- Sedgwick (Syracuse, NY)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... and specific client service requirements. **ESSENTIAL RESPONSIBLITIES** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Syracuse, NY)
- …and files necessary documentation with state agency. + Communicates claim action/ processing with claimant, client and appropriate medical contact. + Ensures ... claim files are properly documented and claims coding is correct. + May process routine payments...routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical… more
- Sedgwick (Syracuse, NY)
- …regulations and processes. This position is responsible for managing and processing workers' compensation claims , ensuring timely and accurate decisions ... payment timelines, and compliance with statutory requirements. + Negotiate settlements of claims within designated authority to reach claim resolution. + Provide… more
- Sedgwick (Albany, NY)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- Port Authority of New York and New Jersey (New York, NY)
- …in accordance with best practices on all major phases of claim handling including coverage, investigation, compensability, medical management, disability ... authorized TPA, as well as internal staff and external medical and legal professionals. Act as the primary point...Act as the primary point of contact for TPA claim teams. Collaborate with business partners to ensure alignment… more
- Albany Medical Center (Albany, NY)
- …Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, ... billing codes and EDI requirements. + Knowledge of electronic claims processing and edits. + Excellent decision-making...timely manner. Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- DePaul (Rochester, NY)
- …and Claims Manager to manage the organization's insurance procurement and claims program. This includes managing the reporting, processing , and adjustment of ... Assist with allocation of premiums by location etc. + Manage the reporting, processing , and adjustment of claims , including preparation and submission of notice… more
- MVP Health Care (Schenectady, NY)
- …**Your key responsibilities:** + Mentor, support, and build a high-performing team within Claims Operations. + Supervise claims processing activities related ... thinking and continuous improvement. To achieve this, we're looking for a Leader, Claims Support to join #TeamMVP. If you have a passion for Operational Excellence,… more
- Aspen Dental (East Syracuse, NY)
- …3 years experience in dental office is required. + Minimum 2 years experience claims processing is required. + Leadership experience preferred. + Base Pay Range: ... Works for billing and reimbursement activities. To include proper transmission of claims , electronic claim rejections and resubmissions, denials, secondary … more
- WMCHealth (Valhalla, NY)
- …diploma and four years of clerical experience, one year of which included the processing of patients' medical insurance claims as the primary function ... is no substitution for the one year of specialized experience processing patients' medical insurance claims . *Special Note: Education beyond the secondary… more