- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. + Follows up on unpaid accounts working claims . + Reviews reasons for claim denial. + Reviews payer website or contacts ... payment and completes and documents follow up by resubmitting claim or deferring tasks. + Researches and calculates under...deferring tasks. + Researches and calculates under or overpaid claims ; determines final resolution . + Contacts payers… more
- University of Rochester (Rochester, NY)
- …insurance accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent ... to the attention of billing Manager and Supervisor. The Claim Resolution Rep III...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate… more
- University of Rochester (Albany, NY)
- … to obtain and verify insurance coverage. Follows up on unpaid accounts working claims . Reviews reasons for claim denial. Reviews payer website or contacts payer ... claim or deferring tasks. Researches and calculates under or overpaid claims ; determines final resolution . Contacts payers on incorrectly paid claims… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …investigate insurance policy coverage, determine cause of loss, and document activity on each claim to come to a resolution quickly and accurately. 4. Identify, ... responsible for investigating, evaluating, negotiating, and resolving personal lines property claims . Responsible for adjusting major and complex losses in their… more
- LA Care Health Plan (Los Angeles, CA)
- …Solution Center, Call Center, the Customer Solution Center Service Representative III handles provider inquiries and issue resolution of Level One (1) ... Customer Solution Center Service Representative III Job Category: Customer Service...steps. Escalate Level Two (2) provider concerns to the Claims Department for resolution (eg Provider Disputes,… more
- Canon USA & Affiliates (Melville, NY)
- **About the Role** Canon USA in Melville, NY is seeking an Account Relations Representative III ( Representative , Acct Rels III ). The individual will be ... Coordination, System Support, Contract Coordination, managing sales funds, validating claims , issuing credits and Business Process Improvement and Problem Solving… more
- State of Colorado (Adams County, CO)
- CPW WILDLIFE MANAGER III / Wildlife Damage Specialist (Denver, CO) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5142493) Apply CPW WILDLIFE ... MANAGER III / Wildlife Damage Specialist (Denver, CO) Salary $64,908.00...CPW's liability for damages, and to reconcile any damage claims submitted as a result of those damages. These… more
- Horizon Services, Inc. (Hayward, CA)
- POSITION DESCRIPTION TITLE: Human Resources III CLASSIFICATION: TBD REPORTS TO: Sr. HR. Manager of Human Resources PROGRAM OR DEPT: Administration JOB SUMMARY: As a ... work environment to our dedicated team. The Human Resources III is an integral part of the Human Resources...employees with health, dental, life and other related benefit claims . + Coordinate workers' compensation claims with… more
- State of Colorado (Pueblo, CO)
- House Lead - Health Care Tech III - Pueblo Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5137964) Apply House Lead - Health ... Care Tech III - Pueblo Regional Center Salary $1,769.60 - $1,867.20...education and mandatory training requirements. + Reports abuse allegations, claims of harassment/workplace violence immediately to the Emergency On… more