- Centers Plan for Healthy Living (Staten Island, NY)
- …developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for ... further resolution of the callers issue while adhering to CPHLs policies. + Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends + Prepares correspondence, maintains phone and contact logs, and documents… more
- Sedgwick (New York, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are ... valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client… more
- Ryder System (New York, NY)
- …**Job Description** : **SUMMARY** This position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program. **ESSENTIAL ... Investigates and resolves low to high exposure worker's compensation claims pursued against Ryder and our insured customers Ensures... is reached, and that a high level customer service is attained The position handles cases in compliance… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- New York State Civil Service (New York, NY)
- …- Dormitory Authority of the State of New York Title Senior Field Representative - Hunter College Occupational Category Other Professional Careers Salary Grade NS ... NY Zip Code 10005 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
- Fedcap (New York, NY)
- …data entry accuracy; assure correct provider, facility, place of service , medical service and coding are billed. + Submit claims to insurance companies on ... Position Summary The Medical Billing Representative I provides support and reports directly to...A/R aging to include appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims… more
- Elevance Health (New York, NY)
- **Position Title:** Customer Care Representative I **Location: Virtual:** This role enables associates to work virtually full-time, with the exception of required ... essential face-to-face onboarding and skill development. The Customer Care Representative is responsible for successfully completing the required basic training.… more
- Molina Healthcare (Manhattan, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 3 - 5 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Amalgamated Bank (New York, NY)
- Amalgamated Bank is seeking a Licensed Retail Banking Representative ! Under general supervision, but following established policies and procedures, this position ... will provide potential and existing customers with high quality customer service in a broad variety of activities (including, but not limited to, life insurance… more
- MTA (New York, NY)
- Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Date Posted: Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington Ave FULL/PART-TIME FUL… more
- Amalgamated Bank (New York, NY)
- Amalgamated Bank is seeking a Retail Banking Representative to be responsible for providing a high quality of Customer Service in a broad variety of activities. ... on to work in both the Teller and Customer Service areas, according to needs. This position is responsible...matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing… more
- Hackensack Meridian Health (Red Bank, NJ)
- …transform healthcare and serve as a leader of positive change. The **Account Representative ** is responsible for billing and Revenue Cycle follow up. Ensures the ... the knowledge of ICD-10 and CPT codes to ensure accurate processing claims and denials. **Licenses and Certifications Preferred:** + Certified Professional Coder. If… more
- City of New York (New York, NY)
- …5141. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer...requirement applies to you, please discuss with the agency representative at the time of interview. To Apply Click… more
- New York State Civil Service (New York, NY)
- …titles include, but are not limited to: Administrative Analyst Trainee 1, Claims Services Representative Trainee 1, Contract Management Specialist Trainee 1, ... Business Systems Analyst Trainee 1:* Reachable on current Civil Service eligible list for this title; OR* One year...Law. Eligible titles include, but are not limited to: Claims Services Representative 1, Policyholder Services … more
- Sedgwick (New York, NY)
- …Services | SIU **PRIMARY PURPOSE** : To manage accounts of multiple client service programs or single large national program; to maintain client, client broker and ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs client renewal and Client Service Instruction preparation for assigned clients. + Coordinates pricing and… more
- Pfizer (New York, NY)
- …who are dedicated to helping drive improvements to Pfizer's patient service programs through proactive thought leadership, innovative research capabilities, and the ... prescribing, institutional sales data, payer-prescriber-level data, formulary data, Rebates, Symphony claims , Copay claims + Prior experience with the… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …all individuals in receipt of Social Security Income. + Complete Social Security representative payee forms for all applicable service recipients. + Execute and ... preparing Medicaid and Social Security Administration (SSA) recertifications; completing representative payee and Supplemental Nutrition Assistance Program (SNAP) forms/application… more
- City of New York (New York, NY)
- …duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for protecting… more
- RxBenefits (New York, NY)
- …Manager also assists with resolving client issues involving performance discrepancies and claims issues. This role will support the Director, Pharmacy Pricing & ... enhanced visibility and efficiency + Act as a cross-functional representative throughout the organization to provide strategic insight and...up to 3.5% available after 60 days_ + _Community Service Day to give back and support what you… more
- B&H Photo (New York, NY)
- …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers… more