- 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
- Sedgwick (New York, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Remote | NY Licensing Required **PRIMARY ... PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company… more
- City of New York (New York, NY)
- …duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a ... APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… 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
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives must be able to work in various shifts Monday to Friday… more
- South Jersey Industries (Union, NJ)
- …is not for immediate hire, rather it is for pipelining purposes for our Customer Service Representative training classes** A career in Customer Service will ... customers with information on programs available for energy assistance. The Customer Service Representative performs the following: + Address customer bill, … more
- Travelers Insurance Company (Manhattan, NY)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. +...with state regulations, where applicable. + Provides excellent customer service to meet the needs of the insured, agent… more
- Travelers Insurance Company (Morristown, NJ)
- …for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. ... unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto,… more
- Truecare Homecare Agency (Brooklyn, NY)
- …Overview: True Care is a licensed Home Care Agency providing outstanding homecare service in the New York Metropolitan area. Our passionate dedication to our clients ... experience the most excellent care. Position Title: Medical Billing Representative Reports To: Billing Department Manager Job summary: The...the agency's weekly billing cycle, follow up on all claims and ensure that billed visits are paid +… more
- New York State Civil Service (New York, NY)
- …- Dormitory Authority of the State of New York Title Senior Field Representative -NYC - 5 Boroughs and Long Island Occupational Category Other Professional Careers ... NY Zip Code 10005 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
- Travelers Insurance Company (Morristown, NJ)
- …part of a formal training program to advance to a Auto claim representative position. This position is intended to develop skills for investigating, evaluating, ... negotiating and resolving claims on losses of lesser value and complexity. Provides...resolve assigned claim. + Customer Contacts/Experience: + Delivers consistent service quality throughout the claim life cycle, including but… more
- TEKsystems (Piscataway, NJ)
- …of both the Brand and Generics divisions under the leadership of the Customer Service Manager, along with claims support. Essential Duties and Responsibilities * ... that are transferred to medical. * Ensure unsurpassed quality service to Lupin customers. * Interact with all levels...Associate degree in Business, related field or equivalent Customer Service related experience. * Three to five years related… 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 (Manhattan, 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
- Travelers Insurance Company (Morristown, NJ)
- …is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement and payment ... regulations. **What Will You Do?** + Customer Contacts/Experience: + Delivers consistent service quality throughout the claim life cycle, including but not limited… more
- Phoenix House (Long Island City, NY)
- **Front Desk Representative ** **Job Details** **Job Location** Long Island City Residential - Long Island City, NY **Position Type** Full Time **Education Level** ... weekly billing requirements with program staff and the billing department for claims generation. **COMPETENCIES (KSAs)** + Ethical Practices + Judgment + Critical… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …healthcare and serve as a leader of positive change. The **Reconciliation Representative ** performs adjudication of the accounts that have payment and/or denial ... basis. **Responsibilities** A day in the life of a **Reconciliation Representative ** at Hackensack Meridian _Health_ includes: + Reviews organizational billing… 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
- 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
- Maplecrest Ford Lincoln (Union, NJ)
- …or paid claims and their current status. + Provide a weekly report to the service manager regarding claims status. + Arrive and depart from work at the hours ... apply. Job Summary: The Warranty Assistant reports to the Service and Parts Director and must have experience processing...Director and must have experience processing Ford Motor Company claims . We're looking for the right fit: A person… more