- Sedgwick (Syracuse, NY)
- …payment timelines, and compliance with statutory requirements. + **Negotiate** settlements of claims within designated authority to reach claim resolution. + ... and timely manner. + **Maintain** accurate and comprehensive records in the claims management system , documenting all actions, decisions, and correspondence… more
- Molina Healthcare (Buffalo, NY)
- …Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational ... with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.… more
- Axis (New York, NY)
- …risk assessments to support decision-making processes. + Keeping precise records of claim activities and promptly updating systems with allrelevant details ... insurance and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is… more
- Axis (New York, NY)
- …the Team AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America Claim Team. This role involves managing primary and ... excess claims for various AXIS policy forms. How does this...Management and Vendor Management teams. Maintaining accurate records of claim activities and updating systems with relevant… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …entry or customer service experience required. * Able to learn and operate internal claims system for entry and processing. * Ability to efficiently resolve ... performs timely and accurate data-entry and transactional processing in the claims administration system . The incumbent processes and adjudicates Long-Term… more
- Ryder System (Albany, NY)
- …**Job Description** : **SUMMARY** This position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program. **ESSENTIAL ... Investigates and resolves low to high exposure worker's compensation claims pursued against Ryder and our insured customers Ensures...the most appropriate and cost effective resolution of all claims is reached, and that a high level customer… more
- Axis (New York, NY)
- …In This Role?** + Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North America Claim team. + Managing a diverse range of ... The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength...to support decision-making processes. + Keeping precise records of claim activities and promptly updating systems with… more
- MetLife (Oriskany, NY)
- …made by team member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and ... calls, clear communication, accuracy of decisions and financial accuracy * Drives Claim Management Accuracy and Customer Centricity through support of the Pre-QA… more
- Molina Healthcare (NY)
- …, provider and investigation/research experience. Outcome focused and knowledge of multiple systems . 1+ years of claims research and/or issue resolution or ... **Job Summary** Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim … more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding ... claims adjudication and adjustments. In addition, the incumbent will...The specialist will address and resolve service-related issues including claim adjustment requests, appeals and complaints, eligibility determination and… more