- Travelers Insurance Company (New York, NY)
- …claimants or their legal representatives. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… more
- Travelers Insurance Company (Melville, NY)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- Sedgwick (Albany, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist **PRIMARY PURPOSE** : To analyze complex or technically difficult ... unemployment claims to determine benefits due; and to ensure ongoing...through well-developed action plans to an appropriate and timely resolution . + Works to move claim towards appropriate claim… more
- Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... and related health plan functions such as member services, claims , and the referral process. As well as functions...to the roles/responsibilities of the position and participation in resolution of the same. + Active demonstration of broad… more
- Travelers Insurance Company (New York, NY)
- …As a Technical Specialist , you are responsible for handling complex, high-exposure claims . In this technical role, you will leverage your background in claims ... evaluation, and settlement negotiation to ensure timely, fair, and cost-effective resolution of claims . You will serve as a technical resource to customers and… more
- Travelers Insurance Company (Melville, NY)
- …and other stakeholders. **What Will You Do?** + Oversee major General Liability claims from initiation to resolution , ensuring compliance with company policies ... 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… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating ... resolution to members or authorized representatives in accordance with...that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine… more
- Mount Sinai Health System (New York, NY)
- …payment of claims and collection, and in analysis and problem resolution . **Qualifications** + Associates Degree or high school diploma/GED plus 3 years of ... **Job Description** The Billing Specialist is responsible for multiple components of the...coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems… more
- Stony Brook University (East Setauket, NY)
- …following, but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...+ Assists in maintaining and creating payer report cards, claims tracking and management reporting as requested. + Assists… more