursement ... Reimbursement Unit is responsible for the authorization of Medicaid reimbursement claims of consumers receiving public health insurance which include reimbursable… more