- Elevance Health (Latham, NY)
- **Title: Claims Representative I ( Health & Dental ) - FEP** **Location:** This position will work a **hybrid model (remote and office)** . The ideal ... candidate will live within 50 miles of our Elevance Health PulsePoint location at **15 Plaza Dr, Latham, NY...first 12 weeks of training. Start date: 3/10/2025.** The ** Claims Representative I** will be responsible for… more
- Sedgwick (Albany, NY)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Pharmacy Claims Representative assists local pharmacies with claims ... up and maintaining hospice/facility/pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services)… more
- Sedgwick (Albany, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Remote | NY Licensing Required **PRIMARY ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
- Sedgwick (Albany, NY)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
- Ryder System (Albany, NY)
- …comprehensive health and welfare benefits, to include medical, prescription, dental , vision, life insurance and disability insurance options, as well as paid ... small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates,… more
- Elevance Health (Latham, NY)
- Job Description **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will ... 50 miles of one of our PulsePoint locations. The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Elevance Health (Latham, NY)
- **Title: Utilization Management Representative II** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 ... miles of one of our PulsePoint locations. The **Utilization Management Representative II** will be responsible for managing incoming calls, including triage, opening… more
- New York State Civil Service (Albany, NY)
- …for short-term and long-term disability coverage).* Choice of several affordable and competitive health insurance plans* Dental and vision insurance plans at no ... responsible for the following;. Accept and process both original and continued claims for Unemployment Insurance. . Conduct telephone interviews with claimants in… more
- United Therapeutics (Albany, NY)
- …the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine ... to the Food Drug and Cosmetic Act, the False Claims Act, Anti-Kickback Statute, the Sunshine Act and other...healthcare related laws and regulations + Serve as Legal representative on the Company's promotional review committee, including review… more
- Humana (Albany, NY)
- …compliance and/or special investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people ... part of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations...normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect… more
- Trustmark (Albany, NY)
- …addition to compensation, we offer a comprehensive benefits package that includes: Health / dental /vision, life insurance, FSA and HSA, 401(k) plan, Employee ... necessary. + Learns to underwrite pending files received for review and contestable claims files for underwriting. + Works with reinsurer on cases that require… more