- Broadridge Financial Solutions (Edgewood, NY)
- …clients and ensure timely filing. + Track all deficiency deadlines (and other claims admin requests like data integrity audits) for his/her clients and ensure timely ... + Advocate for client in each case and ensure claims are maximized. + Handle all client communications timely...view the EEOC " Know Your Rights " poster. Disability Assistance We recognize that ensuring our long-term success… 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
- Elevance Health (Latham, NY)
- …I** is responsible for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an Impact** Primary duties may ... but are not limited to: + Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database. +… more
- Robert Half Accountemps (Rochester, NY)
- …billing operations. Responsibilities: * Prepare, review, and submit accurate insurance claims in alignment with established deadlines. * Process payments received ... ensuring timely updates to financial records. * Follow up on unpaid claims , resolve discrepancies, and maintain account accuracy. * Communicate professionally with… more
- Kelly Services (Rochester, NY)
- …information + Communicate with pharmacies/physician offices for clarification on requests and claims + Act as lead troubleshooter for pharmacy help desk, customer ... care, and claims processors + Assure proper authorization entry; perform manual...accident insurance, critical illness, a legal plan, and short-term disability . As a Kelly employee, you will have access… more
- Healthfirst (NY)
- …Experience in Healthcare/Health Plan customer service, operations, vendor management, or claims processing. + Previous work experience in an auditing function ... deep understanding of healthcare Operations processes and supporting systems such as Claims Processing, Enrollment & Billing, and Member Services. + Knowledge of at… more
- HUB International (New York, NY)
- …brokerage and client services (contract review and guidance, coordinating actuarial services, claims and loss prevention services as required. + Work with the ... the Producer, presenting a detailed renewal proposal. + Responsible for facilitating the claims process - working closely with internal claims resources. +… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental and ... and trends. + Assists in maintaining and creating payer report cards, claims tracking and management reporting as requested. + Assists management reporting and… more
- Zurich NA (Albany, NY)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... an Associate Degree and 12 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft Office OR Basic Qualifications,… more
- Zurich NA (New York, NY)
- …High School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the insurance industry and the legal ... Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate… more