- Paychex (Rochester, NY)
- …multiple Paychex products. Ensures good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with ... Paychex policies and procedures. Proactively educates and informs clients, and initiates improvements based on client feedback. Has specialized depth and breadth of expertise in multiple Paychex products. Interprets internal or external issues and recommends… more
- Air National Guard Units (Niagara Falls, NY)
- …provide a copy of Official Transcripts as documentation to support your educational claims . To receive credit for Education, you must provide documentation of proof ... that you meet the Education requirements for this position. Additional Information If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires… more
- Prestige Employee Administrators (Melville, NY)
- …carriers and clients + Collect and maintain plan documentation + Audit plans + Claims assistance + Partner with Accounting to reconcile bill + Benefit system set up ... for new plans + Assist with Open enrollment: + Prepare the system for every client renewal change (benefits and contributions) for Open Enrollment + Update all benefit rules for every client and class for every benefit offered for individual client Open… more
- MTA (Jamaica, NY)
- …denial letter within time limits. Calculate the cost or liability of claims . Negotiate stipulations of settlement where appropriate. Analyze cases and make decisions ... to uphold, overturn or modify decisions made by Department Heads/designees related to such appeals. Represent the LIRR at contract interpretation and disciplinary arbitrations. Prepare persuasive and well supported briefs/submissions for arbitration. Present… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. more
- The Cigna Group (New York, NY)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... and Marketing and Service. + Supports strategic positioning for provider contracting, assists in the development of networks and helps identify opportunities for greater value-orientation. + Contributes to the development of alternative network initiatives.… more
- MetLife (New York, NY)
- …Key Responsibilities * Date science in Dental: Contributions to underwriting models, claims auto-adjudication logic and models, fraud waste and abuse analyses and ... models (mostly provider-related), dental network analyses, consumer analytics, network expansion analytics and much more. * Leads and contributes to data analysis and modeling projects from project/sample design, business review meetings with internal and… more
- City of New York (New York, NY)
- …identification, evaluation, or educational placement of such student. Such disagreements and/or claims may be resolved through an impartial hearing, a formal method ... in which the parties present and refute evidence before a hearing officer. The Special Education Attorney will be instrumental in supporting the OATH Special Education Hearings Division in its mission of providing fair and efficient adjudication of special… more
- Curtiss-Wright Corporation (East Farmingdale, NY)
- …of order. + Negotiates and settles with suppliers regarding damage claims , rejections, return of materials, over-shipments, cancellations and engineering changes. + ... Conducts supplier site visits and rates them as to production capability, performance and delivery. + Responsible for complying with corporate policies, procedures and underlying Federal, state and/or local regulations concerning the purchase or shipment of… more
- MTA (New York, NY)
- …management (RFI's, AWO's, inspections, testing, submittals, O&M manuals, training, warranty claims , invoices etc.); field visits to ascertain project activities and ... status; assisting management with technical aspects of the projects; Monitor project performance against established baselines and pursue opportunities for improved performance. Identify project issues and risks and ensure timely resolution and mitigation.… more