- Sedgwick (Albany, NY)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... + Apply your knowledge and experience to adjudicate complex customer claims in the context of an...growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global… more
- University of Rochester (Rochester, NY)
- …wpm. Strong working knowledge of the professional billing software applications Excellent customer service skills **EOE Minorities / Females / Protected Veterans ... expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for working across… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Service Representative 75...a relationship with the provider, while providing the best customer service experience possible + Warm transfer ... ethical and moral standards, and always seek to provide the highest level of customer care to all of our customers (members, providers, vendors and fellow team… more
- Highmark Health (Albany, NY)
- …to perform the job including satisfactory completion of all training and testing 2. Customer Service Representative tests - passing score 3. Ability to ... Highmark Inc. **Job Description :** Job Summary Provides quality customer service within a high volume contact...opportunities, problems and concerns; recommends and forwards to Sr Service Representative and/or Management for review. E3.… more
- Ryder System (Albany, NY)
- …Manage assigned staff to ensure both technical expertise and a high level of customer service are attained. Monitors staff's technical work and develops and ... staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues.... is reached, and that a high level of customer service is attained Additional Responsibilities +… more
- Independent Health (Buffalo, NY)
- …Dental, Vision, 401K, and paid time off (PTO), including company paid holidays. The Customer Service Representative position offers an opportunity to begin a ... the department and our family of companies. **Overview** The Customer Service Representative (CSR) is...called on to research complex issues pertaining to benefits, claims , plans, and eligibility across multiple databases which requires… more
- CAI (Albany, NY)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Customer Service Representative ready to take us to the next ... apply now! **Job Description** We are looking for a Customer Service Representative to provide...with navigating and resolving a variety of issues, including claims and continuity of care. + Work towards meeting… more
- CVS Health (Albany, NY)
- …details, benefit plan details, provider self- service tools, etc. + Use customer service threshold framework to make financial decisions to resolve provider ... services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive ...to gather information while on a call + Excellent customer service and critical thinking is a… more
- Graybar (Garden City, NY)
- Make a difference. As a Customer Service Representative , you will serve as a key contact and liaison for customers to ensure their total satisfaction. You ... calls + Provide support on product selection and application + Coordinate customer service requests including order entry, pricing, expediting, billing, order… more
- Evolent (Albany, NY)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Our customer service team offers candidates the opportunity to make a meaningful impact ... and support to foster success in the role. **Collaboration Opportunities:** + Customer Service Representatives (CSR's) will be working with and providing… more
- Elevance Health (East Syracuse, NY)
- …Customer Care Representative I** is responsible for handling or responding to customer service issues. **How you will make an impact** + Responds to ... **SCA Customer Care Representative I** **Location:** This...School diploma or equivalent with experience in an automated customer service environment preferred; or any combination… more
- Brighton Health Plan Solutions, LLC (Melville, NY)
- About The Role MagnaCare is seeking Customer Service Representatives to assist members, physicians, hospitals, and other healthcare providers with member ... benefits, eligibility, claims inquiry, claim reconsiderations and appeals. This job description...ICD-9. Ability to learn quickly. * Courteous with strong customer service orientation. * Dependable with proficient… more
- CDPHP (Albany, NY)
- …and advise the customer of their rights and responsibilities. The Member Service Representative will work closely with all departments, such as Marketing, ... to be a part of that experience. The Member Service Representative shall assume full responsibility and...school diploma or GED required. + One year of customer service experience required. + Two or… more
- Molina Healthcare (New York, NY)
- …GED equivalent **Required Experience** 1-3 years of call center or customer service experience **Preferred Education** Associate degree **Preferred Experience** ... pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary… more
- Leviton (Melville, NY)
- … Representative I is responsible for evaluating, processing, and resolving customer claims (deductions), working together with customers and various internal ... analytical and organizational skills. Good problem-solving skills Excellent communication and customer service skills. Capability to work both independently and… more
- World Insurance Associates, LLC. (Syosset, NY)
- …and human capital management solutions. Position Overview Our Client Service Representative provides general account support and customer service to ... inquiries and escalate issues related to eligibility and member claims + Develop and leverage knowledge of customer...insurance or employee benefits industry + Excellent communication and customer service skills as well as sales… more
- Travelers Insurance Company (Albany, NY)
- …established professional guidelines as well as applicable state laws. + Provides quality customer service and ensures file quality. + Shares accountability with ... reserve activities are consistent with corporate policies. + Resolve complex, severe exposure claims , using high service oriented file handling. + In order to… more
- Ellis Medicine (Schenectady, NY)
- …+ All guarantor phone calls for the purpose of debt collection will be held to Customer Service standards. + Accomplish the day's tasks as set forth by the ... The Accounts Receivable Representative will be responsible for achieving accurate and...Complete required training as assigned. + Responds promptly to customer requests, provide excellent customer service… more
- Travelers Insurance Company (Buffalo, NY)
- …quality standards and state specific regulations. **What Will You Do?** + Customer Contacts/Experience: + Delivers consistent service quality throughout the ... for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process.… more
- Catholic Health Services (Melville, NY)
- …of 3 years of Physician Billing experience, including insurance carrier follow up and customer service , required. Salary Range USD $24.00 - USD $29.00 /Hr. This ... the direction of the Physician Revenue Realization Manager, the Insurance Follow-Up Representative is responsible for investigating claims status with insurance… more