Claims Examiner Medical Malpractice Diedre Moire Corp.Claims Examiner Medical MalpracticeRochester, NY$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Manage total claim costs for highly complex or severe injury medical malpractice claims while negotiating to resolution and providing high levels of customer service.
NewClaims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeRochester, NY$60,500–$63,000 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
Auto Damage Claims Adjuster The Progressive CorpAuto Damage Claims AdjusterRochester, NY$67,000–$81,200 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Individual will work in the field, office, body shop, network shop, or service center environment and at time be expected to lift, bend stretch, walk, crouch, twist and/or lay on floor.
NewClaims Adjuster Macpower Digital Assets Edge Private LimitedClaims AdjusterRochester, NY$75,000–$85,000 / yearWe're seeking a dynamic and knowledgeable individual to join our team and make a significant impact in incident claim liability mitigation through collaborative efforts with internal and external stakeholders and managing high case loads Job Summary: We are looking for skilled professional with 2-4 years of experience in Worker's Compensation (our 60% claims are related to WC) .
Claims Supervisor Erie InsuranceClaims SupervisorRochester, NYFull timeThis range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.
Claims Examiner II - SSL Standard Security Life Insurance Company of New YorkClaims Examiner II - SSLCanandaigua, New YorkRemoteSitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand. The Claims Examiner I obtains and analyzes data for thorough, fair, objective, and timely processing of New York State statutory Short-Term Disability and Paid Family leave claims.
Claims Support Specialist - Rochester, NY Kaeppel ConsultingClaims Support Specialist - Rochester, NYRochester, NYDuties and Responsibilities: Performs support and administrative functions, including answering phones, filing, copying/imaging, faxing, processing and distributing mail and supporting third party vendor relationships and processes. Provides inbound and outbound phone support and customer service to all customers including policyholders, claimants, and agents, and handles all inquiries with customer service as a priority.
NewAnalyst - Claims Management IberdrolaAnalyst - Claims ManagementRochester, New YorkThe selected candidate must manage claim files through conclusion in a diligent and professional manner, be detail oriented in maintaining file records and documents that have the potential to be used in litigation, and proactive in advising management of high-risk claims, incidents and trends relevant to business operations and risk. This is applicable to employees that will work in electric transmission, operations, and cyber security business areas in Connecticut, Maine, Massachusetts, and New York within Avangrid Network and Corporate business areas.
Claims Consultant Tata Consultancy Services LtdClaims ConsultantRochester, NY$48,000–$55,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Claims Assistant SSL Standard Security Life Insurance Company of New YorkClaims Assistant SSLCanandaigua, New YorkSitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand. Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal and extensive reading.
NewSenior Cost Control Analyst - Construction Claims DASNYSenior Cost Control Analyst - Construction ClaimsRochester, NYA public authority agency in East Amherst is seeking a Senior Cost Control Analyst to review and approve construction change orders and analyze claims. The ideal candidate will have a Bachelor's degree and five years of relevant experience in project management.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsRochester, NY$59,059.65–$82,000 / yearWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Claims Assistant SSL Matrix Absence Management, Inc.Claims Assistant SSLCanandaigua, NY$17.68–$21.87 / hourSitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand. Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal and extensive reading.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorRochester, NYPart timeWe are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel. Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the Rochester or surrounding area.
Workers Compensation Claim Consultant Community Bank, N.A.Workers Compensation Claim ConsultantNYThe consultant partners closely with clients to translate claims data into actionable insights, provides ongoing guidance on risk mitigation and claim resolution strategies, and ensures alignment between claims handling practices and each client's broader risk management objectives. The Workers Compensation Claims Consultant serves as a strategic advisor to clients, delivering proactive, data-driven claims management solutions that reduce total cost of risk and improve claim outcomes.
Investigator Ethos Risk ServicesInvestigatorRochester, NYPart timePrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
Medical Billing Representative Rochester Regional HealthMedical Billing RepresentativeRochester, NY$20.26–$29.40 / hourRESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials management, and knowledge of medical terminology, physician fee schedules, DRGs, and reimbursement procedures. + Account Management & Collections: Retrieves and updates patient account statuses, processes remittances, manages A/R, ensures accurate charge entry, and performs financial analysis to support revenue goals.
