- Molina Healthcare (Buffalo, NY)
- …+ Health claims processing background, including coordination of benefits, subrogation , and eligibility criteria. + Familiarity with Medicaid and Medicare ... claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply through… more
- MTA (Brooklyn, NY)
- …* Make appropriate reserve and settlement recommendations and identify potential subrogation opportunities. * Directly settle and manage personnel who settle ... lawsuits within approved settlement authority limits. * Review and draft reports for senior management, including pre- and post- note of issue litigation reports and settlement memos. * Serve as liaison between the torts department and operational departments,… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …in the ledger and bank. + Own process of Credit Balance and Subrogation Recoveries ensuring all recoveries received are processed by claims department and then ... appropriately accounted for and returned to clients. + Assist Director of Accounting with monthly financial close, including development of accruals and maintenance of balance sheet/ expense trending reports. + Complete balance sheet reconciliations. + Assist… more
- Molina Healthcare (Yonkers, NY)
- …+ Health claims processing background, including coordination of benefits, subrogation , and eligibility criteria. + Familiarity with Medicaid and Medicare ... claims denials and appeals processing, and knowledge of regulatory guidelines for Provider No Surprises Act cases + Strong verbal and written communication skills **PREFERRED EXPERIENCE:** + No Surprise Act Provider Disputes knowledge/experience To all current… more
- Sedgwick (Albany, NY)
- …the file towards prompt and appropriate resolution. + Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. + ... Communicates claim action/processing with insured, client, and agent or broker when appropriate. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required.… more
- MTA (Brooklyn, NY)
- …liability and damages exposures, reserve recommendations, settlement value, potential subrogation opportunities and identify allegations or information that warrant ... further investigation. * Prepare to settle claims and suits with claimants and/or their counsel within approved settlement authority limits. * Consult with management on outstanding discovery for heavy-exposure cases and will assist staff attorneys and outside… more
- Transdev (Hillburn, NY)
- …to reduce financial liability as well as recoup on all claims subject to subrogation . + Assist the Safety Manager in the complete and accurate documentation of ... safety activities and the accurate completion of all related records. + Other duties as assigned. Qualifications: + Some college preferred. + 3 years office experience required. + 2-3 working in a transportation environment with 19(A) experience preferred. +… more
- Sedgwick (Albany, NY)
- …file towards prompt and appropriate resolution. + Identifies and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim ... action/processing with insured, client, and agent or broker when appropriate. + Maintains professional client relations. + Performs coverage, liability, and damage analysis on all claims assignments. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Albany, NY)
- …cost for our clients. + Identifies and investigates for possible fraud, subrogation , contribution, recovery, and case management opportunities to reduce total claim ... cost. + Represents Company in depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is… more
- Travelers Insurance Company (New York, NY)
- …resources for specific activities required to effectively evaluate claims, such as Subrogation , Risk Control, nurse consultants, and fire or fraud investigators, and ... other experts. + Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. + Maintains claim files and documents claim file activities in accordance with established procedures. +… more