- Careers Integrated Resources Inc (Parsippany-Troy Hills, NJ)
- …Position Summary: The Chargeback Analyst II will be responsible for the timely review and validation of debit memos submitted for chargebacks through Model N Flex ... data used for sales and customer incentives and profitability analysis. The specialist is responsible for doing analysis of accounts, using internal reporting tools,… more
- City of New York (New York, NY)
- …SNAP-CR is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review , process, determine ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
- 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; 6) When appropriate, negotiate and settle claims within delegated monetary authority level; 7) 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
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. AXIS Capital Claims Compliance Specialist , Claims Shared Services- Job Description AXIS ... is seeking a Claims Quality Assurance and Compliance Specialist , ...various software and insurance platforms and systems including Bill Review systems such as Legal Exchange and claims… 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
- 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
- City of New York (New York, NY)
- …the following: - Supervise the daily work of claim specialists, coordinate their work, and review claims submitted by staff to ensure they are complete, and that ... employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume… 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
- VNS Health (Manhattan, NY)
- …accuracy and compliance in the healthcare field? We are seeking a skilled Home Coding Specialist to review and audit claims , ensuring they meet all billing, ... and contributing to various initiatives to maintain the highest standards of claims submissions. Compensation Range:$62,400.00 - $72,000.00 Annual What We Provide +… more
- VNS Health (Manhattan, NY)
- …Collaborates internally with Special Investigations and Compliance supporting medical record review and claims analysis for determination of provider engagement ... and irregularities evidencing deviations from coding protocols. Conducts chart review around Provider Risk Adjustment Activity and clinical documentation errors… 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
- Travelers Insurance Company (Morristown, NJ)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Deloitte (New York, NY)
- Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer What we do Operations and Technology Transformation delivers ... on July 31, 2024 Work you'll do As an OTT Insurance Transformation Specialist Master, you will bring considerable technical expertise to deliver effective solutions… more
- Travelers Insurance Company (Morristown, NJ)
- …reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer ... Do?** + CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or...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)
- 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
- 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
- Zelis (Morristown, NJ)
- Position Overview: The Intake Services Specialist efficiently handles the preparation, intake, and administrative processing of all inquiries. That includes the ... into OnBase (in-house system). * Perform claim look up's and identify claims associated with incoming inquiries. * Extracting multiple inquiries; separating and… more
- The Mount Sinai Health System (New York, NY)
- …coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or… more