- City of New York (New York, NY)
- …SNAP-CR is recruiting for six (6) Eligibility Specialists IIs to function as a Claims Review Specialists, who will: - Review , process, determine and/or ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review… more
- ManpowerGroup (Livingston, NJ)
- Our client is seeking a Claims Specialist to join their team. The ideal candidate will have excellent interpersonal, written, and oral communication skills which ... will align successfully in the organization. **Job Title:** Claims Specialist **Location:** Livingston, NJ **Pay :... information and preparing information for underwriting and/or client review . + Manage claims status and prompts… more
- City of New York (New York, NY)
- …Department of Financial Services correspondence; 7) When appropriate, negotiate and settle claims within delegated monetary authority level; 8) Review medical ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review , reporting, auditing, and ... with all applicable State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing claims … 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
- Carrington (Old Greenwich, CT)
- **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all ... FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform...hours of the receipt of the claim proceeds. + Review , follow-up and ensure the timely and accurate completion… more
- Axis (New York, NY)
- …referrals to senior members of the team where necessary * Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which… more
- Axis (Red Bank, NJ)
- …make referrals to senior members of the team where necessary Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any ... exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves...Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which… 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/QA 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
- Catholic Health Services (Melville, NY)
- …Catholic Health was named Long Island's Top Workplace! Job Details Responsible for the review of provider documentation and coding charge review errors as well ... Management coding. Ensure that the coding is appropriate prior to releasing the claims to be billed. Identify trends and opportunities for improved documentation and… 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** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more
- Northeast Family Services (Brooklyn, NY)
- …needed + Communicate with payers, third party vendors and patients in regard to claims , payments, and outstanding balances + Review explanation of benefits to ... Northeast Family Services is currently seeking a Billing Specialist to join their growing team! NFS is...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… 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
- 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 ... **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
- Hackensack Meridian Health (Hackensack, NJ)
- …documentation, coding, billing and licensure. Coordinates and participates in the record/ claims review process, provides documentation and compliance education ... Participate in meetings with coding, billing, abstraction and reimbursement staff to review claims , evaluate accuracy and develop appropriate strategies for… more
- Deloitte (New York, NY)
- Manager/ Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager/ Specialist Master you will bring considerable technical expertise to deliver effective… 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
- Philadelphia Insurance Companies (Melville, NY)
- …AM Best. Philadelphia Insurance Companies is looking to add a Product Development Specialist to join our Compliance team. Product Development Specialist - ... and endorsements, and rate rule pages. Collaborate with Underwriting, Actuarial, Claims and Information Technology departments on Product Development projects. Be… 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