- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- University of Rochester (Rochester, NY)
- …. Resolves complex claims . Acts as a resource for lower-level staff. The Claims Resolution Representative III is responsible for working across the ... timely and routine action to resolve unpaid claims . The Claims Resolution Representative III reports to Accounts Receivable Management. Responsibilities:… 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 ... documentation with state agency. + Develops and manages workers compensation claims ' action plans to resolution , coordinates return-to-work efforts, and… 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 ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… 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 damage and lower level injury claims ;… more
- Sedgwick (Albany, NY)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...and to move the file towards prompt and appropriate resolution . + Identifies and pursues subrogation opportunities; secures and… 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 ... experience possible + Warm transfer calls to other business units for further resolution of the callers issue while adhering to CPHLs policies. + Complete the… more
- Independent Health (Buffalo, NY)
- …questions, billing and payment questions, and EOB explanations. The Provider Relations Representative will focus on first call resolution and navigate various ... and commitment to diversity and inclusion. **Overview** The Provider Relations Representative is responsible for assisting our provider constituents and providing… 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 ... cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution ) including maintaining full compliance with internal and external… more
- Travelers Insurance Company (Melville, NY)
- …Party Medical claims from the first notice of loss through resolution /settlement and payment process. This may include applying laws and statutes for multiple ... cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution ) including maintaining full compliance with internal and external… more
- Travelers Insurance Company (Melville, NY)
- …part of a formal training program to advance to a Auto claim representative position. This position is intended to develop skills for investigating, evaluating, ... negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts,… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …tasks; ID card production, DMR's, creation of mass mailings to membership or resolving claims not adjudicated in the mail order platform. May possess alarm code and ... calls to appropriate staff members. + Provide Help Desk resolution of customer service issues to insure complete client...annual management reports for PBM clients, and from our Claims Processor. + Assist with on-site client orientation, health… more
- Independent Health (Buffalo, NY)
- …and paid time off (PTO), including company paid holidays. The Customer Service Representative position offers an opportunity to begin a career at Independent Health. ... the department and our family of companies. **Overview** The Customer Service Representative (CSR) is responsible for displaying confidence, passion for service, and… more
- B&H Photo (New York, NY)
- …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... Owning the issue and ensuring a complete and timely resolution are the most important success factors for this...such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively… more
- WMCHealth (West Nyack, NY)
- Follow Up Representative Company: Good Samaritan Hospital City/State: West Nyack, NY Category: Clerical/Administrative Support Department: General Patient Accounting ... Now External Applicant link Internal Applicant link Job Details: The Follow-Up Representative is responsible for pursuing collection of all receivables from payers.… more
- Molina Healthcare (Manhattan, NY)
- …the highest level of customer service. Effectiveness in driving timely issue resolution , EMR connectivity, Provider Portal Adoption. * Conducts regular provider site ... monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
- Canon USA & Affiliates (Melville, NY)
- …Coordination, System Support, Contract Coordination, managing sales funds, validating claims , issuing credits, chargeback management, post audit resolution , ... Canon USA in Melville, NY is seeking an Account Relations Representative II ( Representative , Acct Rels II). The individual will be responsible for overseeing… more
- TEKsystems (Melville, NY)
- …and patient needs. + Claims processing: + Assisting with insurance claims submission, verification, and resolution of claim issues. + Benefit explanation: ... information about medical conditions, treatment options, and preventative care. + Complaint resolution : + Addressing patient concerns and complaints in a timely 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 an impressive ... inquiries and escalate issues related to eligibility and member claims + Develop and leverage knowledge of customer needs...as well as carrier relationships for day-to-day customer issue resolution + Keep management informed of customer or carrier… more
- Amalgamated Bank (Bronx, NY)
- Amalgamated Bank is seeking a Retail Banking Representative to be responsible for providing a high quality of Customer Service in a broad variety of activities. This ... with customers and back office by following-up to ensure resolution + Greet customers in a professional manner that...matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing… more