• HR Generalist

    Pfaudler, Inc. (Rochester, NY)
    …COBRA. + Assist employees with enrolling in medical, dental, vision and life insurance plans. + Inform employees of changes to the benefits structure. + Resolve ... employee and/or retiree issues with insurance providers and other benefit administrators. + Field and...coordinate LOAs, FMLA, NY PFL, DBL and workers' compensation claims , paperwork, tracking and usage as required by policy… more
    Pfaudler, Inc. (08/19/25)
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  • Physician Support Spec

    University of Rochester (Rochester, NY)
    …orders and pends them for review and approval. Anticipates needs of insurance companies by gathering all necessary information for referrals and prior ... signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider… more
    University of Rochester (08/07/25)
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  • Assistant Audit Manager

    City of New York (New York, NY)
    …Perform/review 100% of all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review (where applicable) within ... audit planning document. - 100% of coaching notes and supervisor 's comments must be addressed within 2 working days....entitled to unmatched benefits such as: oa premium-free health insurance plan that saves employees over $10K annually, per… more
    City of New York (08/28/25)
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  • Servicing Representative

    Independent Health (Buffalo, NY)
    …preferred + Six (6) months experience working for a health insurance company, physician's office or pharmacy required. Experience handling self-funded pharmacy ... receive and effectively resolve written inquiries from members regarding claims , benefits, eligibility, reimbursement and participating providers. + Knowledge of… more
    Independent Health (08/26/25)
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  • Administrative Superintendent of Buildings…

    CUNY (Brooklyn, NY)
    …- Assist the Chief Administrative Superintendent in gathering information related to insurance claims resulting from the negligence of onsite contractors and ... local and other entities. - Assists in, or in the absence his/her supervisor , performs higher level administrative assignments and supervision of staff to ensure the… more
    CUNY (08/26/25)
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  • Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and Federal Mandates. + May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical ... Management staff, members and providers. + Provides backup for the Supervisor , whenever necessary. Participates in the orientation of new staff and/training… more
    Excellus BlueCross BlueShield (08/23/25)
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  • Physician Support Rep III

    University of Rochester (Rochester, NY)
    …direction to other secretarial staff and clerical staff. Serves as an indirect supervisor of OAR staff. May train and coordinate activities of peers or support ... routine and non-routine letters of correspondence related to appeals on denied claims , billing and patient communications. + This includes compiling all necessary… more
    University of Rochester (08/07/25)
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  • Senior Manager, Project Execution

    RWE Clean Energy (Valhalla, NY)
    …report. + Responsibility for overall deliverables as designated by the supervisor . + Collaborate cross-functionally through various departments to complete tasks ... a team setting + Oversee Residential Business Workmanship warranty and production claims . + Negotiate with subcontractors or EPCs as appropriate **Job Requirements… more
    RWE Clean Energy (07/02/25)
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