- Crouse Hospital (Syracuse, NY)
- …Checking payer websites and/or making phone calls to payers for status on unpaid claims . + Reviewing and analyzing all payer 835 files and hard copy Remittance ... Advices. + Timely submission of appeals on denied claims , and works payers' correspondence in a timely manner....established time frame. + Professionally analyzes and works all claim denials and proactively notifies department leadership of trends… more
- City of New York (New York, NY)
- …in SharePoint, assisting with new hire onboarding and other tasks as needed. CLAIM SPECIALIST - 30726 Qualifications 1. A baccalaureate degree from an accredited ... or university and two years of full-time satisfactory experience investigating and/or settling claims for personal injury or property damage or loss; or 3. A… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …and consistent revenue flow for organization. + Checks clearinghouse, Availity, for any claims in error edits, corrects, and submits to payer timely. + Follow up ... be done bi-monthly on assigned controls to include corrected claims , appeals, phone calls, or provider rep assistance to...Skills: + Prior Medical Billing with electronic and paper claim filing experience including maintenance of data tables. +… more
- The Wesley Community (Saratoga Springs, NY)
- …in the heart. Primary Job Duties: + Responsible for timely and accurate insurance claim submissions for all payer types. + Monitor and maintain aging reports for ... outstanding claims . Respond to and resolve insurance claims denials, rejections, and underpayments in a timely manner. Ensure prompt follow-up and appeal… more
- Dal-Tile Corporation (New York, NY)
- …that an employee in this position would be expected to manage. Investigate claims submitted by customers to determine root cause, identify possible solutions, and ... coordinate actions with necessary functions to resolve replacement or remedial claims caused by manufacturing defects, addressing any disputes, and negotiating any… more
- Conifer Realty LLC (Rochester, NY)
- …captive insurance company and Risk Management function, ensuring incident data, claims management, and loss control programs are fully integrated with security ... safety risk assessments leveraging law enforcement data, regional crime statistics, claims history, inherent exposure potential and site evaluations. + Partner with… more
- EFI Global (Binghamton, NY)
- …and RESPONSIBILITIES** **Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of ... the assignment.** **Determines the origin and cause of the loss/ claim under investigation and identifies any potential third-party responsibility for subrogation… more
- UNUM (Albany, NY)
- …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits… more
- AIG (New York, NY)
- …Analysts + Work closely with the Finance Center staff to address and resolve claim related issues as they arise + Ensure SOX compliance by maintaining and monitoring ... e-treaty Minimum Qualifications: + 5+ years of reinsurance/insurance experience in claims and/or accounting + Basic understanding of general accounting fundamentals… more
- CDM Smith (Buffalo, NY)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more