- Highmark Health (Albany, NY)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for the strategic implementation of new or transitioned accounts while ... (ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements… 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...to do so. Where it's a priority that the company takes good care of you and your family.… more
- Sedgwick (Albany, NY)
- …and organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Celebrate your career ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- MetLife (Oriskany, NY)
- …learn quickly and continuously develop functional knowledge and an understanding of company products as well as administrative, claims , underwriting and ... Expect Group disability insurance is a policy for a company , group, or organization which is meant to provide...call into our call center call to file their claims , or to service their active claims .… more
- Trustco Bank (Schenectady, NY)
- …and Claims Management: Coordinate with insurance brokers and monitor claim processes, . Track litigation developments and communicate with insurers to safeguard ... our employees means investing in the future of our company . As a valued team member, you will be...including evidence presentation, witness preparation, and trial participation-covering commercial claims and small claims . + Customer and… 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
- Philadelphia Insurance Companies (New York, NY)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... + Work closely with other internal departments such as operations, loss control, claims , marketing, audit and accounting to meet client service goals and increase… more
- Hannaford (Pine Bush, NY)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms if needed. * Maintain organized filing system for invoices, manual ... insurance claims , daily reports, etc.. in accordance with Standard Practice...and state law. * Maintain confidentiality of customer and company information. * Help customers find over the counter… more
- Amgen (Syracuse, NY)
- …insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate offices using approved materials + Review ... + Experience in the healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or pharmaceutical… more
- Modivcare (NY)
- …+ Collaborates with the billing team to ensure accurate and complete claim submissions, resolving any billing discrepancies or errors. + Maintains updated records ... disputes in a timely manner. + Investigates and resolves billing discrepancies or claim denials, working closely with payers and the billing team to facilitate… more
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