- Travelers Insurance Company (Melville, NY)
- …As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and customer ... claims handling process. **What Will You Do?** + Provide quality claim handling of Auto claims including customer contacts, coverage, investigation,… more
- Travelers Insurance Company (Melville, NY)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the… more
- Highmark Health (Albany, NY)
- …and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, ... **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health… more
- Sedgwick (New York, NY)
- …asbestos) by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate ... + Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life....depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Molina Healthcare (NY)
- …recovery application. * Follows department processing policies and procedures including, claims processing ( claim reversals and adjustments), claim ... JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim ...and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
- Latham, The Pool Company (Latham, NY)
- …that makes a difference? A little about the position: Job Summary The Warranty Claim Representative is responsible for the triage and administration for all claim ... service to resolve customer inquiries. + Ensure data integrity of all claims information by validating submitted information against ERP systems to supplement… more
- Sedgwick (Albany, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Albany, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- New York State Civil Service (White Plains, NY)
- …include, but are not limited to:* Oversee all aspects of workers compensation claims processing from inception to closing* Initially determine the compensability ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90) -...with case analysis over the anticipated life of the claim * Recommend cases for appeal to WCB *… more
- Molina Healthcare (Albany, NY)
- …equivalent combination of relevant education and experience. * Medical claims processing experience across multiple states, markets, and claim types. * ... requests. * Assists with reducing rework by identifying and remediating claims processing issues. * Locates and interprets claims -related regulatory and… more