• Claims Resolution…

    University of Rochester (Rochester, NY)
    …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
    University of Rochester (03/17/25)
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  • Workers Compensation Claims…

    Sedgwick (Syracuse, NY)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | NY Jurisdiction | Dedicated Client We are ... RESPONSIBILITIES** + **Independently** handle a capped caseload of workers' compensation claims , from inception to resolution , ensuring adherence to company… more
    Sedgwick (04/18/25)
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  • Financial Representative - Oncology…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Financial Representative - Oncology Claims Follow-Up/Billing Corporate Full-Time Days** Analyses accounts and billing(s) to ensure accurate ... a timely manner, to immediate supervisor for handling or resolution + Utilizes trial balance and other reports to...and resolve outstanding accounts and bring to a final resolution + Compiles and prepares reports as required by… more
    Mount Sinai Health System (04/18/25)
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  • Claims Service Representative

    Centers Plan for Healthy Living (Staten Island, NY)
    …experience possible + Warm transfer calls to other business units for further resolution of the callers issue while adhering to CPHLs policies. + Complete the ... in the areas of: efficiency, call quality, provider satisfaction, first call resolution and attendance + Continuously evaluate and identify opportunities to drive… more
    Centers Plan for Healthy Living (04/15/25)
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  • General Liability Claim Representative

    Travelers Insurance Company (Melville, NY)
    …and claimants or their representatives. + Recognizes and implements alternate means of resolution . + May manage litigated claims . Develops litigation plan with ... and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer… more
    Travelers Insurance Company (02/12/25)
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  • Auto Physical Damage Claim Representative

    Travelers Insurance Company (Buffalo, NY)
    …Auto Damage claims from the first notice of loss through resolution /settlement and payment process. This may include applying laws and statutes for multiple ... unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto,… more
    Travelers Insurance Company (04/08/25)
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  • Customer Service Representative

    Brighton Health Plan Solutions, LLC (New York, NY)
    About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service...schedules, network participation, and requirements. + Ensure first contact resolution when possible. + Update customer files and communicate… more
    Brighton Health Plan Solutions, LLC (03/30/25)
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  • PIP Claim Representative

    Travelers Insurance Company (Melville, NY)
    …Party Medical claims from the first notice of loss through resolution /settlement and payment process. This may include applying laws and statutes for multiple ... cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution ) including maintaining full compliance with internal and external… more
    Travelers Insurance Company (03/14/25)
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  • Provider Relations Representative

    Independent Health (Buffalo, NY)
    …questions, billing and payment questions, and EOB explanations. The Provider Relations Representative will focus on first call resolution and navigate various ... paid time off (PTO), including company paid holidays. The Provider Relations Representative position offers an opportunity to begin a career at Independent Health.… more
    Independent Health (04/24/25)
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  • Senior Field Representative - Creedmoor PC

    New York State Civil Service (Queens Village, NY)
    …- Dormitory Authority of the State of New York Title Senior Field Representative - Creedmoor PC Occupational Category Other Professional Careers Salary Grade NS ... NY Zip Code 11427 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while assisting the… more
    New York State Civil Service (04/11/25)
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