- Zurich NA (Albany, NY)
- Marine Claims Senior Claims Specialist 125273 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
- 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
- CVS Health (Albany, NY)
- …Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance ... level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CS Energy (Albany, NY)
- The Project Controls Specialist works under the guidance of our Project Controls Leadership and in partnership with our Operations Team to provide a single point of ... Schedules, Project Forecast Sheets, and 4 Week Lookahead Reports. The Project Controls Specialist will report to the Edison, Albany, or Worchester office at least… more
- Highmark Health (Albany, NY)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more
- New York State Civil Service (Schenectady, NY)
- …signatures of the Board Panel on Memorandums of Decision regarding disability benefits and workers' compensation discrimination claims , filing the signed ... Code 12305 Duties Description Under the general direction of the Administrative Specialist 1, the Administrative Assistant 1 assists the Administrative Specialist… more