- University of Rochester (Brighton, NY)
- …accuracy, and completion including medical documentation. Determination of how to classify claims (WC- determine OSHA recordable, medical only or loss time or if ... multiple claims how to address concurrent DBL and WC ...you're looking for a career in higher education or health care, the University of Rochester may offer the… more
- AIG (New York, NY)
- …with primary responsibility for operational controlling as it relates to insurance claims disbursements, in close coordination with AIG's global claims function ... of activity. Key Responsibilities: * Driving the timely clearance of insurance claims disbursements through subledgers, ensuring cash is applied properly against … more
- MTA (Brooklyn, NY)
- …Authority, which includes the New York State Department of Labor claims processing, hearings, appeals, adjournments, remands and quarterly audits. Position will ... tasks are performed correctly and efficiently in compliance with mandated deadlines. Review UI claims before submission to the DOL and also review NF claims … more
- New York State Civil Service (New York, NY)
- …at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Claims Bureau in New York City is seeking an experienced trial attorney ... for the Torts Section. The Claims Bureau is a trial bureau that represents the...comprehensive New York state benefits package, including paid leave, health , dental, vision, and retirement benefits, and family-friendly policies.… more
- 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 ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss experience reports to help… 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 ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help… more
- Mohawk Valley Health System (Utica, NY)
- …and uses them as a contact when necessary to resolve outstanding issue on claims . + Determines whether payment from insurance billed is accurate, based on DRG, ... Contracted Rate, Per Diem, or Fee Schedule. Initiates an adjustment, if necessary, to bring account to the correct balance. Demonstrates thorough knowledge of rates for specific payor responsibility and advises management of any trends regarding inappropriate… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient… more
- Mohawk Valley Health System (Utica, NY)
- …Organize and maintain payer spreadsheets + Meet with and brief supervisors on claims issues contained in the spreadsheets prior to monthly payer meetings + ... Administration of website access for business office staff and other departments and vendors in need of access to those websites + Collaborate with customer service team lead and supervisor to resolve billing questions as they relate to customer complaints +… more