- Sedgwick (New York, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Medical Malpractice (Professional Liability) **PRIMARY PURPOSE** : ... To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… 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...for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. + Uses appropriate cost containment… more
- Sedgwick (Newark, NJ)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Subrogation Claims Specialist Qualifications MUST have 5 + years' experience in ... property subrogation insurance claims handling. Must have complete knowledge of fair ...for subrogation potential, identifying responsible third parties. Maintaining full compliance with internal and external quality standards and state-specific… 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 ... review, reporting, auditing, and oversight activities. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA, including the application of… 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 ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...issuance of inaccurate SNAP benefits. It is responsible for compliance with USDA and OTDA mandated review of actions… more
- VNS Health (Manhattan, NY)
- OverviewReviews and audits claims for billing, coding, services and other compliance or reimbursement issues. Assists with non-clinical aspects of the claims ... claims coding. Applies coding skills to various initiatives to ensure compliance in claims submissions. Works under moderate supervision. Compensation… more
- CAIPA MSO LLC (New York, NY)
- Billing/Insurance Collections Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description We are looking for an ... experienced Billing/Insurance Collections Specialist to join our team. The ideal candidate will...including, but not limited to generating and billing out claims and benefits eligibility verification. Follow-up on claims… more
- Travelers Insurance Company (New York, NY)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- SUNY Westchester Community College (Valhalla, NY)
- …Staff Positions Posted On: Fri Jan 3 2025 Job Description: Reporting to the Budget Specialist III and the Manager of Fiscal Operations, the Budget Specialist II ... to supervisor(s) and/or communicate to departments. The incumbent will also review claims and process payments, input and prepare departmental claims payments,… 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 quality reviews within… more
- ManpowerGroup (Chester, NY)
- …client, a leading organization in the benefits administration sector, is seeking a Benefits Specialist to join their team. As a Benefits Specialist , you will be ... effectively, which will align successfully in the organization. **Job Title:** Benefits Specialist **Location: Chester, New York (expectations is 5 days on site for… more
- ManpowerGroup (Chester, NY)
- Our client, a leading telecommunications company, is seeking a Jr. HR Specialist -Benefits to join their team. As a Jr. HR Specialist -Benefits, you will be part ... will align successfully in the organization. **Job Title:** Jr. HR Specialist -Benefits **Location: Chester, NY (Onsite)** **Pay Range: $22-$28/hr** **What's the… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... Opportunity & Diversity (EEO&D) Office is responsible for ensuring compliance with the City's EEO Policy, and works in...& Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant Commissioner… more
- FlexStaff (New York, NY)
- **Req Number** 152920 FlexStaff is seeking an AR/Billing Specialist for our Client, a Prosthetics and Orthotics Lab. Schedule: Monday- Friday, 8:30am-5:30pm. You can ... least 4 (four) years of experience with medical insurance, billing guidelines, and compliance and knowledge of NY Medicaid and CT Medicaid portals. Knowledge of the… more
- Fedcap (New York, NY)
- …Business Intelligence and Fund Management Processes. Responsibilities + Validating Financial Claims for compliance with funding policies, procedures, and ... in NYC! Join us at Fedcap Inc. for an exciting career as a Finance Specialist . Wage/Salary: $26.35 to $29.76 per hour Job Summary The Finance Specialist is… more
- Walgreens (Suffern, NY)
- …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
- MVP Health Care (Tarrytown, NY)
- Provider Data Specialist Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Rochester Office, 20 S. Clinton Ave, Rochester, New ... provider experience-accurateandtimelyonboarding/credentialing and maintenance of provider data ensuringtimelypayment of claims . Provide excellent customer service for all inquiries and… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Behavioral Intervention Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... and procedures, including, but not limited to Nova Time, Corporate Compliance , Cultural Sensitivity and Sexual Harassment. 9. Performs all job responsibilities… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... investigative documents are obtained in a timely manner to ensure compliance with regulatory deadlines, including tracking requests, responses, and reporting any… more