- Sedgwick (New York, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | Jurisdiction: TX,OK,LA | TX License preferred ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Albany, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are… more
- Sedgwick (New York, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Ryder System (Albany, NY)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- Albany Medical Center (Albany, NY)
- …Monitor and remediation of the FIX worklist process Ensure that all month end processing is completed timely. The Billing Unit Supervisor works independently and ... $65,102.17 - $100,908.37 Salary Range: $28.99 - $46.39 The Supervisor is responsible for the day to day staff...daily basis Validate timely follow up on all outstanding claims Validate timely submission of all payor appeals for… more
- Ellis Medicine (Schenectady, NY)
- The Supervisor , Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct ... management of the outpatient medical coding team. The Supervisor of Medical Coding understands the organization's core information technology and information… more
- Highmark Health (Albany, NY)
- …supervisor 's functions. + Act as subject matter expert for benefit plan and claims processing + Research and investigate any privacy or compliance concerns ... (CMS, HIPAA, internal policy, etc.).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate, which may involve working across teams and with different levels of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Assesses staff and unit training needs and reports this information to the supervisor . + Collaborates with other key departments ( Claims , Customer Service, ... policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and… more
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ... May transfer secondary balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter Sent (CLS) and… more
- University of Rochester (Rochester, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established procedure for missing ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the… more