- Ryder System (Albany, NY)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... superior claim technical skills, past experience handling commercial auto claims and a comprehensive understanding of the related coverages . Superior… more
- Sedgwick (New York, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Albany, NY)
- …Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Sedgwick (Albany, NY)
- …Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an opportunity to join a global industry leader where ... by investigating and gathering information to determine the exposure on the claim ; assesses damages; manages claims through well-developed action plans to an… more
- University of Rochester (Rochester, NY)
- …and state regulations bringing concerns to the attention of billing Manager and Supervisor . The Claim Resolution Rep III will represent the department and ... not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as...supervisor or manager of trends on incorrectly paid claims from specific payers. + Work with supervisor… more
- CVS Health (Albany, NY)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** American Health ... including co-morbid and multiple diagnoses that impact functionality. + Consults with supervisor and others in overcoming barriers in meeting goals and objectives,… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …issues on accounts/orders + Maintain and keep reasonable production as determined by supervisor + May assist in orienting and training new employees + Responsible ... systems + Familiar with Enterprise billing options and practices surrounding claim submission + Strong communication skills + Outstanding customer service skills… more
- Ellis Medicine (Schenectady, NY)
- This position can be local or remote !! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group ... lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the...relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the… more
- Sedgwick (Albany, NY)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... career making an impact on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in your daily work, your location,… more
- Cardinal Health (Albany, NY)
- …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life ... of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with...cycle of primary and secondary claims + Maintains front office support relationship + Takes… more
- City of New York (New York, NY)
- …supporting documents for chargeback disputes. Select relevant information based on the claim type and dispute code. Submit chargeback packets accurately and on time. ... sheets. Ensure data accuracy and submit logs to the supervisor on time. - Research and respond to AMEX...Hours/Monday-Friday/9:00am - 5:00pm "This position may be eligible for remote work up to 2 days per week, pursuant… more
- Molina Healthcare (Hamburg, NY)
- **_ Remote and must live in Erie County, NY _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... that may cross departmental lines and involve Senior Leadership. * Must have claims resolution experience. * Serves as a subject matter expert for other departments.… more
- The Robison Group (Albany, NY)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... medical treatment). + College Degree preferred. TRAINING The Robison Group provides remote and/or in-classroom training to ensure that individuals are set up for… more
- Edwards Vacuum, LLC (Buffalo, NY)
- …Park in Alabama, NY! This role offers a unique hybrid opportunity, blending remote work flexibility with on-site presence during the facility's construction phase. + ... a spirit of cooperation. + Respectfully takes direction from [ supervisor / manager] and other duties as assigned. + This...family-like atmosphere - and that is not just a claim on the wall, it's a true fact. +… more
- Monroe Community College (Rochester, NY)
- …and estimates for office supplies and equipment + Reads and routes supervisor 's mail, handling items/inquiries when possible, and refers items that can be ... Schedules use of departmental facilities + Checks, codes, and approves requisitions, claims vouchers, and bills + Interviews office clerical staff and makes… more
- New York State Civil Service (Jamaica, NY)
- …Compensation Law as relates to enforcement unit procedures and related claims processes. Stay abreast of enforcement-related Workers' Compensation Board program ... response to perceived problems.* Maintain good working relationships with supervisor and co-workers. Reports difficulties with specific assignments to … more
- OLV Human Services (Lackawanna, NY)
- …to serve. This is a hybrid position combining work in the community, remote /home, and some office work for staff and supervision meetings. Community settings are ... documentation of services rendered. + Review utilization and service provision with supervisor + Coordinate and collaborate with Care Managers to identify service… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and Federal Mandates. + May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical ... staff, members and providers. + Provides backup for the Supervisor , whenever necessary. Participates in the orientation of new...paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus… more
- Mohawk Valley Health System (Utica, NY)
- …Organize and maintain payer spreadsheets + Meet with and brief supervisors on claims issues contained in the spreadsheets prior to monthly payer meetings + ... of access to those websites + Collaborate with customer service team lead and supervisor to resolve billing questions as they relate to customer complaints + Manage… more