- Sedgwick (New York, NY)
- …Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- Sedgwick (New York, NY)
- …Executive General Adjuster - Northeast Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- Sharecare (Albany, NY)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... including but not limited to medical, dental , and vision plans + Provider search (PCP, specialty,...resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization… more
- Sedgwick (Albany, NY)
- …support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues ... same vision/goals. + We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. **NEXT STEPS** If… more
- Guardian Life (New York, NY)
- …partnership with provider contracting, legal, compliance, underwriting, network, and claims . Additionally, this individual will help identify, prioritize, and design ... membership. This will be done in conjunction with the Dental PPO team to promote and build the Dual...to define business requirements for product, network, provider contracts, claims , online and technological capabilities and service. + Drive… more
- Allied Universal (New York, NY)
- …We offer comprehensive benefits for most full-time positions, including medical, dental , and vision coverage, life insurance, a retirement plan, employee assistance ... This position is responsible for employee relations, employment compliance, unemployment claims , and monitoring of employment status for the employees of that… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... practitioners, practice management and staff; (6) Establish relationships with medical/ dental staff, follow-up with providers to ensure documentation supports the… more
- Corning Incorporated (Corning, NY)
- …with a 3rd Party to prepare duty drawback, Post Submission Corrections, or Protests claims accurately and in compliance with customs regulations. + Work with a 3rd ... Party to submit claims to customs authorities within prescribed timelines. + Track...are dependent on hours worked and may include medical, dental , vision, 401(k) plan, pension plan, life insurance coverage,… more
- Cognizant (Albany, NY)
- …satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if the appeal ... or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims to investigators.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and aids in the creation of new analysis pertaining to benefit designs, claims experience, Value Based Payment (VBP) programs and valuation of internal and ... externally led claims savings and risk adjustment initiatives. + Maintains existing...rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away… more