- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
- Travelers Insurance Company (Melville, NY)
- …beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to ... investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to… more
- Access: Supports For Living (Middletown, NY)
- …management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, submission, and ... uploading of claims with providers and insurance companies, including but not...Environment/ Physical Requirements: + This job operates in a professional office environment. This role routinely uses standard office… more
- MVP Health Care (Tarrytown, NY)
- …justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with ... law enforcement agencies, or seven years of professional investigation experience involving economic or insurance related matters....the above requirements: A duly licensed or authorized medical professional , including but not limited to MD or RN.… more
- AECOM (New York, NY)
- …Work with management and staff to resolve pre-litigation disputes and potential claims + Supervise and manage litigation, including professional liability, ... with minimal oversight + Demonstrated drafting and negotiation experience involving professional services and construction related agreements + Proficiency in MS… more
- City of New York (New York, NY)
- …Management System (FMS). - Analyze settlement of Federal and State claims filed for reimbursements for adjustments and offsetting funds. Perform reconciliation ... open billed receivables reports and the settlements of all claims received from the Federal, State, City agencies and...accredited law school, and one year of satisfactory full-time professional experience in one or a combination of the… more
- Public Consulting Group (Albany, NY)
- …through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Sedgwick (Albany, NY)
- …**:** To supervise the activities of the adjuster department; to assign caseload of claims to adjusters and to ensure customer satisfaction of claims services ... Attends litigation hearings. + Establishes reserves and estimates in unassigned claims files. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties… more
- Oak Orchard Health (Brockport, NY)
- …a competitive company match + Organizational support of continuing education and professional development! + Company paid life Insurance! + Generous PTO package that ... the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through… more
- Sedgwick (Buffalo, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
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