- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 - NYHELPS Occupational Category Other Professional Careers Salary ... State NY Zip Code 12206 Duties Description Under the general supervision of a Claims Services Representative 2 responsibilities include, but are not limited to:*… 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 ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Albany, NY)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program....to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Ryder System (Albany, NY)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- CDPHP (Latham, NY)
- …required. + High school diploma or GED required. + Minimum of (1) year claims examining procedural review experience utilizing CPT-4, HCPCS, and ICD-9 codes is ... invites you to be a part of that experience. The Document Service Representative shall assume full responsibility for the completion of the necessary activities… 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 ... system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. EDUCATION… more
- Elevance Health (Latham, NY)
- **Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... accommodation is granted as required by law._ The **Utilization Management Representative II** is responsible for managing incoming calls, including triage, opening… more
- University of Rochester (Albany, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for working ... process taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ...to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and… more
- Ryder System (Albany, NY)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Highmark Health (Albany, NY)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Highmark Health (Albany, NY)
- …and report improper coordination of benefit billing practices through paid clams review . + Participate as pharmacy representative in onsite member appeals ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more
- Albany International Airport (Albany, NY)
- …by tenants to ensure compliance on all safety and security-related issues; + Review with sufficient frequency all security-related functions to ensure that all are ... to compile information and coordinate policy and action in response to liability claims or accidents. + Coordinates security for VIP dignitaries visiting the City;… 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
- Whitney Young Health Center (Albany, NY)
- …reporting. + Provides a planned organization wide process for reporting and managing claims and lawsuits in compliance with the FTCA. Completes the required annual ... for FTCA coverage. + Serves as the lead WYH representative to the FTCA coverage and application process. +...analyses as appropriate. + Assist clinical leadership in peer review activities. + Develops risk policies and procedures as… more