- Evergreen Health (Buffalo, NY)
- …to everyone in our community. The Billing Specialist is primarily responsible for processing insurance claims , which includes submitting claims , posting ... Essential Functions of this role, the Billing Specialist : + Submits clean claims to insurance companies and meets timely filing requirements. + Posts insurance… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Bachelor's degree with a minimum of two years' experience in long term care insurance claims processing . + Must have the ability to review and interpret ... and communication with Insured, Insured's family, care providers, and adjudication of the claims . All work is directed under the terms and conditions of the various… more
- CVS Health (Amherst, NY)
- …provide plan benefit review, interpretation, and systematic setup essential to the processing of our claims adjudication system. Meritain's proprietary system ... + Provides plan benefit review, interpretation, and systematic setup essential to the processing of our claims adjudication system. The setup must also align… more
- CVS Health (Albany, NY)
- … or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Leviton (Melville, NY)
- …eager to learn. The Deduction Representative I is responsible for evaluating, processing , and resolving customer claims (deductions), working together with ... team is looking for a Deduction Representative I to join the Credit, Accounts Receivable & Claims department. We need individuals who thrive on challenges and are… more
- Walmart (Greece, NY)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Citigroup (Getzville, NY)
- …& Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market ... in the timely investigation, and resolution of Interbank / Corporate Compensation Claims . The candidate will need to effectively interact with the front office,… more
- Transdev (Hillburn, NY)
- …Holidays: 8 days + Other standard benefits: 401(k) retirement plan, medical , dental and vision, life insurance, short-term disability, voluntary long-term ... Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims … more
- CDPHP (Albany, NY)
- …+ Demonstrated ability to determine, analyze and solve problems related to benefits, claims processing , claims and benefit appeals/complaints, enrollment and ... a fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience with a documentation… more
- Robert Half Finance & Accounting (Amherst, NY)
- …+ Handle the processing of disability, FMLA, PFL, and workers' compensation claims , and ADA accommodations + Oversee the processing for Workers Compensation ... 3rd Party Sick Pay + Ensure accurate and timely processing of paperwork + Maintain open communication and good...for efficient management of leaves + Process NYS Unemployment Claims , dispute inaccurate claims , and represent the… more