2 legal jobs found in Edmeston

EFW Examiners review claims for red flag indicators that will determine if further investigation and referral to special investigation unit (SIU) is needed. They also collaborate with examiners, supervisors and EFW examiners to reach mutual decisions on the disposition of claims that have been investigated. Duties & Responsibilities: Collaborate with the examiner teams to identify claims in need of further investigation. Work with examiners, customers, vendors, and other resources to gather information to establish facts of loss and if potential fraud indicators exist. Conduct objective, fair, thorough, and timely investigations, and reviews. Ensure processing of the claims are handled in accordance with regulation time frame. Submit claims to SIU through the database for assist or referral when fraud indicators are present. Return to examiner for normal claim processing when all red flag indicators have been ruled out. Generate detailed denials based on...

NYCM Insurance provides challenging and rewarding internship opportunities that contribute to business operations and long-term success. This opportunity will help you gain real-world experiences and become familiar with a variety of regular positions that may become available at NYCM Insurance. Applications for internships are welcome for all divisions. We offer internship opportunities in the following areas of the company: Claims: Our Claims professionals work with customers to build relationships after they have experienced an Auto, Property or Commercial loss. Our Claims division is broken up into three segments: Auto, Property & Commercial, Casualty and the Special Investigations Unit. Customer Relations: Customer Relations is committed to building trust between the company and the customer by enhancing the NYCM customer experience. Customer Relations is made up of three separate teams: Customer Service, Customer Experience and Brand Management. Employee...