- CVS Health (Albany, NY)
- …every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity ... use multiple systems and screens to obtain and record claim information - Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Travelers Insurance Company (Albany, NY)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. * Maintains...claims as a refund or auto debit in claim systems and in recovery application. * Follows department… more
- Guardian Life (Pittsfield, MA)
- …for you to grow and enrich your career and future as a Disability Claims Specialist . We believe in your aspirations for purpose, leadership, and achievement ... will help build the core competencies you will need to be a successful Disability Claims Specialist . In your first year, we will provide extensive training in a… more
- Zurich NA (Albany, NY)
- Marine Claims Senior Claims Specialist 126574 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
- Allied Universal (Albany, NY)
- …a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance ... Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection...Claims (AIC) + Chartered Property Casualty Underwriter (CPCU) ** BENEFITS :** + Medical, dental, vision, basic life, AD&D, and… more
- CDPHP (Latham, NY)
- …The specialist will address and resolve service-related issues including claim adjustment requests, appeals and complaints, eligibility determination and other ... preferred. + Demonstrated ability to determine, analyze and solve problems related to benefits , claims appeals, claims pricing/processing by utilizing all… more
- Sedgwick (Albany, NY)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS) (Multiple Positions), Box ... Department (NYSED) is seeking candidates for multiple Education Finance Specialist 1 positions in the Office of State Aid...perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Civil Service, Department of Title Human Resources Specialist 1 ( Benefits ) or Trainee 1 / Trainee 2 Occupational Category Other Professional ... of the comprehensive health insurance programs. The Human Resources Specialist 1 duties in Employee Benefits will...regulations, policy and administration of NYSHIP, as well as benefit and claims assistance. This includes being… more
- Molina Healthcare (Albany, NY)
- … claims production standards set by the department. * Applies contract language, benefits and review of covered services to claims review process. * Contacts ... and prepares written response to incoming provider reconsideration requests related to claims payment, requests for claim adjustments, and/or requests from… more
- The Wesley Community (Saratoga Springs, NY)
- …USA | Hourly | 20-22.52 per hour | Full Time Day | Robust and comprehensive benefits package! A/R Medical Billing Specialist Full Time | Days | 8am - 4:30pm ... We are seeking an experienced Billing Specialist professional who loves what they do! Everything we...Job Duties: + Responsible for timely and accurate insurance claim submissions for all payer types. + Monitor and… more
- Sedgwick (Albany, NY)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research,...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- CVS Health (Albany, NY)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... each and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including general… 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)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- Molina Healthcare (Albany, NY)
- … claims production standards set by the department. * Applies contract language, benefits and review of covered services to claims review process. * Contacts ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- CVS Health (Albany, NY)
- …and outreach on appropriate interchanges of medications from the medical to pharmacy benefit . + Help triage escalated, high-touch member claims issues and ... Research Effort_ ) team. The **Meritain Pharmacy Solutions CARE Specialist ** will engage with patients, helping them to navigate...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Allied Universal (Cohoes, NY)
- …the communities and customers we serve. As a **Security Officer - Financial Patrol Specialist ** in **Cohoes, NY** , you will serve and safeguard clients in a range ... works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As a...training and access to career growth opportunities. + **Financial Benefits :** Participate in our retirement savings plan to invest… more
- Allied Universal (Latham, NY)
- …the communities and customers we serve. As a **Security Officer - Logistics Patrol Specialist ** in **Latham, NY** , you will serve and safeguard clients in a range ... works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As a...training and access to career growth opportunities. + **Financial Benefits :** Participate in our retirement savings plan to invest… more