- Axis (New York, NY)
- …is available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior ... Claims Specialist to join our North America Claims team reporting to the Manager of Casualty Claims . This position requires senior claims … more
- Axis (New York, NY)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Excess Claims_** to join our North America Claims ... as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,...to senior management + In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- Axis (New York, NY)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Design Professional_** to join our North America ... as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,...to senior management + In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. AXIS is seeking a Senior Claims Specialist , E&S Property to join our North America ... Claims team. This position requires claims management and handling expertise for both the oversight...for both the oversight and management of commercial property claims . This is primarily a property position, but multi-line… more
- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ... ), FI ( _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing… more
- Axis (New York, NY)
- …variety of loss scenarios as well as reporting and presenting about same to senior management * In-depth knowledge of claims , litigation, arbitration, and trial ... process. This role will be responsible for: * Direct management of claims including the investigation, analysis and evaluation of coverage liability within best… more
- Axis (New York, NY)
- …Bank, NJ; and Alpharetta, GA. * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... Utilize working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which the claims arise. In particular, utilize a… more
- CRC Insurance Services, Inc. (NY)
- …of America) **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. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential… more
- Axis (New York, NY)
- …for candidates taking part in the selection process. AXIS is seeking a **_Senior Claims Specialist - Financial Institutions - Claims_** to join our North America ... as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,...to senior management + In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- Axis (New York, NY)
- …presenting to senior management and outside partners + Knowledge of claims and litigation management, dispute resolution processes, and trials and appeals as ... selection process. **Job Description** AXIS is seeking a **_Claims Specialist - Management Liability_** to join our North America... - Management Liability_** to join our North America Claims team. The selected candidate will work closely with… more
- Axis (New York, NY)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals to ... senior members of the team where necessary Obtain relevant...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising Prepare coverage positions… more
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Mar 20, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position...throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The ... Senior Billing Specialist is responsible for multiple...these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution.… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical ... and share knowledge and audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital Audit in accomplishing all… more
- Molina Healthcare (NY)
- …complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Axis (New York, NY)
- …and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the ... damages issues in connection with complex primary and excess claims and maintaining appropriate documentation * Analyzes insurance coverage...letters * Collaborates in the defense and resolution of claims * Evaluates full pending of claims … more
- CVS Health (Albany, NY)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14032/ senior -benefit-operations- specialist ... act as a lead role within the Benefit Operations Specialist team and be a liaison to management and...**Experience:** + Required: 1 year experience using the RxIQ claims adjudication platform + Preferred: 2 Years experience with… more
- CVS Health (Amherst, NY)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with the suite of… more