- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or ... specialty claims , submitted via paper. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer… more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding ... Configuration and Membership and Billing to resolve provider inquiries as defined within Claims Operations procedures. The Claims Representative is required… more
- Sedgwick (Albany, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are ... distance to Syracuse, NY** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate and… more
- Humana (Albany, NY)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages...(Spanish / English) (see Language Proficiency Testing below)** + ** 1 or more years of Call Center or Telephonic… more
- Travelers Insurance Company (Albany, NY)
- …us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and ... incentive awards. **Salary Range** $52,600.00 - $86,800.00 **Target Openings** 1 **What Is the Opportunity?** Be the Hero in...guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating… more
- Molina Healthcare (Albany, NY)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...call center member relations. Required Qualifications * At least 1 year related experience, including call center or customer… more
- New York State Civil Service (Albany, NY)
- …to the Claimant Services Unit and be responsible for reviewing and processing claims , performing database searches using information provided by claimants; ... Yes Agency State Comptroller, Office of the Title Office Assistant 1 , SG-06(NYHELPS) Item# 06018(Multiple) Occupational Category Clerical, Secretarial, Office Aide… more
- Ryder System (Albany, NY)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- CVS Health (Albany, NY)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic claim ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Wavetronix (Albany, NY)
- …based vehicle detection technologies, is seeking a full-time Regional Sales Representative in the New England. Primary tasks include identifying market ... Self motivated/Self starter + Experience in ITS or signal processing + Ability to travel more than 50% of...commutable distance to Albany (required) A successful Regional Sales Representative will accomplish the following: First 90 Days +… more
- New York State Civil Service (Menands, NY)
- …as applicable. Responding to claim-specific questions may require reviewing and processing claims , performing database searches using information provided by ... or eligible to transfer to this title under Section 70. 1 of the Civil Service Law.For 70. 1 ...attachments. If you have questions about this vacancy, please contact this Division representative : Division Contact: Jessica HillEmail Address:… more