- US Foods (Clifton Park, NY)
- …and recommend replacements or upgrades to maintain operational efficiency. File warranty claims and recovery warranty dollars, and develop the yearly budget. + ... Partner with QA and sanitation teams to ensure compliance with all food safety regulations (USDA, FDA, GMPs). Maintain facility cleanliness and conduct routine inspections to verify sanitation, pest control, and allergen management programs are effective. +… more
- Healthfirst (NY)
- …+ **The Medical Peer Reviewer will assess//review requests for authorization, and claims payment, based on medical records and internal Healthfirst information and ... make informed clinical judgments and recommendations.** + **The Medical Peer Reviewer will render determinations in the format and within timeframes to follow Regulatory and Operational policies.** + **The Medical Peer Reviewer will:** + **Maintain… more
- EFI Global (Albany, NY)
- …**Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional ... services.** **Collaborates with EFI's national team of forensic experts to leverage experiences and assist on projects.** **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** **Performs other duties as assigned.** **Supports the organization's quality program(s).**… more
- City of New York (New York, NY)
- …attorney will: - Review, search, and analyze incoming police action-based lawsuits and claims filed; - Provide litigation support to the New York City Law Department ... in connection with lawsuits arising from police enforcement action; - Prepare high-ranking uniformed members of the service for depositions; - Prepare and present training on civil liability and evidence preservation throughout the Department; and - Identity,… more
- CVS Health (Albany, NY)
- …a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another Health Plan / Payor or Hospital System ... / Health System. Licensed in or willing to obtain license in at least one state where we have an Integrated plan. Experience with managed care (Medicare and Medicaid) utilization review preferred. **Education** MD (Doctor of Medicine) or DO (Doctor of… more
- Air National Guard Units (Westhampton Beach, 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
- Graybar (Buffalo, NY)
- …requests including order entry, pricing, expediting, billing, order maintenance, credit and claims **What you bring to the table:** + Strong communication skills + ... A passion for customer service + Ability to handle a variety of customer situations with enthusiasm and tact + 2+ years experience preferred + High School education + 2 year or 4 year degree preferred **Shift and Hours:** Monday - Friday; 8 am to 5 pm.… more
- Friendly Auto Group (Middletown, NY)
- …to ensure repeat business. + Other duties may be assigned. + Process Warranty Claims . + Monitor open RO's daily and close RO's in a timely manner. Requirements: ... + Prior experience in a similar role + Excellent communication and customer service skills + Knowledge of automotive systems and repairs + Ability to work well in a fast-paced environment Benefits: + Competitive compensation: $70,000.00 - $100,000.00 per year… more
- SMBC (White Plains, NY)
- …payment affirmation and post-settlement investigations inclusive of compensation claims processing. + Investigations of failed settlements from detection ... to resolution. + Mitigation of operational risk and timely escalation. + