- Molina Healthcare (Yonkers, NY)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties** + Prepares written provider overpayment… more
- Sedgwick (Newark, NJ)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...+ Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim… more
- City of New York (New York, NY)
- …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... for review and completion of staff in the Supplemental Nutritional Assistance Program- Claims and Recovery program. - Review and maintain statistical reports… more
- Travelers Insurance Company (Morristown, NJ)
- …with business partners to achieve and sustain quality results. + Evaluates all claims for recovery potential; directly handles recovery efforts and/or ... resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...engages and directs Company resources for recovery efforts. + In order to perform the essential… more
- Travelers Insurance Company (Morristown, NJ)
- …with business partners to achieve and sustain quality results. + Evaluates all claims for recovery potential; directly handles recovery efforts and/or ... assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...engage and directs Company resources for recovery efforts. + Other duties as assigned. + Perform… more
- City of New York (New York, NY)
- …telephone contacts and other means for referral to the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP CR). - Review claims calculations ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO)...348.2; 348.3 BFI is recruiting for (1) one Eligibility Specialist III to function as an Eligibility Worker, who… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Insurance Fund, State Title Insurance Fund Services Specialist 2 (HELPS) Occupational Category Financial, Accounting, Auditing Salary Grade 18 ... 60 days of Workers' Compensation Board response letter.* Support the cost recovery manager in timely filing of 15-8 medical reimbursement requests.* Complete… more
- CDM Smith (Paterson, NJ)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... gather information from applicants, and understands each applicants' projects and recovery priorities. * Supports the communication process with the applicant about… more
- Care Plus NJ (Paramus, NJ)
- Administrative Billing Specialist Salary: $48k On-site M-F, Paramus NJ + 8:00 am - 4:00 pm or 9:00 am - 5:00 pm + 1 late shift 1:00 pm to 9:00 pm What We Offer: + ... of each plan. Job Summary: As an Administrative Billing Specialist , you will work with our team to provide...accounts in computerized system + Create and mail insurance claims and client statements + Re-bill insurance companies or… more
- City of New York (New York, NY)
- …(1) Principal Administrative Associate II to function as Field Eligibility Verification Specialist in its Case Integrity and Eligibility Division, who will: - Review ... Medical Assistance Program (MAP) duplicate Client Identification Numbers (CINs) for potential recovery of duplicate payments to New York State. - Initiate corrective… more
- City of New York (New York, NY)
- …(1) Principal Administrative Associate II to function as an Eligibility Verification Specialist in its Eligibility Verification Division, who will: - Work on various ... reviewing and analyzing MAP duplicate Client Identification Numbers (CINs) for potential recovery of duplicate payments to New York State. - Initiate corrective… more
- City of New York (New York, NY)
- …They act on behalf of the Bureau of Fraud Investigation, Liens and Recovery , Claims and Collections and the Assistance Reimbursement Unit. Their staff ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY… more
- Travelers Insurance Company (Parsippany, NJ)
- …intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews ... treatment plan. + Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical… more