Entry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorRochester, NYFull timeOur Full-Time Entry-Level Field Investigator position will help launch your career by providing you with an industry leading FULLY PAID Investigator Training Program - no prior experience necessary! Documentation: Finalize case files by submitting case reports and uploading video footage via personal laptop at the end of the day.
Private Investigator - Retired/Former Law Enforcement Lemieux & Associates LLCPrivate Investigator - Retired/Former Law EnforcementRochester, NYPart timeWe're actively seeking retired and former law enforcement professionals to join our Special Investigations Unit (SIU) as Investigators. Join a team where your background is respected, your voice is heard, and your work continues to make a difference.
Collections & Denials Management Representative Rochester Regional Health SystemCollections & Denials Management RepresentativeNY$20.66–$29.99 / hourPREFERRED QUALIFICATIONS: • High school graduate or equivalent • Bachelor's degree in healthcare or business administration • Minimum 1 year medical billing and denials, customer service and relevant finance experience in a health care organization a plus • Certification in medical billing UNION: 1199-200B Clerical Workers (CPH) • Note: Not all per diem roles are union eligible. SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims, and ensuring timely reimbursement for healthcare services.
Medical Billing Representative Rochester Regional Health SystemMedical Billing RepresentativeNY$20.26–$29.40 / hourRESPONSIBILITIES: Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials management, and knowledge of medical terminology, physician fee schedules, DRGs, and reimbursement procedures. Account Management & Collections: Retrieves and updates patient account statuses, processes remittances, manages A/R, ensures accurate charge entry, and performs financial analysis to support revenue goals.
NewEP Administrative Assistant (Full-time, Days) Rochester Regional HealthEP Administrative Assistant (Full-time, Days)Rochester, New YorkFor disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Maintain electronic/computer databases and paper files; retrieve information as needed and may create financial, statistical, narrative and/or other reports as requested.
NewAdministrative Assistant-ElderONE (Full time, day shift) Rochester Regional HealthAdministrative Assistant-ElderONE (Full time, day shift)Rochester, New YorkJoin ElderONE and be part of a groundbreaking PACE program that’s redefining senior care—helping patients stay safely in their homes while receiving fully coordinated, compassionate support. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Medical Billing & Denials Specialist Rochester Regional Health SystemMedical Billing & Denials SpecialistNY$20.26–$29.40 / hourAppeals & Reimbursement Review: Conduct detailed reviews of denied or underpaid claims, prepare appeal letters, gather supporting documentation, and collaborate across departments to ensure successful claim outcomes. RESPONSIBILITIES: Medical Billing & Claims Management: Submit and track insurance claims, resolve denials and billing edits, process remittances and adjustments, and ensure timely and accurate account resolution in line with payer requirements.
NewAdministrative Assistant-ElderONE (Full time, day shift) Rochester Regional Health SystemAdministrative Assistant-ElderONE (Full time, day shift)NY$17.75–$24 / hourJoin ElderONE and be part of a groundbreaking PACE program that's redefining senior care-helping patients stay safely in their homes while receiving fully coordinated, compassionate support. EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time.
Clm Resltion Rep III, Hosp/Prv University of RochesterClm Resltion Rep III, Hosp/PrvRochester, NY$20.30–$27.41 / hourCompletes follow up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Clm Resltion Rep IV, Hosp/Prv University of RochesterClm Resltion Rep IV, Hosp/PrvRochester, NY$20.99–$28.34 / hourIndependently determines the most effective method to follow up on disputed, unpaid, underpaid, or overpaid insurance or contracted service accounts in order to bring about prompt account resolution and revenue collection from complex claims, high dollar claims, and specialized services. Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person meetings and phone conferences regarding complex high dollar claims.
Collections Representative IV University of RochesterCollections Representative IVRochester, NY$20.99–$28.34 / hourIndependently determines the most effective method to follow up on disputed, unpaid, underpaid, or overpaid insurance or contracted service accounts in order to bring about prompt account resolution and revenue collection from complex claims, high dollar claims, and specialized services. Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person meetings and phone conferences regarding complex high dollar claims.
Clm Resltion Rep IV University of RochesterClm Resltion Rep IVRochester, NY$21.40–$28.89 / hourIndependently determines the most effective method to follow up on disputed, unpaid, underpaid, or overpaid insurance or contracted service accounts in order to bring about prompt account resolution and revenue collection from complex claims, high dollar claims, and specialized services. Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person meetings and phone conferences regarding complex high dollar claims.
