- 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
- Molina Healthcare (Albany, NY)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal… more
- Sedgwick (Albany, 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)
- …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
- 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)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... claims procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... advances once the GSE or Government Mortgage Insured "expense" claim has been paid. + Confirm all prior tasking...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Trinity Health (Albany, NY)
- …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team ... Recognizes and reports opportunities for documentation improvement to the Supervisor of Risk Adjustment Coding & Audit to develop...diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system… more
- CVS Health (Albany, NY)
- …(30%) + Investigate and resolve any billing discrepancies and assist the Billing Manager/ Supervisor in analyzing monthly billing variances (20%) + Load new rates and ... and efficient revenue reporting and vendor payments (10%) + Process administrative claims to collect payment for monthly administrative invoices (5%) - Complete… more
- Cardinal Health (Albany, NY)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... + Contact insurance companies via phone, portals, or email to check claim status, request reprocessing or escalate issues. + Analyze denials and underpayments… 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
- 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
- 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