- Guardian Life (Pittsfield, MA)
- …create experiences for you to grow and enrich your career and future as a Disability Claims Specialist . We believe in your aspirations for purpose, ... will help build the core competencies you will need to be a successful Disability Claims Specialist . In your first year, we will provide extensive training… more
- Zurich NA (Albany, NY)
- Sr. Claims Specialist (Workers Compensation, NE Region) 129546 Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for or ... York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation… more
- Amentum (Albany, NY)
- …approximately 80 countries across all 7 continents. **Defense Base Act (DBA) Claims Specialist :** Responsible for reporting Foreign (DBA), and Maritime ... activities/projects as assigned including the preparation and distribution of computer reports. ** Claims Specialist Requirements:** + 3-5 years of experience as… more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- New York State Civil Service (Albany, NY)
- …Law. Examples of eligible titles include but are not limited to: Administrative Specialist Trainee 2, Claims Services Representative DB Trainee 2, Underwriter ... Service Law. Examples of eligible titles include but are not limited to: Administrative Specialist 1, Claims Services Representative 1 DB, Underwriter 1; OR* Six… more
- Sedgwick (Albany, NY)
- …claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for key disability claims on an ad hoc basis. + Performs other duties as ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical… more
- Cardinal Health (Albany, NY)
- …AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist II contributes to Cardinal Health_** Account Receivable Specialist II is ... responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid and… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Food Programs Evaluation Specialist 1, Food Programs Evaluation Specialist Trainee 1 (NY HELPS), Box ... Office of Education Policy is seeking candidates for two Food Programs Evaluation Specialist 1 positions in the Office of Child Nutrition. This Office is responsible… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS) (Multiple Positions), Box ... Department (NYSED) is seeking candidates for multiple Education Finance Specialist 1 positions in the Office of State Aid...projects;* Process revisions to school districts' prior year aid claims to ensure correct aid is paid and overpayments… more
- Zurich NA (Albany, NY)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist , you will manage supplier performance and work product in area(s) of… more
- CVS Health (Albany, NY)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CDM Smith (Albany, NY)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Cardinal Health (Albany, NY)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely and accurate… more
- CVS Health (Albany, NY)
- …Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- Trinity Health (Albany, NY)
- …Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** ... The Risk Adjustment Coding Specialist works in a team environment and is responsible...diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system… more
- Walgreens (Chatham, NY)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** **Description:** **Quality Healthcare Specialist ** **Hybrid/remote options - local candidates needed due to onsite ... **benefits day 1 of employment** If you are looking for a **Quality Healthcare Specialist ** position in the Albany area, full time, this could be your opportunity.… more
- Elevance Health (Latham, NY)
- **Account Specialist ** **Location:** **This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law._ __ The **Account Specialist ** is responsible for supporting strategic sales and account associates in the… more
- Carrington (Albany, NY)
- …Bankruptcy Ledger Experience Required to be Considered!** The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the ... high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of… more
- CDM Smith (Albany, NY)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more