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The graph below is a comparison of salary data for 10 jobs in Troy, New York, as provided by the free SalaryExpert® Salary Report and Salary Calculator. If you are a professional who requires compensation survey data for your work please consult ERI Economic Research Institute's Salary Assessor.

Claims Adjudicator Medical:
Adjudicates or processes health and/or dental benefit claims for payment.

Independently reviews and adjudicates complex or specialty claims and provides training to lower level Claims Adjudicators. Determines whether to return, suspend, deny or pay claims within established policies and procedures. Compares... [+] More

Claims Adjudicator Medical:
Adjudicates or processes health and/or dental benefit claims for payment.

Independently reviews and adjudicates complex or specialty claims and provides training to lower level Claims Adjudicators. Determines whether to return, suspend, deny or pay claims within established policies and procedures. Compares claim application and/or provider statement with plan file and other records to evaluate completeness and validity of claim. Analyzes and answers inquiries regarding claim adjudication, including method of payment, co-pay or deductible amounts, and or reason for denial. Adjusts claims that have been denied, overpaid or underpaid. Routes claims requiring additional information or high-level decision-making. Researches claims and appeals as needed. Requests information from internal or outside sources to ascertain completeness and validity of claim including coordination of benefits information. Analyzes claims to determine extent of liability and settles claims with claimants in accordance with policy provisions. Corresponds with agents and claimants to correct errors or omissions on claim forms, and to investigate questionable entries. This position typically requires at least one year of claims processing experience. (Source: eDOT Job Description) [-] Less

A renter's cost of living for someone making $45,326 in Troy, New York is 109.9% of the US National Average. For more information, or to compare cost of living data between two cities, click here.

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Claims Administration Director, Claims Quality Audit Director, Claims Quality Audit Manager, Claims Manager, Claims Quality Audit Supervisor, Claims Supervisor, Medicare Claims Supervisor, Subrogation Claims Manager, Adjudicator, Medical Claims Review Manager, Medical Claims Review Nurse, Claims Auditor, Disability Work Compensation Claims Specialist, Claims Adjudicator (Entry), Claims Adjudicator (Mentor), Claims Adjudicator, Insurance Claims Adjuster, Insurance Claims Agent, Employment & Claims Aide, Claims Examiner, Insurance Claims Clerk, Insurance Claim Examiner, Benefits Claim File Clerk

View all job titles for Troy, New York