- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more
- University of Rochester (Albany, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. + Research claims , identify problems, and take ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- World Insurance Associates, LLC. (Syosset, NY)
- Summary Paul Global Benefits (PGB) is now a part of World Insurance Associates. World Insurance Associates is a unique insurance organization offering top ... agents. Founded in 2011, World is one of fastest-growing insurance brokers in the US with over 2,200 employees...setup of online benefits enrollment support tools. + Resolves claims or administrative issues on behalf of client, escalates… more
- Philadelphia Insurance Companies (Melville, NY)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine...with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the… more
- MTA (Brooklyn, NY)
- …(Case Management), is responsible for effective management of worker compensation claims for their assigned area of responsibility. This person supports the ... Assistant Director's primary objective is to reduce the open inventory of claims , ensure effective management of employees' treatment in work-related injuries, and… more
- GE Vernova (Schenectady, NY)
- …accordance with GE entitlement, including pursuing extension of time and other EPC claims + Research, pursue, negotiate and obtain insurance claim recoveries + ... commercial expert in preventing and mitigating high dollar value claims and risks. In this role, you will: +...to track and drive risk mitigation, vendor recovery and insurance recovery + Perform pre-award risk analysis of customer… more
- Axis (New York, NY)
- …to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk ... upon request for candidates taking part in the selection process. **Senior Insurance Compliance Analyst** Job Family Grouping: Product Development & Support Job… more
- Paychex (Rochester, NY)
- …multiple Paychex products. Ensures good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with ... inbound call queue handling client calls questions regarding their insurance account + Learn and maintain knowledge of Health...+ Learn and maintain knowledge of Health & Benefit Insurance to develop a trusted relationship with our clients.… more
- DoorDash (New York, NY)
- …Experience team is looking for a strategic, data-driven, and execution-focused Insurance Product Marketing Manager to lead go-to-market strategy and lifecycle ... engagement for our future suite of Dasher insurance products. You will be the connective tissue between...messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a… more
- Mohawk Valley Health System (Utica, NY)
- …service being rendered. This position must also ensure patient demographic and insurance information is correct, resulting in accurate claims for reimbursement. ... Representative is responsible for the accurate and timely verification of insurance and benefit information for patients receiving inpatient medical, inpatient… more