Loan Examiner jobs in New York
Loan Examiner reviews or audits a loan portfolio of low complexity loans to ensure compliance with established laws and regulations. Analyzes loans to identify deficiencies, unsupported charges, and risk levels. Being a Loan Examiner establishes authenticity and correctness of all records including transactions and other forms of documentation. May require a bachelor's degree. Additionally, Loan Examiner typically reports to a supervisor or manager. The Loan Examiner works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Loan Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Recently Added Loan Examiner jobs
Claims Examiner
- Centers Plan for Healthy Living
-
Farmingdale, NY
FULL_TIME
-
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.
Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the place for a fulfilling long-term career.
JOB SUMMARY:
Responsible for the timely and accurate adjudication of all claims for Centers Plan for Healthy Living (CPHL) products. Reviews and resolves pended and corrected claims. Analyzes claim resubmissions to determine areas for provider education or system re-configuration. Serve as the primary point of contact for claim issues raised by Providers and internal CPHL departments. Provides feedback on department workflows and identifies opportunities for redesign. Performs claims testing to ensure that systems are designed efficiently based on the Plan's benefit structure.
PRIMARY RESPONSIBILITIES:
- Review, research and finalize provider claims within established regulatory requirements and CPHL policies.
- Analyze provider issues and collaborate with other departments to resolve. Identifies and documents opportunities for provider education.
- Review provider disputes or appeals and provide a detailed analysis of findings.
- Conduct claim testing for CPHL products.
- Review claim processing results of Delegated Vendors
- Provides expertise and assistance relative to provider billing and payment guidelines consistent with CPHL policies and procedures and State or CMS guidelines.
- Document all provider contacts; including telephonically, emails, written correspondence
- Trouble shoot and identify root cause of problems and participate in developing solutions
- Provides follow up and intervention relating to provider claim inquiries
- Collaborate with internal teams and departments to ensure applications are processed, contracts are executed and all providers are credentialed in a timely manner.
- Participates in standing meetings as necessary, including but not limited to provider relations, contracting, network development, team building.
- Performs other duties and special projects as assigned and directed.
Education
Required: BA/BS degree in a financial field or equivalent healthcare experience
Preferred:
Type of Experience
Required: 3 years of claim processing experience, preferably in a Medicaid/Medicare, MLTC environment, Customer Service in health insurance product environment.
Preferred:
Specific Technical Skills
Required: Use of Microsoft Access or similar query tool. Proficiency with MS applications, including but not limited to Word, Excel, Outlook, Power Point, Project
Strong telephonic and customer service skills
Certifications/Licensure:
Required: n/a
Knowledge and Skills:
- Effective presentation skills
- Excellent verbal and written communication skills
- Must be able to participate in meetings with all levels of management within the organization
- Detail oriented, excellent follow up
- Ability to multi-task in a fast paced environment
- Must be service oriented, quick learner, team player
- Appreciation of cultural diversity and sensitivity toward target population
SCOPE INFORMATION
# Direct Reports: n/a
PHYSICAL REQUIREMENTS:
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification. They should not be construed as an exhaustive list of all responsibilities, duties and skills required.
Centers Plan For Healthy Living is committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our employees and our business. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law and will not be denied employment. - 17 Days Ago
Claims Examiner
- Centers Plan for Healthy Living/Centers Care Solutions
-
Garden, NY
FULL_TIME
- Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with oppor...
- 19 Days Ago
Claims Examiner
- Centers Plan for Healthy Living/Centers Care Solutions
-
Staten Island, NY
FULL_TIME
- Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with oppor...
- 19 Days Ago
Claims Examiner
- Centers Plan for Healthy Living/Centers Care Solutions
-
Farmingdale, NY
FULL_TIME
- Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with oppor...
- 19 Days Ago
Claims Examiner
- Centers Plan for Healthy Living
-
Garden, NY
FULL_TIME
- Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance a...
- 19 Days Ago
Claims Examiner
- Pat N Sally Inc
-
Albany, NY
FULL_TIME
- Assist applicants in completing and submitting applications.Search records to determine the license status and history of individuals and corporations. Provide information to applicants as requested.R...
- Just Posted
Loan Examiner jobs at Popular Companies
Loan Review Officer
- Albany Bank
-
Chicago, IL
- Job Description Job Description The Loan Review Officer conducts independent reviews and risk assessments of the Bank’s ...
- 4/25/2024 12:00:00 AM
Loan Review Analyst
- Central Bancompany
-
Jefferson City, MO
- Job Description Our Loan Review Analysts work in a dynamic environment to assess the overall risk in our commercial cred...
- 4/25/2024 12:00:00 AM
Commercial Loan Review Officer I
- Valley Bank
-
Morristown, NJ
- Job Overview The Loan Review Officer I will provide an independent assessment of credit risk by examining individual cre...
- 4/25/2024 12:00:00 AM
Commercial Loan Review Officer I
- Valley Bank
-
Morristown, NJ
- Job Overview The Loan Review Officer I will provide an independent assessment of credit risk by examining individual cre...
- 4/23/2024 12:00:00 AM
Loan Review Quality Assurance Lead (QAL)
- SoFi
-
Jacksonville, FL
- Employee Applicant Privacy Notice Who we are: Shape a brighter financial future with us. Together with our members, we'r...
- 4/23/2024 12:00:00 AM
Loan Review Quality Assurance Lead (QAL)
- SoFi
-
Midvale, UT
- Employee Applicant Privacy Notice Who we are: Shape a brighter financial future with us. Together with our members, we'r...
- 4/23/2024 12:00:00 AM
SBA Senior Loan Auditor
- Williams Adley
-
Washington, DC
- Company Overview: For more than 40 years, Williams Adley has provided expert accounting, auditing, and consulting servic...
- 4/22/2024 12:00:00 AM
Loan Review Officer- Credit Risk
- Pelham Berkeley Search
-
New York, NY
- High Profile Bank in Manhattan seeks a commercial lending Loan Review Officer with a strong credit risk background. Trem...
- 4/22/2024 12:00:00 AM
About New York
New York is a state in the Northeastern United States. New York was one of the original thirteen colonies that formed the United States.
New York covers 54,555 square miles (141,300 km2) and ranks as the 27th largest state by size.[3] The highest elevation in New York is Mount Marcy in the Adirondacks, at 5,344 feet (1,629 meters) above sea level; while the state's lowest point is at sea level, on the Atlantic Ocean.
In contrast with New York City's urban landscape, the vast majority of the state's geographic area is dominated by meadows, forests, rivers, farms, mountains, and lakes. Most of...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Loan Examiner jobs
$47,812 to $68,412
Most Popular Cities in New York for Loan Examiner Jobs
What does a Loan Examiner do?
Loan Examiner in Pueblo, CO
The release outlines that the annual loan sampling should provide coverage of all material exposures.
November 27, 2019
Loan Examiner in Santa Barbara, CA
These reviews are conducted on performing loan functions and/or default functions.
December 09, 2019
Loan Examiner in Binghamton, NY
The work of loan officers has sizable customer-service and sales components.
February 01, 2020