- Catholic Health Services (Smithtown, NY)
- …and a 60,000 square foot medical office building. Our nurses, physicians and support staff are devoted to providing advanced health care in an environment of ... care services to maximize reimbursement. + Claim Review: Review and analyze submitted claims for accuracy and identify potential areas for improvement or appeal. +… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Assesses staff and unit training needs and reports this information to the supervisor . + Collaborates with other key departments ( Claims , Customer Service, ... specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization Management, Behavioral… more
- University of Rochester (Rochester, NY)
- …+ Review and advise supervisor or manager of trends on incorrectly paid claims from specific payers. + Work with supervisor /manager on communication to payer ... as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...bringing concerns to the attention of billing Manager and Supervisor . The Claim Resolution Rep III will represent the… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...independent decisions on most assigned cases without involvement of supervisor . + Openness to the ideas and expertise of… more
- Travelers Insurance Company (Albany, NY)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- MTA (Brooklyn, NY)
- …(Case Management), is responsible for effective management of worker compensation claims for their assigned area of responsibility. This person supports the ... Assistant Director's primary objective is to reduce the open inventory of claims , ensure effective management of employees' treatment in work-related injuries, and… more
- Whitsons Culinary Group (Islandia, NY)
- …Risk Manager also leads the end-to-end oversight of workers' compensation claims , supporting our employees through clear and empathetic communication, coordinating ... return-to-work programs, and ensuring fair, timely resolution of claims . By analyzing data, monitoring industry and legislative changes, and partnering closely with… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more