- ManpowerGroup (Syracuse, NY)
- …a valid NY Adjusters' License.** To analyze complex or technically difficult workers ' compensation claims to determine benefits due. This role involves ... You'll Do** + Claims Analysis and Processing + Analyze and process complex workers ' compensation claims by investigating and gathering information to… more
- Sedgwick (Albany, NY)
- … Examiner **PRIMARY PURPOSE** **:** To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with ... specific requirements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and… more
- Sedgwick (Syracuse, NY)
- …larger or more complex claims as necessary. + Processes workers compensation claims determining compensability and benefits due; monitors reserve ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Associate | Syracuse, NY | New England… more
- Sedgwick (Syracuse, NY)
- …**OFFICE LOCATIONS** Syracuse, NY **PRIMARY PURPOSE OF THE ROLE:** To analyze low to mid-level Workers Compensation claims on behalf of our valued clients to ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Workers Compensation ...brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of… more
- Sedgwick (Syracuse, NY)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Workers Compensation | NY Jurisdiction ... of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues'...claims in the teams including frequent diaries on complex or high exposure claims . **PREFERRED GEOGRAPHIC… more
- Crawford & Company (Hauppauge, NY)
- …with 4-8 years experience in Claims or similar organization. + Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. ... Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal...part of the One Crawford family. + Our total compensation plans provide each of our employees with far… more
- American Family Insurance - Corporate (New York, NY)
- …territories, or other equivalent experience. *Demonstrated experience handling moderately complex claims , or other equivalent experience. Experience with ... such as team meetings, trainings, and culture events. Position Compensation Range: $55,000.00 - $90,000.00 Pay Rate Type: Salary...complex issues and finds assistance as needed. Handle claims on a good faith basis. *Handles both 1st… more
- M&T Bank (Buffalo, NY)
- …assigned businesses/functions. **Primary Responsibilities:** + Assist manager with Property and Casualty Claims including Workers Compensation lost time and ... Project lead for Risk Management System implementation **Assist with Property claims as needed** **Develop and produce departmental reports, spreadsheets and project… more
- MetLife (Oriskany, NY)
- …Key Responsibilities: * Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. ... Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time...Bachelor's degree and knowledge of STD/FML, state leave laws, worker 's compensation , ERISA, and Social Security. At… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk (Commercial Claims Follow-up) Full-Time M-F 9AM to 5PM East 42nd Street** Under the supervision of the Patient Financial ... from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House and other direct payers....environment of anti-racist behaviors among and between departments and co- workers . At Mount Sinai, our leaders strive to learn,… more
- MTA (New York, NY)
- …and collaborate with the TPA to ensure efficient and effective management of MTA's Workers ' Compensation claims . + Develop and implement a robust vendor ... Senior Commercial Director, NYCT Workers Compensation Job ID: 8516 Business...in private or public sector, preferably in a large, complex organization with a represented employee workforce. + Bachelor's… more
- Travelers Insurance Company (Buffalo, NY)
- …medical necessity for prospective, concurrent, retrospective and appeal treatment requests for workers compensation claims . Responsible for helping to ensure ... of state, federal and regulatory laws and statutes preferred. + Basic worker 's compensation technical ability to apply available resources and technology… more
- New York State Civil Service (Schenectady, NY)
- NY HELP No Agency Workers ' Compensation Board Title Workers ' Compensation Examiner, WCB Items #4311 Occupational Category No Preference Salary Grade 14 ... must have four years of experience examining, investigating or adjusting compensation , accident, liability or health insurance claims . A bachelor's… more
- Parsons Corporation (New York, NY)
- …measures. + Address and resolve complex benefit issues, workplace injury claims , workers ' compensation cases, and commuter benefits concerns, working ... communication plans, and system updates. + Analyze benefits data, workplace injury trends, workers ' compensation claims , and commuter benefits usage to make… more
- University of Rochester (Rochester, NY)
- …accounts in order to bring about prompt account resolution and revenue collection from complex claims , high dollar claims and specialized services (global ... Health, third party and governmental payers, clinical department providers and staff, Workers ' Compensation Board and Health Information Management Coding staff,… more
- Mount Sinai Health System (New York, NY)
- …submitted and required documentation to maximize revenue capture. + Processes Workers Compensation claims and addresses/resolves all discrepancies. ... for multiple components of the billing process for specialized or complex pre and post-surgical procedures, including coding, Accounts Receivable, Charge Entry,… more
- Mount Sinai Health System (New York, NY)
- …payments. 6. Responds to patient and third party inquiries, researches and resolves complex claims and corrects errors. 7. Reviews correspondence and rejection ... **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… more
- Mount Sinai Health System (New York, NY)
- …payments. + Responds to patient and third party inquiries, researches and resolves complex claims and corrects errors. + Reviews correspondence and rejection ... **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… more
- Zurich NA (New York, NY)
- …you will handle complex new and renewal accounts across Auto, GL, and Worker 's Compensation . As a member of Zurich's Underwriting Team, you will enjoy the ... + Working within broad limits and authorities on highly complex assignments Senior Construction Casualty Underwriter (Level III) Basic...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Allied Universal (Rochester, NY)
- …fraudulent insurance claims for a variety of coverage to include workers ' compensation , general liability, property and casualty and disability + Acquire ... of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient understanding and application of… more