- CVS Health (Albany, NY)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( ... claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines....every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Molina Healthcare (Albany, NY)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and… more
- CVS Health (Albany, NY)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… 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...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Highmark Health (Albany, NY)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more