- Colgate-Palmolive (New York, NY)
- …for all. The Leave Administration Specialist (Contract) reports to the Leave Administration Manager and supports the Manager in fostering a supportive work ... ADA, and Leave Technology portal issues; escalate complex cases to the Manager . Process Support: + Administrative Practices: Collaborate with the disability vendor… more
- Sharecare (Albany, NY)
- …days of training. PTO needs during the training period will be evaluated on a case by case basis and must be approved in advance._ **Compensation:** $22.00/hour ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- New York State Civil Service (Schenectady, NY)
- …position will process quarterly Payer Penalty requests for review submitted by claims administrators. Specific duties include, but are not limited:* Demonstrate a ... sections of the WCL, Board policies and procedures, and claims handling procedures for WC claims .* Display...addressed will be able to discern the facts of case and basis for any decisions reached.* Provide information… more
- New York State Civil Service (Albany, NY)
- …of health care complaints, including, but not limited to billing and claims reimbursement disputes; denials of coverage for medical treatment, prescriptions, and ... medical devices; incorrect processing of medical, mental health and substance abuse claims ; access to specialty and transitional care; termination of health plan… more
- New York State Civil Service (Melville, NY)
- …Zip Code 11747 Duties Description * Manage the day-to-day duties as a medical only Case Manager in the NYS Segment.* Work-up and process Workers' Compensation ... claims .* Approve and deny medical bills.* Respond to claimant...email.* Routinely communicate with employers to obtain info about claims .* File forms and correspond with the Workers' Compensation… more
- CenterWell (Albany, NY)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- WMCHealth (Poughkeepsie, NY)
- …lawsuit, etc.) and alerts the department director, medical staff leadership, and claims manager . + Conducts special studies in collaboration with medical ... a potential lawsuit, etc.) and alerts the department director, administration, and the claims manager . Initiates a more thorough review to clarify the… more
- Elevance Health (Buffalo, NY)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
- The Robison Group (Buffalo, NY)
- …GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. Department Surveillance Employment Type Part time ... the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil… more
- Kimpton Hotels & Restaurants (NY)
- …file compliance. Manage Workers' Compensation and Unemployment administration including effective case management of claims to minimize liability and expense ... Employee Action Committees, Housekeeping Appreciation Week, Employee of the Month/ Manager of the Quarter, Kimpton Moments Recognition, Kimpton Professional Women's… more