- GAP Solutions Inc (Albany, NY)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Sedgwick (Albany, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... and professional needs. **ARE YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and low touch auto claims . If you… more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding ... and Billing to resolve provider inquiries as defined within Claims Operations procedures. The Claims Representative is required to handle multiple product… more
- Sedgwick (Albany, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...YOU AN IDEAL CANDIDATE?** To analyze **New York Lost-Time** claims on behalf of our valued clients to determine… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or specialty claims ... , submitted via paper. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works… more
- Ryder System (Albany, NY)
- …**Job Description** : **SUMMARY** This position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program. **ESSENTIAL ... FUNCTIONS** Investigates and resolves low to high exposure worker's compensation claims pursued against Ryder and our insured customers Ensures the most appropriate… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that ... / provider** **associates researching the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies,… more
- Ryder System (Albany, NY)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and Auto Liability ... Claims , Physical Damage Repairs and Property and Cargo ...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Travelers Insurance Company (Albany, NY)
- …beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to ... you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this...claim handling experience or successful completion of Travelers Claim Representative training program. **What Is in It for You?**… more
- New York State Civil Service (Albany, NY)
- …Yes Agency Insurance Fund, State Title Assistant Insurance Fund Services Representative Occupational Category Clerical, Secretarial, Office Aide Salary Grade 13 ... the NYS Segment.* Work up and process Workers' Compensation claims .* Approve and deny medical bills.* Respond to claimant...aren't limited to: Admnv Assistant 1, Business Services Center Representative 1, Program Aide; OR* Four years of customer… more
- Ellis Medicine (Schenectady, NY)
- The Accounts Receivable Representative will be responsible for achieving accurate and timely accounting of all Inpatient and Outpatient accounts receivable as set by ... outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to...the provider and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to… more
- Cardinal Health (Albany, NY)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Momentive Performance Materials Inc. (Niskayuna, NY)
- Job Title: Senior Customer Service Representative Summary:In this role, you will be the primary contact for customer support-related activities. You will provide ... focus on execution. + Receive, enter, and manage customer non-conformance claims , ensuring accurate complaint entry, coding, coordinator assignment, and clear… more
- Elevance Health (Latham, NY)
- **Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Broadview FCU (Schoharie, NY)
- …place! Overview of Your Role The Personal Lines Customer Service Representative identifies, contacts, and develops prospective insurance clients, and oversees ... to client. + Receive phone calls from clients and companies regarding insurance, claims , or administrative problems, and comply with the request and/or refer to the… more
- Cardinal Health (Albany, NY)
- …equivalent preferred + 3+ years' experience with insurance billing and processing claims preferred + Full knowledge of all areas of accounts receivable ... specialization preferred + Intermediate knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices preferred + Proficiency in basic math and business calculations + Working knowledge of computer/data entry with… more
- Molina Healthcare (Albany, NY)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- Highmark Health (Albany, NY)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and… more
- Molina Healthcare (Albany, NY)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
- Ryder System (Albany, NY)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims ,...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
