- Equitable (Syracuse, NY)
- …Finance or a related discipline. + 3 years experience in reinsurance accounting, claims and reporting within the insurance industry, ideally in the Life and ... Annuities. + Established technical knowledge of reinsurance arrangements, accounting principles, and regulatory frameworks. + Proven knowledge working with Microsoft Excel and financial systems; experience with reinsurance tools (eg, RMS, AIR) is an advantage.… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient and… more
- Walmart (Elmsford, NY)
- …appropriately merchandising and completing required documentation Tracks and processes claims by returning damaged goods handling liquidation merchandise maintaining ... and cleaning the clearance area and utilizing technology to capture required reporting and documentation Maintains safety of facility by following all safety standards procedures and guidelines conducting safety sweeps following proper forklift spotting… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient and… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …these domains for self-funded client implementation (Enrollment/Benefit Administration, Claims Administration, Portals, Finance, Reporting). + Strong leadership, ... time management, facilitation, and organizational skills. + Working knowledge of Payer Administration with client implementation and product enablement. + Strong analytical, problem-solving, and conceptual skills. + Strong working knowledge of change… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Interacts with Operations, Enrollment and Billing, Customer Care, Claims , Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments ... to resolve identified issues. * Assures that all account data is maintained on a timely and accurate basis such as initial account setup, benefit books, summaries, contracts, etc. * Utilizes both standard and custom products in a manual workflow to meet the… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of The Dr. Martin Luther King, Jr. Health Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and… more
- CVS Health (Albany, NY)
- …and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live ... validation + QNXT Experience + Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & CV) + Extensive knowledge of CPT, HCPCS, ICD-10 coding **Preferred Qualifications** + Prior Relevant Work Experience 3-5 years… more
- New York State Civil Service (Staten Island, NY)
- …change proposals and preparing change orders.Assist in evaluating claims .Assist DASNY Field Representative/Management staff with essential tasks.Develop and ... maintain records for the project or program including contract documents, files, logs, lists and other records. Other Duties and ResponsibilitiesAssist with the documentation and implementation of procedures. Assist with internal controls implementation,… more
- Northwell Health (Lake Success, NY)
- …and results oriented performance; guides the investigations of employee grievances, claims of violations of facility policies and procedures and works with ... department heads to take appropriate actions. 10.Prepares documentation for and participates in contract negotiations and arbitration hearings, as needed; monitors implementation of policies and ensures compliance with terms of collective bargaining… more
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