- CVS Health (Albany, NY)
- …every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity ... use multiple systems and screens to obtain and record claim information - Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Travelers Insurance Company (Albany, NY)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- Axis (New York, NY)
- …hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing primary claims for AXIS US Primary Casualty ... area to determine coverage, liability, and settlement value. Evaluating coverage and claim exposure, determining appropriate actions, and pursuing claims until… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...Third-Party Administrators to ensure reserve adequacy. + Handling oversight claim files involving complex and severe loss as defined… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. * Maintains...claims as a refund or auto debit in claim systems and in recovery application. * Follows department… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... claims in accordance with plan provisions. + Examine claim submissions and documentation to confirm coverage and assess...and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you have experience… more
- Axis (New York, NY)
- …AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America Claim Team. This role involves managing primary and excess ... claims for various AXIS policy forms. How does this...Management and Vendor Management teams. Maintaining accurate records of claim activities and updating systems with relevant information in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to Level I qualifications) * One (1) year of experience in a Level I Claims Specialist role. * Adept at multi-tasking to efficiently resolve moderately complex ... indexes all incoming and outgoing correspondences from the LTC Benefits Department using the digital record retention system; and...Two (2) years of experience in a Level II Claims Specialist role. * Ability to multi-task… more
- Axis (New York, NY)
- …Role?** + Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North America Claim team. + Managing a diverse range of ... insurance and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is… more
- CRC Insurance Services, Inc. (NY)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to… more
- Axis (New York, NY)
- …About the Team AXIS is hiring a Claims Specialist , Health Care Claims , for its North America Claim Team. This role involves managing primary and excess ... healthcare liability claims for AXIS US policies. How does this role...you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and… more
- MetLife (Oriskany, NY)
- …made by team member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and ... calls, clear communication, accuracy of decisions and financial accuracy * Drives Claim Management Accuracy and Customer Centricity through support of the Pre-QA… more
- MetLife (Oriskany, NY)
- …active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls ... key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time...that may be pertinent to the evaluation of the claim . Once telephone calls are completed, you will be… more
- 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 ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- Allied Universal (Saratoga Springs, NY)
- …a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance ... Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection...Claims (AIC) + Chartered Property Casualty Underwriter (CPCU) ** BENEFITS :** + Medical, dental, vision, basic life, AD&D, and… more
- CDPHP (Latham, NY)
- …The specialist will address and resolve service-related issues including claim adjustment requests, appeals and complaints, eligibility determination and other ... preferred. + Demonstrated ability to determine, analyze and solve problems related to benefits , claims appeals, claims pricing/processing by utilizing all… more
- Travelers Insurance Company (Melville, NY)
- …complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. You will serve as an expert ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . 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 ... position does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage… more
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more