- Robert Half Finance & Accounting (New York, NY)
- … claims to ensure effective resolution and settlement. + Monitors claim -handling performance, supervising the Claims Manager to ensure efficient operations. ... service agreements with brokers, presenting recommendations for approval to the HSO. Claims and Administrative Oversight + Works alongside Finance and Legal teams to… more
- New York State Civil Service (Albany, NY)
- …Duties Description The Pre-investigation Unit (PIU) has the responsibility of reviewing every claim of labor law violation, submitted to and under the purview of the ... have worked in NYS. The PIU staff review incoming claims and accept, reject, or recommend that claims...redress. If accepted by NYSDOL, PIU recommends where the claim should be routed for investigation. This pre-investigative work… more
- CDM Smith (Albany, NY)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower level staff....accounts, resulting in payment or resolution of the outstanding claim . The Specialty A/R associate will utilize MFG and/or… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... cycle management, with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that involved analyzing contracts,… more
- AON (New York, NY)
- …fashion to cross-sell Cyber Solutions products and services + Successfully apply the claims and legal advocacy group for claim administration and counsel to ... under state and local paid sick leave laws, short-term disability and optional long-term disability , health savings...Cyber Solutions products and services + Successfully apply the claims and legal advocacy group for claim … more
- City of New York (New York, NY)
- …to the Bureau's Claim Prepares used to track and identify all claims submitted for reimbursement. - Assist with the management of the distribution of scanned ... serve as a Claiming Associate who is critical to tracking and cataloging of all BCR claims , as well as the submission of all DSS The Office of Fiscal Operations is… more
- Sedgwick (Albany, NY)
- …Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to ... criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …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 ... case for clinical staff. + Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to provide support to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of the insurance contract. + Reviews and audits the Insured's benefit file and claim payment to encourage timely submission of claims . Responsible for ensuring ... Insured, Insured's family, care providers, and adjudication of the claims . All work is directed under the terms and...State time service standards. (this includes the task of claim payment) + Works closely with all providers and… more