- Zurich NA (Albany, NY)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...and 2 or more years of experience in the Claims and/ or Litigation Management area.OR + Zurich Certified… more
- Kelly Services (Menands, NY)
- Claims Specialist Location: Menands, NY (Onsite) Company: Local non-profit organization Schedule: Mon-Fri, 9am-5pm Pay Rate: $24/hour to start A local nonprofit ... is seeking a skilled and detail-oriented Insurance and Claims Specialist to support a public health assistance program. This role is responsible for ensuring… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) ( Claims Medpay DBL-PHS) (NYHELPS) Occupational Category IT ... but are not limited to: * Policy Management System Modernization * Claims Management System Modernization* Robotic Process Automation (RPA) * Mass Mailing processes… more
- Molina Healthcare (Albany, NY)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... overpayment notification and supporting documentation such as explanation of benefits, claims and attachments. + Maintains and reconciles department reports for… more
- Allied Universal (Albany, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate… more
- Sedgwick (Albany, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist **This position will have a heavy focus on processing unemployment ... clients.** **PRIMARY PURPOSE** **:** To analyze complex or technically difficult unemployment claims to determine benefits due; and to ensure ongoing adjudication of… more
- Molina Healthcare (Albany, NY)
- Molina Healthcare is hiring for an Appeals & Grievance Specialist . This role is 100% remote and will work in the Pacific Time Zone. This role provides support for ... claims activities including reviewing and resolving member and provider...Experience:** + Call center experience + Be familiar with claims + Great computer and MS Office skills +… more
- Sedgwick (Albany, NY)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
- Molina Healthcare (Albany, NY)
- Molina Healthcare is hiring for a Medicare Appeals & Grievances Specialist . This position is remote and will be working Pacific Standard hours. Highly Qualified ... to detail + AOR/IRE understanding highly preferred Provides support for claims activities including reviewing and resolving member and provider complaints, and… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS) (Multiple Positions), Box ... Department (NYSED) is seeking candidates for multiple Education Finance Specialist 1 positions in the Office of State Aid...projects;* Process revisions to school districts' prior year aid claims to ensure correct aid is paid and overpayments… more
- Zurich NA (Albany, NY)
- Underwriting Specialist OR Executive Underwriter- MM Life Science 118829 Zurich is currently hiring an experiencedUnderwriting Specialist OR Executive ... Zurich! This role will be filled at either theUnderwriting Specialist OR Executive Underwriter- MM Life ScienceLevel.The hiring manager...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- The Wesley Community (Saratoga Springs, NY)
- …20-22.52 per hour | Full Time Day | Robust and comprehensive benefits package! Billing Specialist for Skilled Nursing Facility Full Time | Days | 8am - 4:30pm We are ... seeking an experienced Billing Specialist professional who loves what they do! Everything we...types. + Monitor and maintain aging reports for outstanding claims . Respond to and resolve insurance claims … more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- Teresian House (Albany, NY)
- …Teresian House in your choice for employment! The Nursing Home Billing Specialist is responsible for: + Timely insurance verification of all referrals for ... Care Organizations (MCO's) and private insurance. + Preparing and submitting claims , resolving billing issues, managing accounts receivable, and working with… more
- Molina Healthcare (Albany, NY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and...fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Temporary and Disability Assistance, Office of Title Temporary Assistance Specialist 1 RIS or Trainee 1 or 2 (NY HELPS) Occupational Category Other ... Albany State NY Zip Code 12243 Duties Description Reporting to a Temporary Assistance Specialist 2 (RIS), the Temporary Assistance Specialist 1 (RIS) will assist… more
- New York State Civil Service (Albany, NY)
- …Yes Agency Criminal Justice Services, Division of Title Contract Management Specialist 1/Trainee Occupational Category Other Professional Careers Salary Grade 18 ... NY Zip Code 12210 Duties Description Under the direction of the Contract Management Specialist 2, the incumbents will be assigned to the DCJS' Office of Budget and… more
- Sedgwick (Albany, NY)
- …Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and Managed Care Organization's ... with clients relative to their MCO status. + Ensures claims management system parameters are set for MCO flags....other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Elevance Health (Latham, NY)
- …unless an accommodation is granted as required by law. The **Network Data Specialist I** is responsible for accurate and timely maintenance of provider information ... on claims and provider databases. Primary duties may include, but...to: + Assists in synchronization of data among multiple claims systems and application of business rules as they… more
- MVP Health Care (Schenectady, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a Data Entry Specialist to join #TeamMVP. If you have a passion for data entry and a ... Rochester, NY + 1-2 years of data entry or claims experience preferred. High accuracy and attention to detail....Word and Excel. + Familiarity with medical terminology and claims processing. + Curiosity to foster innovation and pave… more