- City of New York (New York, NY)
- …SNAP-CR is recruiting for six (6) Eligibility Specialists IIs to function as a Claims Review Specialists, who will: - Review , process, determine and/or ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review… more
- ManpowerGroup (Livingston, NJ)
- Our client is seeking a Claims Specialist to join their team. The ideal candidate will have excellent interpersonal, written, and oral communication skills which ... will align successfully in the organization. **Job Title:** Claims Specialist **Location:** Livingston, NJ **Pay :... information and preparing information for underwriting and/or client review . + Manage claims status and prompts… more
- City of New York (New York, NY)
- …Department of Financial Services correspondence; 7) When appropriate, negotiate and settle claims within delegated monetary authority level; 8) Review medical ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- Zurich NA (Parsippany, NJ)
- Senior Claims Specialist Construction Professional Liability Claims 118830 Zurich North America is seeking a **Senior Construction Professional Liability** ... ** Claims Specialist - Hybrid** to support ...as appropriate. + Establish timely reserves and perform ongoing review throughout claims cycle within authority limit… more
- Sedgwick (Newark, NJ)
- …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...Conducts or assigns full investigation to include complete coverage review and provides report of investigation pertaining to new… more
- Axis (New York, NY)
- …referrals to senior members of the team where necessary * Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which… 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 ... review and completion of staff in the Supplemental Nutritional Assistance Program- Claims and Recovery program. - Review and maintain statistical reports on… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- QA/QA 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… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more
- Northeast Family Services (Bronx, NY)
- …needed + Communicate with payers, third party vendors and patients in regard to claims , payments, and outstanding balances + Review explanation of benefits to ... Northeast Family Services is currently seeking a Billing Specialist to join their growing team! NFS is...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… more
- CRC Insurance Services, Inc. (New York, NY)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department. **ESSENTIAL DUTIES… more
- Travelers Insurance Company (Morristown, NJ)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality… more
- Hackensack Meridian Health (Hackensack, NJ)
- …documentation, coding, billing and licensure. Coordinates and participates in the record/ claims review process, provides documentation and compliance education ... Participate in meetings with coding, billing, abstraction and reimbursement staff to review claims , evaluate accuracy and develop appropriate strategies for… more
- Deloitte (Morristown, NJ)
- Manager/ Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager/ Specialist Master you will bring considerable technical expertise to deliver effective… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....is seeking qualified candidates for the position of Claim Specialist in the Litigation Support Unit. This position, with… more
- City of New York (New York, NY)
- …and operations, DEP is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office. BLA's staff provide critical ... is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position,...specialists in the Litigation Support unit, and includes conducting review of their work. - Testify in depositions and… more
- City of New York (New York, NY)
- …the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP CR). - Review claims calculations and make determination of whether to re-budget, ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO)...function as an Eligibility Worker, who will: - Receive review and maintain a caseload of 25 case per… more
- Fedcap (New York, NY)
- …Join us at Fedcap Inc. for an exciting career as a Finance Specialist . Wage/Salary: $50,668-$52,020 Position Summary: The Finance Specialist is responsible for ... compliance. Working in close collaboration with the Finance Supervisor(s), the Finance Specialist assists in any or all facets of Financial Operations including but… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... JC's Web Submissions of Investigation Reports (WSIR).4. Attend the monthly Incident Review Committee meetings; develops and maintains meeting minutes for all open… more
- Walgreens (Bloomfield, NJ)
- …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