- 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
- Montana State University (Bozeman, MT)
- …please contact: Adam Edelman ###@montana.edu ### Classification Title Net Sys/Comm Analyst III Working Title Director of Network Services (Net Sys/Comm Analyst ... III ) Brief Position Overview The Director of Network Services...coordination, customer service analysis, preparation of special reports, conflict resolution , and problem solving. + Major fiscal and administrative… more
- Basin Electric Power Cooperative (Bismarck, ND)
- …and close-out. This includes the negotiation of change orders, payment approval, resolution of claims , solving performance and warranty issues, enforcement of ... Job Title: CONTRACT ADMINISTRATOR I/II/ III (LEVEL DOE) Posting Start Date: 10/22/25 Job...your contact information, and a Basin Electric Human Resources representative will contact you. Basin Electric is an Equal… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …require coming into the Rochester, NY office. The LTC Customer Service Representative resolves customer inquiries via telephone, mail, fax, and email concerning, but ... not limited to, policy benefits, claim payments, benefit reductions and billing. The LTC Customer...payments, benefit reductions and billing. The LTC Customer Service Representative provides service for customers and business partners while… more
- Air National Guard Units (Kirtland AFB, NM)
- …money) for legal sufficiency, appropriate titling and claim initiation or resolution actions. Acts as the Adjutant General's representative in third-party ... application of statutes, rules, and regulations as they pertain to contracts, claims , or other legal instruments involving private business, state, local, national,… more
- The County of Los Angeles (Los Angeles, CA)
- …program through the review of reports, coordination of work, and the resolution of problems. + Interprets, clarifies, and resolves problems of field staff ... technical area of environmental health by serving as a health agency representative to various local, State, and Federal technical committees or boards and… more
- Medtronic (Dallas, TX)
- …aspects of new product introductions, field technical trainings as well as providing Level III technical support to the field. **Day in the Life** + Lead and drive ... use of the escalation process, when other avenues for resolution are exhausted. This activity may include travel to...repair, validation, and data gathering + Validation of warranty claim submissions and assist in the review of field… more
- State of Colorado (Pueblo, CO)
- …and curriculum developed by the MHC II and CoT Clinical Trainers (HP II, HP III ); must have competencies signed off by the MHC II and/or Clinical Educator or ... + Ensures all required training is current per CMHHP policies. + Reports any claims of harassment or workplace violence to public safety, charge RN, Lead Nurse, and… more
- WM (Houston, TX)
- …US and Canada. + Manages the company's response to all unemployment claims and verifications. Maintains the working relationship with the company's outside service ... state tax laws, including annual filings and specific item investigation and resolution . + Collaborate with other functional payroll managers to ensure the reliable… more
- City of New York (New York, NY)
- …of repair jobs to vendors. Identifies problems in construction and seeks their resolution . Prepares shop orders, the scope of work, routine specifications, and cost ... compiles contract and project documentation bearing on these dispute claims . - Acts as liaison with the community and...activity on the construction site, acts as the City's representative in the filing of complaints with the Police… more