- Sedgwick (Albany, NY)
- …& Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Molina Healthcare (Rochester, NY)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
- NBC Universal (New York, NY)
- …disputes, consumer class actions, media litigation (including defamation claims and journalist privilege issues), employment litigation, intellectual property ... claims (both affirmative and defensive), insured matters, third-party subpoenas...This position is eligible for company sponsored benefits, including medical , dental and vision insurance, 401(k), paid leave, tuition… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Stony Brook University (East Setauket, NY)
- …Analyst may include the following, but are not limited to:** + Analyze claims and remittance data and present findings to departmental leadership. + Complete ... business processes and business systems configuration, including: Patient Billing, Claims Scrubber, Contract Management and Work Listing Software. + Interpret… more
- CDPHP (Albany, NY)
- …as Marketing, Enrollment, Pharmacy (internal and external), Provider Services, and Claims Operations to resolve member inquiries as defined within Member Services ... fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience with a documentation system… more
- New York State Civil Service (New York, NY)
- …previous loss experience and premium data.* Review/analyze experience rating data and claims material to price a policy.* Define, restrict, or qualify policy ... are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, Claims Service Representative 1,… 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 ... Collaborate with outside sales, logistics, warehouse, and customers to resolve claims effectively. Process chargebacks and pursue recovery for invalid deductions.… 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 ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more