- WTW (New York, NY)
- **Description** The Senior Marine Claims Specialist is part of the Marine Claims Advocacy group and responsible for timely and professional assistance and ... claims . This position acts as an advocate and claims specialist and maintains positive relations with...losses within Hull & Liability lines of business. + Review the facts of the claim in light of… 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...Conducts or assigns full investigation to include complete coverage review and provides report of investigation pertaining to new… more
- Axis (New York, NY)
- …make referrals to senior members of the team where necessary Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any ... for candidates taking part in the selection process. Claim Specialist - Salary Grade I This is your opportunity...exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves… more
- Axis (New York, NY)
- … Review contracts for risk transfer evaluations, coverage analysis and tender review * Investigates potentially fraudulent claims and takes appropriate action ... Bank, NJ; and Alpharetta, GA. * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim… 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 ... claim review , reporting, auditing, and oversight activities. Responsibilities: + Reviews...auditing, and oversight activities. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA, including the… 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/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… more
- VNS Health (Manhattan, NY)
- …and other compliance or reimbursement issues. Assists with non-clinical aspects of the claims review process and acts as a coding resource. Provides training ... to Medical Care at Home Clinicians and staff to provide best practices of claims coding. Applies coding skills to various initiatives to ensure compliance in … 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** **Procedural Billing Specialist I- Oncology & Therapeutic Infusion Centers Billing-...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** **Procedural Billing Specialist II- Oncology & Therapeutic Infusion Centers Billing- Corporate 42nd Street Full-Time Days** Responsible for ... coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The Senior ... Billing Specialist is responsible for multiple components of the billing...these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution.… 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 ... **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
- FlexStaff (East Meadow, NY)
- …claims from all aging buckets including posting, appeals, and ADRs. + Download and review electronic and paper EOBs for denied claims and line-item denials. + ... **Req Number** 152721 Accounts Receivable Specialist East Meadow, NY or Manhattan, NY Schedule:...and transactions related to accounts receivable. + Resolve denied claims in a timely manner. + Work and manage… more
- FlexStaff (East Meadow, NY)
- …claims from all aging buckets including posting, appeals, and ADRs. + Download and review electronic and paper EOBs for denied claims and line-item denials. + ... **Req Number** 152782 FlexStaff is hiring an Accounts Receivable Specialist for one of our clients. Candidate can work...related to accounts receivable. + Investigates and resolves denied claims in a timely manner. + Work and manage… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....specialty coding for services and medical office visits and review physician coding and provide updated to physicians and… 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 ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… 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)
- …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