- Sedgwick (New York, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer New England Claims Examiner - Workers Compensation (CT/MA/NH/RI/VT) Are you looking for ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...PURPOSE OF THE ROLE:** To analyze high-level Workers Compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Newark, NJ)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Liability Bodily Injury Claims Examiner **PRIMARY PURPOSE** : To analyze and process complex ... auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- Amazon (New York, NY)
- …program around the world across all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims professional to support our rapidly ... auto program. You will lead strategy on complex bodily injury auto claims , handling pre-litigation disputes and resolving litigated claims with cross-functional… more
- Raphael and Associates (Rutherford, NJ)
- Liability Desk Examiner (remote) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company ... our services to our client's specific needs. As a claims organization, what we do is complex. Our mission...negligence theories while investigating General Liability, Auto and Property claims . This position provides an opportunity for the right… more
- Crawford & Company (Berkeley Heights, NJ)
- …Eastern Time Zone! + Seeking candidates with experience managing Product Liability Claims involving Medical Devices! + Licensing is not a requirement! Investigate, ... evaluate, negotiate, and settle moderate difficulty type claims ; takes appropriate action to achieve results that have...results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably… more
- Akumin (New York, NY)
- …and state laws and regulations, including but not limited to: The False Claims Act, The Anti-Kickback Statute, The Civil Monetary Penalties Law, The Stark Law, ... (CIPP), Certified in Healthcare Privacy Compliance (CHPC), Certified Fraud Examiner (CFE), Certified Professional Compliance Officer (CPCO), or Certified… more
- Guidehouse (New York, NY)
- …datasets. + Analyze and interpret historical healthcare data related to claims , reimbursement, financial, clinical, and/or operations to identify risks, compliance ... agency. + Familiarity with case management tools. + Certified Fraud Examiner (CFE) or forensic accounting/financial investigations background. + Experience with… more
- City of New York (New York, NY)
- …of Health and Mental Hygiene (DOHMH) and the Office of the Chief Medical Examiner . The unit processes over 2,000 invoices a month which are received from vendors ... Duties and Responsibilities: - Perform internal audits, examination of expenditure claims to determine eligibility of costs reported. - Prepare claim verification… more
- Molina Healthcare (New York, NY)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you are interested in… more