- USAA (New York, NY)
- …Investigation Unit (SIU) referrals, when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and communication with Insured, Insured's family, care providers, and monitoring of claim submission and processing. All work is directed under the terms and ... of services as is deemed necessary. + Evaluates submitted claims to determine if services billed and provided are...insurance contract. + Reviews the Insured's benefit file and claim payment to encourage timely submission and adjudication of… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental/unit ... programs and evaluations, scheduling and timesheets. + Analyzes and identifies claim payment issues, patterns, and root cause; tracks and pursues un-timely,… more
- City of New York (New York, NY)
- …DOHMH submitted claims after state approval. Reconcile and submit consolidated claim reports (CCR) to state agencies as needed. Ensure all monthly, quarterly, ... BE LIMITED TO: Responsible for the agency's Article 6 claim submissions to state. Learn and understand Public Health...for all contract, budget, and payment data to ensure claims are efficiently processed and meet due dates. Maximize… more
- Sedgwick (Albany, NY)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more
- WMCHealth (Kingston, NY)
- …+ Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected ... Applicant link Job Details: To submit and/or follow-up on all claims for HealthAlliance for multiple payors. Responsibilities: + Demonstrates proven abilities… more
- AON (New York, NY)
- …and capabilities to be able to leverage carriers effectively. + Engage the Aon FSG claims and legal advocacy group for claim administration and counsel as per ... skills both written and verbal. + Property & Casualty license required within 6 months of hire date. Education:...to leverage carriers effectively. + Engage the Aon FSG claims and legal advocacy group for claim … more
- Sedgwick (Albany, NY)
- …& Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... + Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim . + Consults police and hospital records and inspects property damage… more
- FLACRA (Newark, NY)
- …and payment collection processes. This position is responsible for processing claims , managing accounts receivable, and ensuring timely and accurate payment ... receivable. + One year medical billing experience preferred. + Valid NYS Driver's License . + High school diploma / GED. Job Requirements: Key Responsibilities: +… more
- Travelers Insurance Company (Queens, 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