Pharmacy Technician Trainee Wegmans Food Markets IncPharmacy Technician TraineeNY$19–$19.50 / hourJob Description: At Wegmans, our pharmacy technicians are instrumental in building trust by providing best-in-class service that sets Wegmans apart and ensures that customers are getting the medical attention, care, and health services that they depend on us for. Working at Wegmans provides opportunities to grow, flexible scheduling, incredible benefits, and the experience of working for a company with a reputation you can be proud of.
Pharmacy Technician Wegmans Food Markets IncPharmacy TechnicianNY$19–$19.50 / hourJob Description: At Wegmans, our pharmacy technicians are instrumental in building trust by providing best-in-class service that sets Wegmans apart and ensures that customers are getting the medical attention, care, and health services that they depend on us for. Working at Wegmans provides opportunities to grow, flexible scheduling, incredible benefits, and the experience of working for a company with a reputation you can be proud of.
Public Safety Officer I RITPublic Safety Officer IRochester, New YorkRochester Institute of Technology considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and organizational considerations when extending an offer. Identifies suspicious activity and security breaches, responds to calls for service, and addresses disturbances, noise complaints, trespassing, theft, and other security related incidents on campus.
Pharmacist Walgreen CoPharmacistRochester, NY$60.90–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Licensed Optician Associate FT Greece, NY Eyemart ExpressLicensed Optician Associate FT Greece, NYRochester, NY$28–$35 / hourToday, Eyemart Express is celebrated for promptly delivering quality eyewear at great prices, while maintaining great relationships with optometrists and local communities. Provide Exceptional Customer Service: Use your optical expertise and product knowledge to precisely meet customer needs, ensuring personalized and informed interaction.
Medical Biller/Coder Greater Rochester Neurological Associates, P.C.Medical Biller/CoderRochester, NYThe ideal candidate is certified in medical coding, has excellent attention to detail, strong customer service skills, able to multitask and is comfortable spending much of the day on the phone. You will also assist other Medical Billers/Coders with insurance verification, processing claims and patient bills, processing payments and follow-up with outstanding claims/balances.
Sr Administrative Assistant Rochester Regional Health SystemSr Administrative AssistantNY$20.75–$27 / hourAct as a liaison to community leaders, legislative and legal representatives, board members, physicians and other organization affiliates, departments and staff members; manage activities regarding records, statistics and reports. Minimum of five (5) years of prior administrative experience, including at least two (2) years of working in support of mid to high-level management, preferably in a healthcare environment.
Executive Assistant, Oncology (Full-Time, Days) Rochester Regional Health SystemExecutive Assistant, Oncology (Full-Time, Days)NY$20.75–$29.50 / hourProcess and triage incoming correspondence and exercises judgment with respect to urgency, confidentiality and relative importance; perform a variety of administrative/clerical duties; take dictation, transcribe correspondence and type documents which may involve highly technical or confidential information; file and manage information pertinent to overall hospital operations. May perform various types of business analyses, including accumulating, calculating and formatting information into final reports; assist in budget preparation, patient billing, charging and insurance claims/programs.
Asset Solutions Specialist- ( Collections ) Training in person, Hybrid position Advantage Federal Credit UnionAsset Solutions Specialist- ( Collections ) Training in person, Hybrid positionRochester, New YorkWe are seeking an Asset Solutions Specialist who will preserve the credit union's assets by controlling delinquent loan accounts, collecting delinquent loan payments and/or recovering collateral. Philosophy, which means we actively choose to bring passion to our work, find ways to Play and bring joy to the office and constantly look for ways to Make Someone’s Day both for our members and our teammates.
Account Associate - State Farm Agent Team Member Dominic Agostini - State Farm AgentAccount Associate - State Farm Agent Team MemberIrondequoit, NYWe offer engaging, team-focused sales incentives, including monthly competitions across multiple offices that encourage friendly competition, performance recognition, and opportunities for bonuses and promotions. ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Dominic Agostini - State Farm Agent, you are vital to our daily business operations and customers’ success.
