Loan Examiner Manager jobs in Huntington, NY

Loan Examiner Manager manages a team of loan examiners responsible for credit and loan auditing and examination. Ensures procedures are followed and all loan policy guidelines are appropriately applied. Being a Loan Examiner Manager contributes to or leads more complex exams. Mentors, trains, and assesses the examination team. Additionally, Loan Examiner Manager may require a bachelor's degree. Typically reports to a manager or head of a unit/department. The Loan Examiner Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Loan Examiner Manager typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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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 AND EXPERIENCE:
    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
    Preferred:
    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.
  • 11 Days Ago

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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...
  • 13 Days Ago

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Loan Officer
  • The Accredited Group
  • Melville, NY FULL_TIME
  • Do you have a proven track record of creating lending solutions for your clients and a desire to assist buyers in obtaining the property of their dreams? If so, we’d love to talk with you about joinin...
  • 1 Month Ago

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Mortgage Loan Assistant
  • The Accredited Group
  • Melville, NY FULL_TIME
  • We're searching for a detail-oriented mortgage loan officer assistant. This position will play a vital part in communicating with referral partners, current and past clients, real estate agents, lende...
  • 16 Days Ago

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Junior Loan Officer
  • The Accredited Group
  • Melville, NY FULL_TIME
  • Are you an outgoing people-person who thrives in a fast-paced work environment? If so, we are looking for you! Our lending team is seeking a junior loan officer to help applicants navigate through the...
  • 4 Days Ago

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Loan Officer Trainee
  • Reliant Home Funding, Inc.
  • Melville, NY FULL_TIME
  • Learn the Mortgage Industry with on-the-job training. Sales TrainingMortgage Loan Product TrainingBanking ComplianceNMLS test sponsoringBe taught how to build your own business and not be dependent on...
  • 6 Days Ago

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0 Loan Examiner Manager jobs found in Huntington, NY area

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Loan Portfolio Specialist
  • Royal Business Bank
  • New York, NY
  • JOB SUMMARY Under minimal supervision, support the Portfolio Management Manager to manage legacy and portfolio loans for...
  • 4/19/2024 12:00:00 AM

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Executive Recruiter- Credit & Risk
  • Madison-Davis, LLC
  • Elmsford, NY
  • We are currently hiring an Executive Recruiter within our Credit Services & Risk Management team! About Madison Davis: M...
  • 4/19/2024 12:00:00 AM

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Director of Cost Reporting - FIN109 - Mon-Fri 9AM-5PM
  • WellLife Network
  • New Hyde Park, NY
  • Job Details Job Location Corporate Office (Main Office) - Lake Success, NY Education Level 4 Year Degree Salary Range $1...
  • 4/19/2024 12:00:00 AM

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AVP, Infection Prevention
  • Northwell Health
  • Great Neck, NY
  • Req Number 116319 Job Description Directs the development, coordination and administration of organization Infection Pre...
  • 4/19/2024 12:00:00 AM

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Food Compliance Technician
  • Calico Cottage, Inc.
  • Amityville, NY
  • Job Description Job Description Company Information: Since 1964, we have been the world’s largest supplier of fudge maki...
  • 4/17/2024 12:00:00 AM

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Customer Service Representative Wholesale French
  • Crocs
  • New York, NY
  • **Customer Service Representative Wholesale French** at Crocs Hoofddorp **Everyone Comfortable in Their Own Shoes** *Cro...
  • 4/17/2024 12:00:00 AM

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Financial Consultant - Plainview, NY
  • Fidelity TalentSource LLC
  • Plainview, NY
  • Job Description: Financial Consultant If you no longer want to spend your time on sourcing new clients and would rather ...
  • 4/16/2024 12:00:00 AM

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Investment Consultant - Garden City, NY
  • Fidelity TalentSource LLC
  • Garden City, NY
  • Job Description: Investment Consultant You joined the financial services industry to make a difference in the lives of y...
  • 4/15/2024 12:00:00 AM

The Town of Huntington is one of ten towns in Suffolk County, New York, United States. Founded in 1653, it is located on the north shore of Long Island in northwestern Suffolk County, with Long Island Sound to its north and Nassau County adjacent to the west. Huntington is part of the New York metropolitan area. As of the United States 2010 Census, the town population was 203,264....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Loan Examiner Manager jobs
$148,143 to $204,157
Huntington, New York area prices
were up 1.5% from a year ago

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The former Postbank manager Angelos Filippidis will face the examiner today in order to state his plea regarding a number of loans the bank granted during his tenure.
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Substandard – Loans are inadequately protected by the current sound worth and paying capacity of the obligor or of the collateral pledged, if any.
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However, bankers have begun to use other terms used in examinations as internal loan grades.
December 09, 2019