- Raphael and Associates (Rutherford, NJ)
- …a fast-paced environment. We are currently growing and are looking for a TPA Property Claims Examiner with a minimum of five years of experience in this ... Senior Property Desk Examiner (remote) Company Overview: Raphael & Associates is...(remote) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company… more
- Sedgwick (New York, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictions | NY License **Jurisdiction Knowledge: ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...YOU AN IDEAL CANDIDATE?** To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine… more
- Sedgwick (New York, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | New York Jurisdiction | Dedicated Client We are ... seeking a highly motivated and experienced Workers' Compensation Claims Examiners to join our team. The ideal candidate...ideal candidate will have at least 2 years of claims handling experience, with a strong background in New… more
- GAF (Parsippany, NJ)
- …material and workmanship concerns. The successful candidate will report to the Commercial Claims Supervisor. The Commercial Claims Examiner will be ... matters most. **Job Summary** The goal of the Commercial Claims Department is to provide solutions-based service driven by...the day-to-day activities related to new and existing commercial claims , which includes but is not limited to research… more
- Raphael and Associates (Rutherford, NJ)
- Liability Desk Examiner (remote) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company ... our services to our client's specific needs. As a claims organization, what we do is complex. Our mission...Bodily Injury, NY Labor Law, and other complex liability claims . This position provides an opportunity for the right… more
- City of New York (New York, NY)
- …Fire Department, City of New York (FDNY), seeks a full-time Workers Compensation Benefits Examiner in the Bureau of Health Services. Reporting directly to the FDNY ... Claims Supervisor the successful candidate will: - Examine and process WTC claims for payment in accordance to NYS Workers' Compensation Board rules and NIOSH… more
- Sedgwick (New York, NY)
- …with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and ... Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner . + Monitors third party claims ; maintains periodical… more
- City of New York (New York, NY)
- …ONLY. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer files, enters information into computer, and updates… more
- City of New York (New York, NY)
- …production within unit. Performs investigations pertaining to workers' compensation claims . Supervises and oversees subordinates in complex investigative functions. ... cases to determine possibility of revenue collection. Performs the work of Benefits Examiner Levels 1 and 2 when necessary. WORKER'S COMPENSATION BENEFITS - 40482… more
- City of New York (New York, NY)
- …advocacy through interactions with law enforcement, the criminal justice system, the medical examiner 's office, and others as necessary. The goal of this program is ... Detectives. - Assist homicide survivors in navigating the medical Examiner 's office. - Provide immediate emotional support and offering...with the completion of and filing of victim compensation claims with NYS OVS. - Prepare letters and forms… more
- City of New York (New York, NY)
- …through interactions with law enforcement, the criminal justice system, the medical examiner 's office, and others as necessary. This position will report directly to ... families to determine their needs. Help homicide survivors navigate the Medical Examiner 's Office, liaise with Bronx Homicide Detectives, and explain the Criminal… more
- Sedgwick (Newark, NJ)
- …Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... to advance to the next round, a recruiter will be in touch. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable range of compensation for… more
- Molina Healthcare (New York, NY)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- New York State Civil Service (New York, NY)
- …defrauding New York State out of more than $4 Million in false Medicaid claims ; and the extradition, arrest, and arraignment of a Medicaid fraud ringleader. Minimum ... investigation of alleged fraud.* Designation as a Certified Fraud Examiner .* Experience with statistical sampling and/or advanced statistical training.* Knowledge… more
- Travelers Insurance Company (New York, NY)
- …on all accounts. Under close supervision, performs risk evaluations and claims investigations on less complex accounts as assigned. Participates in individual ... equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements of the… more
- City of New York (New York, NY)
- …for all medically related issues for medical management of workers' compensation claims . Responsibilities include: Consult managerial and legal staff in regards to ... not related to the claimant's job related injury. Assist examiner and legal staff to determine compensability of treatment...work injury and assist with medical case management of claims . Review and process high value and complicated in-patient… more