- Sedgwick (Albany, NY)
- …& Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... + Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim . + Consults police and hospital records and inspects property damage… more
- Sedgwick (Albany, NY)
- …of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including ... or equivalent combination of education and experience required. JURIS or claims management application experience preferred. **Skills & Knowledge** + Demonstrates… more
- New York State Civil Service (Menands, NY)
- …with general or claim -specific information as applicable. Responding to claim -specific questions may require reviewing and processing claims , performing ... searches using information provided by claimants; identifying and linking additional claim properties; determining and requesting in writing required proof and… more
- Alaant (Latham, NY)
- … + Process outgoing mail, adhering to office polices regarding distribution + Enter claims into claim system and ensure it is within compliance with state ... + 100% of vision and dental coverage, 80% premium coverage for medical ! **Responsibilities for theOffice Assistant:** + Answer incoming calls, screen and direct… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters,… more
- Humana (Albany, NY)
- …coding certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, ... BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing experience +… more
- Allied Universal (New York, NY)
- …positively impacts the communities and customers we serve. As a **Security Officer - Medical Center Patrol** in **New York, NY** , you will serve and safeguard ... works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As a...Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:**… more
- Centene Corporation (New York, NY)
- …including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. + Provide regular ... to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review… more
- Sedgwick (Albany, NY)
- … claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- CDM Smith (Buffalo, NY)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those requirements. Ensure that proper documentation is… more