- Axis (New York, NY)
- …to resolve complex or contentious claims . Leading initiatives to enhance claims processing efficiency and accuracy within the team. Providing expert opinions ... and directing the development of training materials relevant to claims processing . Show a commitment to continuous...for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and… more
- Molina Healthcare (Albany, NY)
- …likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing . + Reevaluates medical claims and associated ... **Job Duties** + Facilitates clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an… more
- Sedgwick (Albany, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Auto NF, PIP, MP | Remote Are you looking for an opportunity ... professional needs. **ARE YOU AN IDEAL CANDIDATE?** As a Claims Examiner, you will primarily handle auto-related liability ...Liability, No Fault (NF), Personal Injury Protection (PIP), and Medical Payments (MP). No two days are the same… more
- Sedgwick (Albany, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are… more
- Sedgwick (Syracuse, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability | Hybrid Are you looking for an opportunity to join ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Albany, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an ... the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with...professional and timely manner. + Communicates claim activity and processing with the claimant, insured, client and agent or… more
- Molina Healthcare (Rochester, NY)
- …overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more
- Sedgwick (New York, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Sedgwick (Rochester, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Bodily Injury | Liability | Remote **PRIMARY PURPOSE** : To analyze ... and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of… more
- Albany Medical Center (Albany, NY)
- …preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, ... America) Salary Range: $38,937.60 - $50,618.88 This is a medical billing position. Providing efficient and timely follow up...timely manner. Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more