- Humana (Albany, NY)
- …The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national ... guidelines, CMS and state Medicaid requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored… more
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file… more
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- Travelers Insurance Company (New York, NY)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim... claims . + Full damage value for average claim (without regard to coverage or liability defenses): $500,000… more
- University of Rochester (Rochester, NY)
- …which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes ... necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and… more
- Whitsons Culinary Group (Islandia, NY)
- …Risk Manager also leads the end-to-end oversight of workers' compensation claims , supporting our employees through clear and empathetic communication, coordinating ... return-to-work programs, and ensuring fair, timely resolution of claims . By analyzing data, monitoring industry and legislative changes, and partnering closely with… more
- New York State Civil Service (Albany, NY)
- …Albany Street Address NYS Department of Transportation - Office of Legal Services - Claims Bureau 50 Wolf Road City Albany State NY Zip Code 12232 Duties Description ... and are eager to assist NYSDOT in defending tort and construction contract claims and evaluate reimbursements for damage to its infrastructure through thorough and… more
- Greece Central School District (North Greece, NY)
- …employees' testimonies for errors or omissions in court; Testifies in court regarding claims ; Reviews pertinent information of each claim for inconsistencies for ... workers' compensation law, risk management, and third party liability claims ; Working knowledge of the legal system as it... on behalf of the employer; Reconciles and tracks claim payments for the purpose of ensuring compliance with… more
- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. + Follows up on unpaid accounts working claims . + Reviews reasons for claim denial. + Reviews payer website or contacts ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits … more