- Sedgwick (New York, NY)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictions | NY License Required Job Description Are… more
- Sedgwick (New York, NY)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | Remote | Strong NY Experience... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Sedgwick (Syracuse, NY)
- …and specific client service requirements. **ESSENTIAL RESPONSIBLITIES** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing Preferred Are you looking… 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
- Axis (New York, NY)
- …determine coverage, liability, and settlement value. + Leading initiatives to enhance claims processing efficiency and accuracy within the team. + Collaborating ... and directing the development of training materials relevant to claims processing . + Show a commitment to...for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and… more
- Sedgwick (Albany, NY)
- …Liability (MEDMAL) **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- Sedgwick (Syracuse, NY)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... and industry best practices. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE:** + Adjusts medical -only claims and minor lost-time workers compensation claims… more
- City of New York (New York, NY)
- …involvement on the claim submission and, issuing verification letters to claimants and medical providers; 2) Review and disallow claims for improper service or ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....are made; 5) Send delay or verification letter to medical providers as per the required rules prior to… more
- Molina Healthcare (Rochester, NY)
- …Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility ... including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims , Surgery,… more
- Sedgwick (Albany, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (Remote) - Dedicated Account **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more