Complex Claims Resolution Specialist

Job Title: High Exposure Claim HandlerLocation: Roslyn, NY or Rochester, NYEstimated Salary: $120,000 - $150,000 per yearOverview:Primma, LLC is seeking an experienced high exposure claim handler to manage complex and high-value claims. This role involves working closely with defense counsel to develop strategic plans for claim resolution and ensuring that...

Job Title: Medical Claims SpecialistAbout the Role:We are seeking a highly skilled and detail-oriented Medical Claims Specialist to join our team at HCR Home Care. In this role, you will be responsible for submitting and receiving electronic claim files, researching and re-submitting rejected claims, and maintaining data systems for commercial insurances.Key...

Job OverviewThe Complex Claims Specialist will be based at our Roslyn, NY or Rochester, NY office, with the option for a hybrid schedule after the training period.Key ResponsibilitiesDirectly manage high-exposure claims and perform coverage verification, claim investigation, reserving, and disposition.Manage all aspects of claims, including litigation...

Job SummaryWe seek an experienced Claims Management Expert to join our team at Primma, LLC. Based in our Roslyn, NY or Rochester, NY office, this role offers a dynamic and challenging environment with opportunities for growth and development.Primary DutiesManage high-value claims from initiation to closure, ensuring accurate and efficient...

Job OverviewWe are seeking a highly skilled Financial Resolution Specialist to join our team at Paychex. As a key member of our recovery team, you will be responsible for resolving bank returned items in a timely and accurate manner.About the RoleIn this role, you will provide quality customer service to internal and external customers while mitigating risk...

Job Title: Insurance Claims ProcessorWe are seeking a detail-oriented and organized Insurance Claims Processor to join our team at HCR Home Care. In this role, you will be responsible for processing insurance claims, researching and resolving issues, and maintaining accurate records.Key Responsibilities:Process insurance claims in a timely and accurate...

Job Description We are seeking a skilled Lawyer - Business Dispute Resolution to join our Business Litigation group at Thomas Talent Network in Buffalo or Rochester. The ideal candidate will have at least three years of experience in commercial litigation, including handling depositions, motion practice, court appearances, and managing electronic...

Job OverviewR&R Support Services, Inc. is a well-established medical billing service based in Rochester, NY, offering a welcoming work environment and accurate billing services to healthcare providers.This position involves ensuring the accuracy, timeliness, and efficiency of our billing services. As a Medical Biller, you will play an essential role in...

Job SummaryWe are seeking a highly motivated and organized individual to join our team as a Claims Resolution Specialist II. In this role, you will be responsible for resolving claims in a timely and efficient manner. Key Requirements- 2+ years of experience in claims resolution or a related field- Strong analytical and problem-solving skills- Excellent...

Job OverviewAs a Support Specialist I at Paylocity, you will play a crucial role in delivering exceptional customer service and resolving complex client inquiries. This dynamic role requires strong problem-solving skills, attention to detail, and excellent communication abilities. If you thrive in a fast-paced environment and are passionate about delivering...

About the RoleWe are looking for a skilled and detail-oriented Collections Representative to join our team. As a Collections Representative, you will play a key role in ensuring the timely resolution of past due invoices while providing exceptional customer service.Responsibilities:Resolve past due invoices accurately and efficiently.Communicate with clients...

**Become a Compliance and Investigations Specialist at Allied UniversalWe are seeking a skilled Compliance and Investigations Specialist to join our team. As a Special Investigations Unit (SIU) Investigator, you will play a critical role in detecting and preventing insurance fraud.Salary: $25 - $32 per hour, depending on location and experience. Enjoy...

OverviewAmerican Packaging Corporation is a leading flexible packaging converter in North America, dedicated to providing high-quality packaging solutions. Our company values diversity, inclusion, and employee growth, offering competitive salaries, excellent benefits, and opportunities for advancement.About the RoleWe are seeking an experienced Accounts...

About the JobWe are seeking a skilled Nurse Care Specialist to join our team at Highland Hospital in Rochester, New York. As a key member of our complex care unit, you will provide expert patient care based on established standards and utilize the nursing process to coordinate and provide direct care and services that support care.

Job Title: Medical Billing SpecialistEstimated Salary: $45,000 - $60,000 per yearAbout Dermatology Associates of RochesterWe are a thriving dermatology practice dedicated to providing top-notch dermatological services in a warm and welcoming environment. Our team is committed to staying at the forefront of dermatology innovations and delivering exceptional...

Job DescriptionMolina Healthcare seeks an experienced Benefits Analyst to join our team. As a key member of our healthcare systems team, you will be responsible for implementing and maintaining critical information on claims databases.Synopsis:Load and maintain contract, benefit or reference table information into the claim payment system.Participate in...

About the RoleWe are seeking an experienced Accounts Receivable Specialist to join our team. As an Accounts Receivable Specialist, you will be responsible for timely and accurate invoicing, daily cash receipts, and end-of-month procedures.Key ResponsibilitiesComplete all areas of customer invoicing, including daily shipment and consignment usage, weekly...

Job SummaryThe Workers' Compensation Specialist at Lifetime Assistance, Inc. plays a vital role in ensuring the organization's compliance with workers' compensation laws and regulations. This position involves managing claims, working with medical providers, and facilitating return-to-work programs to support employees. The ideal candidate will possess...

Rochester Regional Health is a national model of health and healing, providing unwavering support to our providers and the diverse communities we serve. We are actively recruiting Obstetrics and Gynecology specialists with advanced training in Complex Family Planning who share our commitment to delivering compassionate, high-quality care to all, including...

Job OverviewWe are seeking a highly skilled Client Relations Specialist to join our team at Paychex. This role will involve providing exceptional customer service for multiple Paychex products, ensuring good customer relations are maintained and resolving any claims or complaints fairly and effectively.