• Representative II, Accounts Receivable

    Cardinal Health (Albany, NY)
    …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by… more
    Cardinal Health (08/24/25)
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  • Billing Specialist

    Evergreen Health (Buffalo, NY)
    …in our community. The Billing Specialist is primarily responsible for processing insurance claims , which includes submitting claims , posting payments, ... Functions of this role, the Billing Specialist : + Submits clean claims to insurance companies and meets timely filing requirements. + Posts insurance more
    Evergreen Health (08/19/25)
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  • Long Term Care Benefits Planner I/II (Rochester)

    Excellus BlueCross BlueShield (Rochester, NY)
    …or Bachelor's degree with a minimum of two years' experience in long term care insurance claims processing. + Must have the ability to review and interpret ... appropriateness of the plan of care, coordination of other insurance policies/providers, documentation and communication with Insured, Insured's family, care… more
    Excellus BlueCross BlueShield (08/25/25)
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  • French Speaking Desk Adjuster - Remote

    Sedgwick (Albany, NY)
    …efficient claim processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_**… more
    Sedgwick (06/29/25)
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  • Claims Advocate I

    World Insurance Associates, LLC. (Cedarhurst, NY)
    …region. Position Overview The Claims Specialist is responsible for managing claims filed with the insurance company, ensuring thorough investigation, and ... Summary World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service… more
    World Insurance Associates, LLC. (07/12/25)
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  • Clm Resltion Rep II, Hosp/Prv

    University of Rochester (Rochester, NY)
    …parties. + May establish financial arrangements for charges. + Processes commercial insurance claims when applicable. + Refers to collectors for payment ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits … more
    University of Rochester (08/07/25)
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  • National General Adjuster - Northeast Region

    Sedgwick (New York, NY)
    …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… more
    Sedgwick (06/25/25)
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  • Leader, Claims Operations

    MVP Health Care (Rochester, NY)
    …availability to work full-time, hybrid. + Minimum 3 years in health insurance or production-related environment. 2 years claims processing experience preferred. ... improvement. To achieve this, we're looking for a Leader, Claims Operations, to join #TeamMVP. If you have a...+ Strong knowledge of Medicaid, Medicare, and Commercial claims processing. + Familiarity with ICD-10, CPT, HCPCS, and… more
    MVP Health Care (09/02/25)
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  • Manager, HR Business Partner

    MTA (Brooklyn, NY)
    …the incumbent will assist with the management of No-Fault (NF) motor vehicle insurance claims . Responsibilities: + Responsible for the day-to-day activities in ... before submission to the DOL and also review NF claims before submission to various insurance companies. Serves as the Transit Authority's representative at UI… more
    MTA (07/23/25)
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  • Senior Contracting Compliance Analyst - Hospital…

    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. ... that may arise. * Liaise with external vendors or insurance carriers regarding claims that require third-party intervention or negotiation. 6. Revenue Cycle… more
    Mount Sinai Health System (08/12/25)
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