- Allied Universal (Batavia, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Services is the premier destination for a career in insurance claim investigation. As a global leader,...$32 /** **hr** **RESPONSIBILITIES:** + Independently investigate suspected fraudulent insurance claims for a variety of coverage… more
- Greece Central School District (North Greece, NY)
- …employees' testimonies for errors or omissions in court; Testifies in court regarding claims ; Reviews pertinent information of each claim for inconsistencies for ... on behalf of the employer; Reconciles and tracks claim payments for the purpose of ensuring compliance with...it relates to workers' compensation, liability, and property damage claims ; Prepares and evaluates annual budget for insurance… more
- University of Rochester (Albany, NY)
- …obtain and verify insurance coverage. Follows up on unpaid accounts working claims . Reviews reasons for claim denial. Reviews payer website or contacts payer ... payment and completes and documents follow up by resubmitting claim or deferring tasks. Researches and calculates under or...payment trends and issues. + Bills primary and secondary claims to insurance . + Identifies and clarifies… more
- Travelers Insurance Company (Albany, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
- Sedgwick (Albany, NY)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical… more
- University of Rochester (Rochester, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. + Research claims , identifies problems, and takes ... appropriate action to assure claim resolution. 20% + Responds to all billing-related inquiries...claims . 15% + Follows established procedure for missing insurance payment information on claims . + Keeps… more
- GE Aerospace (Schenectady, NY)
- …+ Minimum three years (3) of experience in reinsurance, auditing and/or adjudicating insurance claims . + Ability to query and analyze data to identify ... and limitations + Strong preference for long term care insurance claim experience + Working knowledge of...related to long term care, disability, life and/or health insurance claims + Note: Position can be… 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 (Queens, 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
- 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