NewClinical Risk Management Specialist Rochester Regional HealthClinical Risk Management SpecialistRochester, NY$70,000–$95,000 / yearCertification in quality improvement, safety, clinical risk management or equivalent (e.g., Certified Professional in Healthcare Quality – CPHQ, Lean, Certified Professional in Patient Safety - CPPS) required or must be obtained within three years of hire.5+ years of experience in a clinical setting, nursing or other healthcare related field. Collaborate with clinical staff, leadership, and other departments (Quality, Patient Safety, Patient Relations, Security, Finance, Regulatory, Compliance, Ethics, Claims/Insurance, and Legal) to integrate risk management principles into daily operations.
Athletic Trainer Rochester Regional Health SystemAthletic TrainerRochester, NY$25–$31 / hourImplement an overall sports medicine program, including injury prevention programs, injury evaluations, injury management, injury treatment and rehabilitation, educational programs, and counseling for athletes; collaborate with staff to ensure safety in the design and implementation of fitness, nutrition, and conditioning programs. Provide athletic training services for the athletic department; attend scheduled team practices and competitions as necessary; supervise and evaluate athletes requiring on-field and clinical experience; coordinate/schedule physical exams and medical referrals for athletes to determine ability to compete.
Clm Resltion Rep II, Hosp/Prv University of RochesterClm Resltion Rep II, Hosp/PrvRochester, New YorkWith general direction of the Manager/Supervisor/Lead: 40%: Follows department policies and procedures and maintains and exercises thorough knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivables, making any corrections in the professional billing system necessary to ensure balance resolution for all assigned URMFG physician services. Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910402 United Business Office Work Shift: UR - Day (United States of America) Range: UR URCC 204 H Compensation Range: $19.72 - $26.62
Benefits/HR Coordinator Arc of MonroeBenefits/HR CoordinatorRochester, NYThe listed base pay range is a good faith representation of current potential base pay for successful applicants. Pay is determined by factors including experience, relevant qualifications, internal equity, and location.
Document Service Representative Aditi ConsultingDocument Service RepresentativeRochester, NYRemote$18–$19 / hourConsent to Communication and Use of AI Technology: By submitting your application for this position and providing your email address(es) and/or phone number(s), you consent to receive text (SMS), email, and/or voice communication whether automated (including auto telephone dialing systems or automatic text messaging systems), pre-recorded, AI-assisted, or individually initiated from Aditi Consulting, our agents, representatives, or affiliates at the phone number and/or email address you have provided. Perform accurate Formworks data entry on correspondence documents in accordance with departmental desk levels to ensure work items are filed appropriately in Macess and work items are routed to the correct doc flo queue for handling by each business area.
Sr Admin Assistant Rochester Regional Health SystemSr Admin AssistantRochester, NY$19.75–$26 / hourPerforms a variety of administrative/clerical duties including: meetings, schedules, appointments, making copies/fax, travel arrangements, processing time cards, processing personnel data, handling budgets, and processing work orders, requisitions, expense reports, stationary orders, and the like. Regularly contacts company personnel within the hospital at all organizational levels and/or, as required, with external contacts, such as customers, other organization affiliates, physicians, contractors, vendors or suppliers in the completion of assignments.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerRochester, NY$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required) Lifetime Benefit SolutionsPayment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required)Rochester, New YorkMinimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems.
Paralegal Pre Litigation redShift Recruiting, LLCParalegal Pre LitigationRochester, NY$50,000–$70,000 / yearThis is an excellent opportunity for a detail-oriented professional with experience in insurance, legal support, or case management who enjoys working directly with clients and helping move cases efficiently toward resolution. Our growing client is seeking a Personal Injury Case Coordinator to support attorneys and legal staff during the early stages of personal injury cases.
NewCustomer Support 1 ObjectWin TechnologyCustomer Support 1Rochester, NYMemory (Provided) 16GB 2X8GB 2666MHz DDR4 Memory Hard Drive (Provided) 256GB Solid State Hard Drive Wired Headset (Provided) Yes Wired Connection (to Router/Modem; Cable/wire provided) Router/Modem NOT provided Yes Download Speed (per user on home network) 50 Mbps Upload Speed (per user on home network) 10 Mbps Loaded Latency DO NOT SUBMIT any candidates that were submitted or interviewed previously Role is onsite 5 days a week.
Medical Management Specialist (Personal Injury Protection) Erie Indemnity CoMedical Management Specialist (Personal Injury Protection)Rochester, NY$52,843–$84,410 / yearAdditional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIEs geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.