- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Service Representative 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #811 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to ... developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for… more
- Sedgwick (New York, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Remote | NY Licensing Required **PRIMARY ... PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company… more
- NJM Insurance (Parsippany, NJ)
- …NOW for part time Student Associates. This role is a year-round General Claims Associates Role. You will answer and respond to telephone calls and assists ... with claims related tasks. They also provide assistance and superior...related tasks. They also provide assistance and superior customer service while administering transactions. Formal in-house (paid) training is… more
- City of New York (New York, NY)
- …duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a ... APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- South Jersey Industries (Union, NJ)
- …is not for immediate hire, rather it is for pipelining purposes for our Customer Service Representative training classes** A career in Customer Service will ... customers with information on programs available for energy assistance. The Customer Service Representative performs the following: + Address customer bill, … more
- Travelers Insurance Company (Brooklyn, NY)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. +...with state regulations, where applicable. + Provides excellent customer service to meet the needs of the insured, agent… more
- World Insurance Associates, LLC. (Syosset, NY)
- …retirement services, and human capital management solutions. Position Overview Our Client Service Representative provides general account support and customer ... products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is...inquiries and escalate issues related to eligibility and member claims + Develop and leverage knowledge of customer needs… more
- Graybar (Garden City, NY)
- Make a difference. As a Customer Service Representative , you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will ... Provide support on product selection and application + Coordinate customer service requests including order entry, pricing, expediting, billing, order maintenance,… more
- TEKsystems (Piscataway, NJ)
- …of both the Brand and Generics divisions under the leadership of the Customer Service Manager, along with claims support. Essential Duties and Responsibilities * ... that are transferred to medical. * Ensure unsurpassed quality service to Lupin customers. * Interact with all levels...Associate degree in Business, related field or equivalent Customer Service related experience. * Three to five years related… more
- ManpowerGroup (Saddle Brook, NJ)
- …Able to Multi-Task. Efficient.** My client needs Data Entry Representative . The incumbent will process non-complex, non-technical claim related activities ... claim adjuster. The individual handles a single line of claims or a combination of claims from...segments. The individual is also expected to deliver compassionate service that is fast, fair, and easy, to ensure… more
- Molina Healthcare (New York, NY)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... equivalent **Required Experience** 1-3 years of call center or customer service experience **Preferred Education** Associate degree **Preferred Experience** + 3-5… more
- Molina Healthcare (Manhattan, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- Job Description SpecialtyRx is a full- service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: ... We offer a competitive salary and benefits package. Billing Representative Responsibilities: + Perform duties assigned by the Billing...a must. + Experience in New York Pharmacy billing claims . (Preferred) + Frameworks/ECM knowledge is a plus. +… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The **Reconciliation Representative ** performs adjudication of the accounts that have payment and/or denial ... basis. **Responsibilities** A day in the life of a **Reconciliation Representative ** at Hackensack Meridian _Health_ includes: + Reviews organizational billing… more
- Amalgamated Bank (Bronx, NY)
- Amalgamated Bank is seeking a Retail Banking Representative to be responsible for providing a high quality of Customer Service in a broad variety of activities. ... on to work in both the Teller and Customer Service areas, according to needs. This position is responsible...matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing… more
- B&H Photo (New York, NY)
- …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers… more
- Northwell Health (Lake Success, NY)
- …for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, assisting in helping ... an account. Job Responsibility + Assists in processing and managing patient claims . + Assists in collecting payments from third party insurance carriers and… more
- VNS Health (Manhattan, NY)
- …and operating requirements, Health Plan program and eligibility requirements, and service coordination. + Collaborates with the Network Development and Contracting ... and Service Operations departments to administer demographic changes and renewals...provider directories. + Assists providers in triaging billing and claims disputes. + Participates and collaborates with Compliance on… more
- Kemper (Clifton, NJ)
- …from policyholders based on a pre-arranged schedule + Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + ... visits with our customers in their homes for premium collection and other service needs. You'll start with a paid license preparation/training period! As an… more