Employment Type : Full-Time
To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Adjusts medical-only...
Employment Type : Full-Time
Job Description: Pay Range: $20hr - $24hr Essential Functions: 35% Provides first- level problem resolution to member, provider and broker inquiries via telephone by gathering and researching information;...
Employment Type : Full-Time
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid...
Employment Type : Full-Time
Description The Claims Manager is responsible for promptly reporting and managing claims from workers' compensation, auto, property, and general liability. The candidate will be able to analyze mid-level claims to ensure accurate and...
Employment Type : Full-Time
Duties & Responsibilities: Assist in the on-going evaluation of configuration for new and existing claims business rules including member benefits, claims editing, reference data and system functionality within the...