- Citigroup (Getzville, NY)
- …and product processor systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim is paid /settled; ... & Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market… more
- University of Rochester (Rochester, NY)
- …+ Identifies need for in-person meetings and phone conferences with third party insurance representatives due to claim and system issues requiring prompt ... dollar accounts. + Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person… more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments… more
- Travelers Insurance Company (New York, NY)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more
- University of Rochester (Rochester, NY)
- …up on 'non-routine' denied accounts through review of remittances (EOBs), insurance correspondence, rejections received thru daily electronic claims submission, ... through telephone calls, payer website, and in written communication Mails paper claims with appropriate attachments when needed ( insurance EOB, medical records,… more
- Tompkins Community Bank (Batavia, NY)
- …Loss and Reporting Claims to carriers, setting up ImageRight for the Claim . + Process and mail letters/correspondence as requested. + Run and maintain the ... (CL) Department in the handling and processing of new and renewal business, claims and special projects. It will provide in-house customer service to clients, as… 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. ... and healthcare reimbursement models. ? Experience in working with insurance plans and understanding of claim adjudication...that may arise. * Liaise with external vendors or insurance carriers regarding claims that require third-party… more
- Travelers Insurance Company (Albany, NY)
- …loving what you do and where you do it. **Job Category** Claim , Customer Experience, Customer Service, Operations **Compensation Overview** The annual base salary ... High school diploma or GED. **What Is in It for You?** + **Health Insurance ** : Employees and their eligible family members - including spouses, domestic partners,… 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
- Evergreen Health (Buffalo, NY)
- …in our community. The Billing Specialist is primarily responsible for processing insurance claims , which includes submitting claims , posting payments, ... this role, the Billing Specialist : + Submits clean claims to insurance companies and meets timely...are being reimbursed according to payer contracts. + Reviews claim denials and contacts insurance companies for… more