- 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
- Sedgwick (Albany, 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
- 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 (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
- 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
- Humana (Albany, NY)
- …where your expertise truly makes an impact! As a Grievances & Appeals Representative , you'll be a go-to problem solver, turning complex challenges into clear ... contributions will directly support Humana's commitment to delivering high-quality service and making a positive difference in the lives...the lives of those we serve. + Reviews level 1 appeals cases and ensures that information is accurate.… 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
- Intermountain Health (Albany, NY)
- …extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary ... vision, and values of Intermountain Health, and abide by service behavior standards + Perform other duties as assigned...+ Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB)… more
- Sedgwick (Albany, 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
- CVS Health (Albany, NY)
- …department, you will be responsible for providing leadership for assigned Patient Financial Services (PFS) teams. You will oversee a team of A/R representatives that ... are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, and managing the… more
- Albany Medical Center (Albany, NY)
- …ESSENTIAL DUTIES AND RESPONSIBILITIES Include, but are not limited to the following: 1 . Communicate clearly and effectively both orally and in writing. Use available ... perform the job's essential functions. EDUCATION, LICENSURE, REGISTRATION AND/OR CERTIFICATION: 1 . Meets New York State Education Department requirements AND CLIA… more