- Capgemini (New York, NY)
- …proposal development, and thought leadership on emerging trends such as embedded insurance , ecosystem partnerships, AI/ML in underwriting and claims , and cloud ... value stream, including product design, distribution, underwriting, policy administration, claims , finance, and compliance. . Knowledge of insurance business… more
- City of New York (New York, NY)
- …daily claims reports and the monthly reports which detail claim associated fees to ensure compliance with contractual obligations, regulatory requirements, and ... in a variety of areas, particularly regarding City health insurance programs. The staff at OLR assist their fellow...internal policies related to the payment of daily healthcare claims and monthly administrative fees. 2. Claims Data… more
- Sedgwick (Albany, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for ... property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies and other records to determine insurance coverage. +… more
- Monro Muffler/Brake (Fairport, NY)
- …Functions: Administrative + Handle sensitive information in a confidential manner. + Inputting claims following the guidelines of Monro Inc. claim programs. + Be ... and scanning. + Enforcement and execution of the risk management policies/procedures ( insurance , claims ). + Positively represent the Risk Management Department… more
- WMCHealth (Kingston, NY)
- …Internal Applicant link Job Details: Responsible for timely and effective followup on insurance claims . Also responsible for billing efficiently to third party ... payers when needed. RESPONSIBILITIES + Responsible for filing insurance claims for all third party payers. Addresses any edits pertaining to billing correctly… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Insurance Fund, State Title Assistant Insurance Fund Services Representative Occupational Category Clerical, Secretarial, Office Aide Salary ... the NYS Segment.* Work up and process Workers' Compensation claims .* Approve and deny medical bills.* Respond to claimant...above. Please be advised that the New York State Insurance Fund (NYSIF) does not offer sponsorship for employment… more
- M&T Bank (Getzville, NY)
- …that will execute day to day functions including filing and monitoring the insurance claim process for damaged properties, registration and deregistration of ... with Accounting, Claims and Foreclosure groups. + Complete insurance claims for damaged properties and property registrations. + Understand municipal… more
- Humana (Albany, NY)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, ... of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including… more
- FLACRA (Newark, NY)
- … claims , including handling clearinghouse rejections and resubmissions. + Resolve claim denials by working with insurance companies and internal teams. ... and follow up on outstanding balances. + Work with insurance companies to address disputed claims and resolve processing issues. + Maintain and update tracking… more