- Zurich NA (Parsippany, NJ)
- Claims Specialist I, Workers Compensation 121717 Zurich is seeking an experienced Workers' Compensation Claims Specialist to join our team. We are ... Park, KS or Gold River, CA. The Workers Compensation Claims Specialist will handle multi-party commercial line...as appropriate. + Establish timely reserves and perform ongoing review throughout claims cycle within authority limit… more
- 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
- Raphael and Associates (Rutherford, NJ)
- …are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist . This entry-level role is focused on the initial setup ... of claims , ensuring...at our Rutherford, NJ, headquarters. Key Responsibilities: + Initial Claims Setup: + Review FNOL (First Notice...Key Responsibilities: + Initial Claims Setup: + Review FNOL (First Notice of Loss) and ensure all… 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 (Bronx, NY)
- **Req Number** 152179 ** Claims Specialist ** Bronx, NY Schedule: M-F, 8:30am to 5:30pm Work Location: Hybrid Assignment Length: Undetermined, potential for Direct ... Hire **FlexStaff** is seeking a ** Claims Specialist ** for our client, a non-profit healthcare organization providing home and community-based healthcare and… 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
- Access: Supports For Living (Middletown, NY)
- …the resolution of identified revenue cycle billing issues + Handling billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing + ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Feb...process and achieving resolution through coordination and reconciliation + Review and work claims in the clearinghouse… 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 (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
- 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
- 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
- SUNY Westchester Community College (Valhalla, NY)
- …findings to supervisor(s) and/or communicate to departments. The incumbent will also review claims and process payments, input and prepare departmental ... Jan 3 2025 Job Description: Reporting to the Budget Specialist III and the Manager of Fiscal Operations, the...system accounts to verify departmental expenditures. + Reviews payment claims prepared by other departments and approves in the… more