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.
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.
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.
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.
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).
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) .
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.
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 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.
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.
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.
SENIOR ACCOUNT CLERK Orleans County Personnel DepartmentSENIOR ACCOUNT CLERKAlbion, NYOrder#: NY1664425 SENIOR ACCOUNT CLERK Typical Work Activities: Reviews a variety of more complex financial documents, classifies them and distributes items into a variety of accounts according to prescribed procedures and policies, and makes journal entries; Posts figures to appropriate accounts, makes all necessary adjustments in balances and verifies and reconciles balances, renews status of accounts as adjustments are made and takes appropriate action as authorizing payment, issuing checks or preparing bills; Tracks audits and monitors a variety of accounts, verifies adjustments made to correct allocations and issues reports as required; Operates word processor, personal computer or terminal and typewriter in preparing and generating account records; May supervise employees by assigning and reviewing completed work and instructing new employees in specialized account keeping activities; Prepares funds for deposit into book accounts; Reconciles accounts and prepares reports from information; Contacts clients, vendors or other agencies to obtain additional information; Provides information orally or in writing in response to inquiries on status of accounts; Processes, sorts, indexes, records and files a variety of control records and reports, or supervises the process; May assist in preparation of figures and reports for use in budget preparation; May prepare, review and process claims for State aid; Does more complex payroll transactions and prepares all related reports; Operates calculator, check writing machine and other related office equipment. 25 SeniorAccount Clerk continued Full Performance Knowledge, Skills, Abilities, and Personal Characteristics: Good knowledge of modern methods used in keeping and checking financial records and accounts; Good knowledge of office terminology, procedures, equipment and business English; Ability to supervise the work of account keeping and clerical assistants; Ability to make more difficult arithmetic computations involving fractions, decimals and percentage accurately; Ability to analyze and organize data and prepare records and reports; Ability to operate an alphanumeric keyboard such as a typewriter, word processor or personal computer at an acceptable rate of speed; Ability to understand and interpret complicated oral instructions and/or written directions; Ability to develop effective working relationships and deal diplomatically with the public; Ability to perform close, detail work involving considerable visual effort and strain; Ability to operate a personal computer; Physical condition commensurate with the demands of the position.
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.
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required) Excellus BCBSPayment 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.
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required) Univera HealthcarePayment 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.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Rochester, NYRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
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.
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.
Financial Counselor West Virginia University MedicineFinancial CounselorRochester, NYCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides the patient a receipt and documents payment in the registration/billing systems. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping and feeling are necessary body movements utilized in performing duties throughout the work shift.
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.
Safety Coordinator CRH PlcSafety CoordinatorRochester, NY$60,000–$70,000 / yearOver 100 years later, Dolomite continues to be the preferred supplier of Construction Aggregates, Hot Mix Asphalt, and Ready-Mix Concrete for customers throughout the Greater Rochester Region and Southern Tier. Conduct regular visits to asphalt plants, construction sites, quarries, ready mix concrete plants, and offices across the Rochester and Southern Tier region to promote safety awareness and compliance.
Safety Coordinator AMAT NortheastSafety CoordinatorRochester, NY$60,000–$70,000 / yearOver 100 years later, Dolomite continues to be the preferred supplier of Construction Aggregates, Hot Mix Asphalt, and Ready-Mix Concrete for customers throughout the Greater Rochester Region and Southern Tier. Conduct regular visits to asphalt plants, construction sites, quarries, ready mix concrete plants, and offices across the Rochester and Southern Tier region to promote safety awareness and compliance.
Clm Resltion Rep III, Hosp/Prv University of RochesterClm Resltion Rep III, Hosp/PrvRochester, New YorkWith general direction of the Manager/Supervisor/Lead: 40% Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable, 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 URCA 205 H Compensation Range: $20.30 - $27.41
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.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerNYRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Business Office Representative - Riedman Campus, Admin/Business Support (Full-Time, Days) Rochester Regional Health SystemBusiness Office Representative - Riedman Campus, Admin/Business Support (Full-Time, Days)NY$18.50–$23.03 / hourSummary: Ensure full reimbursement is received by RRH for clinical services rendered including professional, long-term/home care and hospital care, by effectively and accurately managing a receivable. 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.
Rev Cycle Performance Analyst RadNetRev Cycle Performance AnalystFairport, New York$60,000–$70,000 / yearFull timeExpertise needed in EDI transaction exposure such as 270, 271 for healthcare benefits and eligibility, 276, 277 for claims status and 278 for transmitting health care service information, 837 for submitting claims, 835 for payments, 834 for benefit enrollment, and 820 for premium payments to insurance products, When you join us as a Revenue Cycle Performance Analyst , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.
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.
Rev Cycle Performance Analyst RadNet IncRev Cycle Performance AnalystFairport, NY$60,000–$70,000 / yearExpertise needed in EDI transaction exposure such as 270, 271 for healthcare benefits and eligibility, 276, 277 for claims status and 278 for transmitting health care service information, 837 for submitting claims, 835 for payments, 834 for benefit enrollment, and 820 for premium payments to insurance products, To Ensure Success In This Role, You Must Have: Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors. When you join us as a Revenue Cycle Performance Analyst, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.
WVU-Patient Access Specialist -88076 West Virginia University MedicineWVU-Patient Access Specialist -88076Rochester, NYCommunicates and interacts with clients, families, visitors, physicians, departmental, and hospital staff and the public in general in a manner that demonstrates professionalism and concern for the individuals' need(s). Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing duties throughout the work shift.