- Travelers Insurance Company (Melville, NY)
- …and resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file… more
- University of Rochester (Rochester, NY)
- …which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes ... necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and… more
- Whitsons Culinary Group (Islandia, NY)
- …claims from initial injury report to closure. + Assess and monitor medical treatment plans, reserves, settlements, and claim progression through carrier/TPA ... PA, IL, MA). + Collaborate with TPAs and carriers to ensure timely claim investigation, medical management, and settlement negotiation. + Conduct and/or oversee… more
- University of Rochester (Albany, NY)
- …claims submission and follow-up for review and resolution. 5% Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists assigned to pre ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …guideposts for employee development and promotional opportunities. All Levels + LPN, Medical Assistant, Health Plan customer service or claims processor ... company or medical care setting required. + Working knowledge of medical terminology and the claims systems required. + Must demonstrate proficiency… more
- Greece Central School District (North Greece, NY)
- …Coordinates all aspects of a risk management program; Reviews workers' compensation claims by reading legal, medical , third party administrator, workers' ... errors or omissions in court; Testifies in court regarding claims ; Reviews pertinent information of each claim ...regarding claims ; Reviews pertinent information of each claim for inconsistencies for the purpose of assisting the… more
- Allied Universal (Batavia, NY)
- Company Overview: 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 … more
- Albany Medical Center (Albany, NY)
- …per policy on a daily basis Validate timely follow up on all outstanding claims Validate timely submission of all payor appeals for claim denied erroneously ... skills Proficiency with Microsoft Office Applications Intermediate knowledge of medical terminology Ensure daily team compliance with Professional Image Standard… more
- Travelers Insurance Company (Albany, NY)
- …Openings** 1 **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader ... externally. + This position will oversee the following key areas: + Medical Claim Product Research, Strategy and Innovation: + Design and direct innovative,… more
- Sedgwick (Albany, NY)
- …to support the claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical documentation received ... medical management of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and… more