- Sedgwick (New York, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr. (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates and ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- Arnot Health (Elmira, NY)
- …4. Advises and assists employees with interpretation and application of Arnot Health benefits (ie claims processing, waiting period, qualifying events, covered ... Is responsible for employee benefit and retirement administration to include medical , dental, vision, life insurance, short-and long-term disability, and retirement… more
- Highmark Health (Albany, NY)
- …and efficiency metrics, accountable care organization development and support, patient centered medical home, and electronic health records. + Experience may be ... and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly… more
- Axis (New York, NY)
- …of this, we offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and wellness programs, ... and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the… more
- Sedgwick (New York, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vocational Specialist **This Vocational Specialist will by a hybrid role remote work ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Obtains and analyzes available medical and vocational information including vocational assessment, test results, and… more
- MetLife (Oriskany, NY)
- ADA Claim Specialist Location: Virtual, but must be commutable to Oriskany, NY Employees are to report to the office once a month after training Training: IN-PERSON ... continuity, etc. * Handle, review, and administer Family & Medical Leave Act standalone/ADA (as well as other leave)... Leave Act standalone/ADA (as well as other leave) claims and adhere to federal and state regulatory and/or… more
- Richmond Community Services (Mount Kisco, NY)
- …our employee benefit plans, including timely additions and terminations for medical , dental, life, and disability benefits. This includes calculating and processing ... monthly premiums, handling invoices, and generating reports for various health and welfare benefits. You'll make sure our employees have access to the benefits they… more
- Catholic Health (Buffalo, NY)
- …Retail/Oral Pharmacy and Home Care. The position will support the Catholic Health Infusion Pharmacy, Retail/Oral Pharmacy and Home Care and has responsibility for ... regulations as well as the standards established by Catholic Health . Responsibilities will include, but are not limited to,...payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or… more
- Shinda Management Corporation (Queens Village, NY)
- Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in the ... community by redefining affordable housing. Description SMC is seeking a Compliance Specialist to join our compliance department. Under the supervision of the Manger… more
- SUNY Upstate Medical University (Syracuse, NY)
- …work queue. Serves as a resource to patients, staff, and medical providers for prior authorizations. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under general ... Assists clinics and patients with understanding prior authorizations and their medical (and possibly the pharmacy) benefits as required. Educates patients and… more