- New York State Civil Service (Albany, NY)
- …Qualifications For Appointment to Claims Services Representative Trainee 1 :* Reachable on current Civil Service eligible list for this title; OR* One ... Yes Agency Insurance Fund, State Title Claims Services Representative 1 /Trainee 1... in a title eligible for transfer under Section 70. 1 of the Civil Service Law. Eligible… more
- New York State Civil Service (New York, NY)
- …transfer to Trainee 1 include but are not limited to Administrative Analyst Trainee 1 , Claims Services Representative Trainee 1 , Contract ... 1 level:* Reachable for appointment on current Civil Service eligible list used for filling this title; OR*...the use of supported employment, individual placement with support services , customized employment, the civil service sections… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong knowledge of ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer support… more
- Sedgwick (Rochester, NY)
- …Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are you ... to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices,...professional and timely manner. **QUALIFICATIONS** + Education & Licensing: 1 - 2 years of claims management… more
- Ryder System (Albany, NY)
- …**Job Description** : **SUMMARY** This position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program. **ESSENTIAL ... Investigates and resolves low to high exposure worker's compensation claims pursued against Ryder and our insured customers Ensures... is reached, and that a high level customer service is attained The position handles cases in compliance… more
- CRC Insurance Services, Inc. (NY)
- …are not mentioned below. Specific activities may change from time to time. 1 . Evaluate claims , reporting forms and cancellations and initiate necessary ... of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison… more
- CDPHP (Latham, NY)
- …doc flo queue for handling by each business area. The Document Service Representative will work closely with Member Services , Provider Services , ... to be a part of that experience. The Document Service Representative shall assume full responsibility for...High school diploma or GED required. + Minimum of ( 1 ) year claims examining procedural review experience… more
- New York State Civil Service (Melville, NY)
- …Eligible titles include, but aren't limited to: Administrative Assistant 1 , Business Services Center Representative 1 , Payroll Specialist 1 , Program ... Yes Agency Insurance Fund, State Title Assistant Insurance Fund Services Representative - NY HELPS Occupational Category... Services Rep 1 , Payroll Examiner 1 ; OR* Four years of customer service … more
- New York State Civil Service (Albany, NY)
- …sales or consumer/customer service or problem resolution capacity.* Consumer Frauds Representative Trainee 1 (PEF SG NS, current starting salary $50,844, job ... service or problem resolution capacity. * Consumer Frauds Representative Trainee 2 (PEF SG NS, current starting salary...for a lateral transfer or eligible for transfer under 70. 1 of the Civil Service Law by… more
- Rochester Regional Health (Rochester, NY)
- JOB TITLE: Collections and Denials Management Representative LOCATION: SLH DEPARTMENT: Patient Financial Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM ... submitting claims to insurance companies, following up on unpaid or denied claims , and ensuring timely reimbursement for healthcare services . This role plays… more
- TEKsystems (Albany, NY)
- Start Your Healthcare Career with GDIT - Customer Service Representative (Hybrid) Location: Albany, NY Schedule: Monday-Friday, 9:15 AM - 6:00 PM (Training: 8:15 ... What You'll Do + Respond to provider inquiries about claims , eligibility, and technical issues + Use CRM tools...detail, organization + High school diploma or GED + 1 + year of customer service experience (retail,… more
- MVP Health Care (Schenectady, NY)
- …improvement. To achieve this, we're looking for an **Associate, Bilingual Medicaid- Member Service Representative ** to join #TeamMVP. This is the opportunity for ... in every interaction **Your key responsibilities:** + The Associate, Medicaid Member Service Representative is responsible for providing optimum customer … more
- KPH Healthcare Services, Inc. (Camden, NY)
- …Preferred: 1 -2 years of previous experience in a customer service role Preferred: Experience in the DME or health-care industry. **Minimum Requirements:** ... to minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13132/kinney-homecare-billing- representative /job?mode=apply&apply=yes&in\_iframe= 1 &hashed=-336031866) **Job Locations** _US-NY-Camden_ **Posted… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching ... of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior… more
- Sedgwick (Buffalo, NY)
- …Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Manager, Client Services | SIU **PRIMARY PURPOSE** : To ... manage accounts of multiple client service programs or single large national program; to maintain...required to include three (3) years as an Account Representative **OR** five (5) years adjuster experience including one… more
- Ryder System (Albany, NY)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... issues, and complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow-up,… more
- City of New York (New York, NY)
- …5141. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer...requirement applies to you, please discuss with the agency representative at the time of interview. To Apply Click… more
- C&W Services (New York, NY)
- …safety is part of day-to-day operations at each site within the Asset Services * Effectively communicate C&W's safety culture and operating philosophies * Assist in ... report and manage the corrective actions * Support Workers Compensation (WC) claims tracking, investigation, and management process * Liaise with WC Program Manager… more
- ASM Global (New York, NY)
- …events, venues, and brands. We deliver a fully integrated solution of premium services that keeps our partners front and center through our white-label approach. Our ... against both anticipated and unforeseen challenges. ESSENTIAL DUTIES AND RESPONSIBILITIES: 1 . Strategic Risk Leadership + Develop and lead a comprehensive risk… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …products, services , and policies in accordance with MTM, Corporate Service strategy, NCQA, and legislative requirements. * Responsible for custom, complicated ... and improvement for process review. * Attends meetings and/or trainings as a representative of the Account Service Team and shares the information learned… more