- Travelers Insurance Company (New York, NY)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more
- MetLife (Oriskany, NY)
- …of MetLife. The customers who call into our call center call to file their claims , or to service their active claims . Call types include callers with disability, ... needs. * Research requests regarding various product aspects, policy provisions, claim status, basic procedures, etc. * Efficiently process transactions and refer… more
- Sedgwick (Albany, NY)
- …Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with ... or client directed documentation, notification or reporting; documents client contact in claim notes as per Sedgwick CMS standards; and assists case management staff… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , + facilitating the accuracy and completeness of the practice's codes and charges ... the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements:...relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the… more
- Guardian Life (New York, NY)
- …partnership with provider contracting, legal, compliance, underwriting, network, and claims . Additionally, this individual will help identify, prioritize, and design ... Insurance to define business requirements for product, network, provider contracts, claims , online and technological capabilities and service. + Drive Go-to-Market… more
- Cardinal Health (Albany, NY)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary + Reviewing insurance payments for accuracy and completeness **_Qualifications_** + HS, GED, bachelor's degree in business related field preferred, or equivalent… more
- City of New York (New York, NY)
- …matters involving Comptroller claims and the CDRB, among other types of claim and litigation related matters. The selected candidate may also be expected to ... professionals and construction contractors; and (iii) contract administration issues including claims analysis, delay claims analysis, review of potential change… more
- CDM Smith (Albany, NY)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those...Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI… more
- UHS (Binghamton, NY)
- …this role, you will investigate, analyze, and resolve denied insurance claims -ensuring timely reimbursement and supporting the financial integrity of our ... providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join a team where...guidelines and timelines. + Analyze and document trends in claim denials, identifying patterns related to payor behavior, system… more
- City of New York (New York, NY)
- …personnel for all contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates. - Maximize agency ... reimbursement by ensuring all expenditures are captured and reported accurately in claims . - Reconcile DOHMH submitted claims after state approval. - Handle the… more