- 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
- New York State Civil Service (New York, NY)
- …1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, Claims Service Representative 1, Claims Services ... to:* Analyze and evaluate applications for workers' compensation insurance policies * Service policies with large premiums and resolve underwriting issues that are… more
- Sedgwick (Trenton, NJ)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client… more
- Sedgwick (Trenton, NJ)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative , Auto **PRIMARY PURPOSE** : To analyze and process ... low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ;… more
- NJM Insurance (Trenton, NJ)
- …work product, and service commitment to interested parties + Manage litigated claims through with proactive execution of action plans to resolve claim issues to ... NJM's Workers' Compensation Claims Team is seeking a Regional Claims...claim activity + Provide a high level of customer service that promotes injured worker advocacy-based principles to maximize… more
- Ryder System (Trenton, NJ)
- …by a professional staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues. Assists Director in ... a team of adjusters in the investigations, vehicle inspections, and resolves claims , as well as directs outside vendors, independent adjusters, experts, and other… 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
- CVS Health (Trenton, NJ)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... questions, eg, additional plan details, benefit plan details, provider self- service tools, etc. + Use customer service ...provider self- service tools, etc. + Use customer service threshold framework to make financial decisions to resolve… more
- Evolent (Trenton, NJ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Our customer service team offers candidates the opportunity to make a meaningful impact by providing ... support to foster success in the role. **Collaboration Opportunities:** + Customer Service Representatives (CSR's) will be working with and providing support to… more
- New York State Civil Service (New York, NY)
- …- Dormitory Authority of the State of New York Title Senior Field Representative - Baruch College Occupational Category Other Professional Careers Salary Grade NS ... NY Zip Code 10010 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… 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 (New York, 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
- Cardinal Health (Trenton, NJ)
- **What Customer Operations Support contributes to Cardinal Health** Customer Service Operations is responsible for providing outsourced services to customers ... environment coupled with strong internal controls. + Possesses understanding of service level goals and objectives when providing customer support. + Demonstrates… more
- Amalgamated Bank (New York, 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
- City of New York (New York, NY)
- …When you work at DCAS, you're not just working for one agency, but in service of them all. It's an opportunity to provide impactful support, quality customer ... service , and help protect the future of New York...(UI) Unit is responsible for minimizing costs by monitoring claims for unemployment benefits from former City employees and… 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
- Black & Veatch (New York, NY)
- **Subcontracts Representative 3** Date: Mar 4, 2025 Location: Overland Park, KS, US Houston, TX, US Charlotte, NC, US Murrieta, CA, US Nashville, TN, US Tampa, FL, ... technology, above class support and sustainability to bring our clients the best service in safety, quality, and final product. Functions in our group include… more
- Surgery Care Affiliates (New York, NY)
- …help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines. The new SCA Health represents who we are today and ... Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain...deductible amounts due on or before the date of service as applicable + The Insurance Verifier will call… 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
- USAA (New York, NY)
- …to field provider method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members ... to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the… more