- Sedgwick (New York, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Medical Malpractice (Professional Liability) **PRIMARY PURPOSE** : ... To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
- Sedgwick (New York, NY)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. + Uses appropriate cost containment… more
- FlexStaff (New York, NY)
- **Req Number** 150868 One of our high profile clients is seeking a Claims Specialist to support department operations related to provider communication, pending ... review, reporting, auditing, and oversight activities. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA, including the application of… more
- Allied Universal (Queens, NY)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ... employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance … more
- Stony Brook University (Commack, NY)
- Claims Processor **Required Qualifications (as evidenced on attached resume):** Associates degree (foreign equivalent or higher). In lieu of degree, two (2) years of ... working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding certification. Knowledge of… more
- City of New York (New York, NY)
- …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...issuance of inaccurate SNAP benefits. It is responsible for compliance with USDA and OTDA mandated review of actions… more
- Shinda Management Corporation (Queens Village, NY)
- Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in ... growth within the community by redefining affordable housing. Description SMC is seeking a Compliance Specialist to join our compliance department. Under the… more
- VNS Health (Manhattan, NY)
- OverviewReviews and audits claims for billing, coding, services and other compliance or reimbursement issues. Assists with non-clinical aspects of the claims ... claims coding. Applies coding skills to various initiatives to ensure compliance in claims submissions. Works under moderate supervision. Compensation… more
- CAIPA MSO LLC (New York, NY)
- Billing/Insurance Collections Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description We are looking for an ... experienced Billing/Insurance Collections Specialist to join our team. The ideal candidate will...including, but not limited to generating and billing out claims and benefits eligibility verification. Follow-up on claims… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Travelers Insurance Company (Melville, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- FlexStaff (East Meadow, NY)
- **Req Number** 152782 FlexStaff is hiring an Accounts Receivable Specialist for one of our clients. Candidate can work out of either East Meadow or New York office. ... - 5:30 PM Work Location: In-person The Accounts Receivable Specialist will assist in ensuring that the company receives...related to accounts receivable. + Investigates and resolves denied claims in a timely manner. + Work and manage… more
- SUNY Westchester Community College (Valhalla, NY)
- …Staff Positions Posted On: Fri Jan 3 2025 Job Description: Reporting to the Budget Specialist III and the Manager of Fiscal Operations, the Budget Specialist II ... to supervisor(s) and/or communicate to departments. The incumbent will also review claims and process payments, input and prepare departmental claims payments,… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- QA/QI Review Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6269) Job Brief The QA/QI Review Specialist is responsible for completing internal quality reviews within… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- FlexStaff (East Meadow, NY)
- **Req Number** 152721 Accounts Receivable Specialist East Meadow, NY or Manhattan, NY Schedule: Full Time Weekly Hours: 40 Temp to Hire FlexStaff is seeking an ... experienced Accounts Receivable Specialist for our client, a leading provider of osseointegration...and transactions related to accounts receivable. + Resolve denied claims in a timely manner. + Work and manage… more
- Travelers Insurance Company (Melville, NY)
- …reserving, negotiating and resolving assigned serious and complex Excess Casualty claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... Opportunity & Diversity (EEO&D) Office is responsible for ensuring compliance with the City's EEO Policy, and works in...& Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant Commissioner… more
- FlexStaff (New York, NY)
- **Req Number** 152920 FlexStaff is seeking an AR/Billing Specialist for our Client, a Prosthetics and Orthotics Lab. Schedule: Monday- Friday, 8:30am-5:30pm. You can ... least 4 (four) years of experience with medical insurance, billing guidelines, and compliance and knowledge of NY Medicaid and CT Medicaid portals. Knowledge of the… more