- Sedgwick (Buffalo, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability - REMOTE (PIP exp a plus/NO FAULT -NY Lic ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**:** To analyze complex or technically difficult general liability claims to determine benefits due; to work with high… more
- Sedgwick (Buffalo, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | Remote Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...YOU AN IDEAL CANDIDATE?** To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine… more
- Sedgwick (Buffalo, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | New York Jurisdiction | Dedicated Client We are ... seeking a highly motivated and experienced Workers' Compensation Claims Examiners to join our team. The ideal candidate...ideal candidate will have at least 2 years of claims handling experience, with a strong background in New… more
- CRST (Amherst, NY)
- …analysis, and processing of-and reporting on-insurance and self-insurance programs and claims . Risk management personnel manage the company's risk by analyzing and ... purchasing risk transfer products; assessing, investigating, and settling claims to limit. ultimate liability; monitoring and assisting the work of outside legal… more
- Sedgwick (Buffalo, NY)
- …with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and ... Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner . + Monitors third party claims ; maintains periodical… more
- Molina Healthcare (Buffalo, NY)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- Molina Healthcare (Buffalo, 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