- Whitsons Culinary Group (Islandia, NY)
- …timely resolution. + Partner with TPAs and carriers to drive effective claim investigations, medical management, and settlement negotiations. + Oversee thorough ... the support they need, while driving cost-effective, compliant, and proactive claims management. If you're passionate about building safer environments, protecting… more
- CVS Health (Albany, NY)
- …experience in a managed care environment. + 2+ years experience working with medical terminology, claim forms, and physician billing coding. + 1+ years ... related to Network contracts and agreements. + Research identified issues; submit claim adjustment requests and determine the root cause of disputes. + Serve… more
- Leviton (Melville, NY)
- …recording and application of all customer cash receipts and the posting of claims and chargebacks. This role will evaluate, process, and resolve customer deductions ... generating resolution effort reports in Excel to highlight trends and track claim outcomes. Collaborate with outside sales, logistics, warehouse, and customers to… more
- Sedgwick (New York, NY)
- …Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... including handling accounting-based losses (business interruption and stock). + Examines claim forms and other records to determine insurance coverage. + Interviews,… more
- Sedgwick (New York, NY)
- …Executive General Adjuster - Northeast Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... including handling accounting-based losses (business interruption and stock). + Examines claim form and other records to determine insurance coverage. + Interviews,… more
- Allied Universal (Middletown, NY)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- Independent Health (Buffalo, NY)
- …The CSR is called on to research complex issues pertaining to benefits, claims , plans, and eligibility across multiple databases which requires fluency in computer ... a call center preferred. + Knowledge of CPT codes, ICD-9 coding, and medical terminology preferred. + Excellent written and verbal communication skills. Ability to… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …performance. The Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment ... team focused, service driven, accountable, and innovative every day. + Track claim status using payer portals and billing software; investigate and resolve… more
- Catholic Health (Williamsville, NY)
- …Shift: Shift 1 Status: Full Time FTE: 1.066667 Bargaining Unit: Trinity Medical Exempt from Overtime: Exempt: No Work Schedule: Days Hours: 7:00am-4:00pm Summary: ... The Accounts Receivable Specialist-Billing supports the revenue cycle for Trinity Medical practices including Vascular, Niagara Falls Primary Care Centers and… more
- CVS Health (Albany, NY)
- …and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all ... identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working… more