- 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)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction & NY Licensing required Job ... workers compensation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze workers compensation claims on behalf of our valued clients to determine… more
- Sedgwick (New York, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY License required Job Description ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...IDEAL CANDIDATE?** To analyze **New York Lost-Time Workers Compensation** claims on behalf of our valued clients to determine… 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
- HUB International (New York, NY)
- …culture. Hub International Northeast Limited is seeking an experienced and forward-thinking Senior Claims Advocate to join our Property and Casualty (P&C) Claims ... with producers and account executives to strengthen client relationships through proactive claims strategies. + Manage relationships with insurers, TPAs, and other … more
- Molina Healthcare (Yonkers, NY)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years of experience in claims as Adjuster or claims examiner in the healthcare ... of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + Comprehensive claims processing experience (QNXT) as Examiner or Adjuster +… more
- City of New York (New York, NY)
- …the title and have taken the most recent Workers' Compensation Benefits Examiner exam number 5141. Under direct supervision, receives and processes incoming workers' ... compensation claims . Performs tasks such as the following: Reviews accident...workers' compensation benefits. Trains less experienced Workers' Compensation Benefits Examiner . Identifies medical information needed to reach a conclusion… more
- City of New York (New York, NY)
- …is a fast-paced environment and has a demanding workload. The Hearing Examiner /Officer must be fair, impartial, disinterested, and ensure that litigants are afforded ... due process. The Hearing Examiner /Officer must ensure that administrative hearings adhere to the procedural requirements of Federal Consent Decrees which gave rise… more
- City of New York (New York, NY)
- Job Description The Office of Chief Medical Examiner investigates cases of persons who die within New York City from criminal violence, by accident, by suicide, ... meet evolving needs The NYC Office of Chief Medical Examiner is accepting applications from admitted attorneys for a...workforce. The Deputy EEO Officer will address all EEO-related claims and issues, and lead efforts related to design,… more
- Molina Healthcare (Yonkers, 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 ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- CDM Smith (Paterson, NJ)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...such as CPA (Certified Public Accountant), CFE (Certified Fraud Examiner ), or CFF (Certified in Financial Forensics). **EEO Statement:**… 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
- 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
- New York State Civil Service (Pearl River, NY)
- …investigation of alleged fraud.* Designation as a Certified Fraud Examiner .* Experience with statistical sampling and/or advanced statistical training.* Knowledge ... medical coding concepts (CPT, ICD-9 / 10, DRGs) and/or experience analyzing health care claims data.* A CPA is not required; but the position qualifies for CPA… more
- Molina Healthcare (Yonkers, NY)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you are interested in… more