- NFTA (Buffalo, NY)
- CLAIMS REPRESENTATIVE Title Description: NON-REPRESENTED Date Posted: 11/8/2024 Deadline: Until Filled Job Number: 178-24-N Branch: Salary: $53,407 - $80,110 ... decisions subject to final review and approval by the Senior Claims Representative or the Manager. ESSENTIAL FUNCTIONS: The list of essential functions,… more
- Sedgwick (Albany, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Remote | NY Licensing Required **PRIMARY ... PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company… more
- 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 energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
- Sedgwick (Albany, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | NY Jurisdiction | Dedicated Client We are ... seeking a highly motivated and experienced Workers' Compensation Claims Representatives to join our team. The ideal candidate...ideal candidate will have at least 2 years of claims handling experience, with a strong background in New… more
- Sedgwick (Albany, NY)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...+ Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files… more
- Elevance Health (Latham, NY)
- ** Claims Representative I** **Location:** The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. A ** Claims ... Work is reviewed for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied before eligible payments… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for working across ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Service Representative 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #811 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to ... create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living. Individualized professional and personal growth is a primary focus… more
- Insight Global (Suffern, NY)
- …commercial water and fire damanage cleaning and restoration services related to insurance claims . The Sales Representative will be traveling to insurance brokers ... services and build relationships with the goal to become the primary servicer for claims . The candidate needs to be located in the Suffern, NY area and will… more
- University of Rochester (Rochester, NY)
- …complex claims . Acts as a resource for lower-level staff. The Claims Resolution Representative III is responsible for working across the professional ... appeal processes taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative III reports to Accounts Receivable… more
- Highmark Health (Buffalo, NY)
- …Experience: A minimum of 18 months of current consecutive experience as a Service Representative and/or Service/ Claims Representative at BC/BS of WNY, within ... responses to inquiries from internal and external customers; processes and adjusts claims . This is a bargaining unit position. The collective bargaining agreement… more
- Catholic Health Services (Melville, NY)
- …the direction of the Physician Revenue Realization Manager, the Insurance Follow-Up Representative is responsible for investigating claims status with insurance ... carriers, correcting and resubmitting denied claims in the EPIC billing system. Responsibilities: Performs follow up on all outstanding accounts assigned in… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- City of New York (New York, NY)
- …and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office ... of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program - Claims & Recovery (SNAP-CR). Within Revenue, SNAP-CR is a revenue producing, federally… more
- The Institute for Family Health (New Paltz, NY)
- HIT ANALYST - Claims / Professional Billing Job Details Level Experienced Job Location New Paltz Family Health Center - New Paltz, NY Remote Type Fully Remote ... and analyzes the results + Meets with team members, Epic technical service representative , and external partners on a regular basis + Superior design, development,… more
- New York State Civil Service (NY)
- NY HELP Yes Agency Labor, Department of Title Labor Services Representative /Trainee 1/2 (Spanish Language) - ASO (NY HELPS) Occupational Category Other Professional ... Zip Code 12226 Duties Description As a Labor Services Representative Trainee 1 (Spanish Language), you would be trained,...how to interview and elicit information from customers, examine claims issues and make determinations to resolve complex or… more
- CDPHP (Albany, NY)
- …invites you to be a part of that experience. The Provider Services Representative shall assume full responsibility and ownership for all aspects regarding education ... providers regarding the proper utilization of the Plan. In addition, the representative will address and resolve service related issues including appeals and… more
- Independent Health (Buffalo, NY)
- …and commitment to diversity and inclusion. **Overview** The Provider Relations Representative is responsible for assisting our provider constituents and providing ... exceptional customer service. The Provider Relations Representative will answer incoming calls from health care providers including physician offices, ancillary… more
- Leviton (Melville, NY)
- …to kick-start your career? The Leviton Finance team is looking for a Deduction Representative I to join the Credit, Accounts Receivable & Claims department. We ... who thrive on challenges and are eager to learn. The Deduction Representative I is responsible for evaluating, processing, and resolving customer claims… more
- Travelers Insurance Company (Manhattan, NY)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. +...as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills… more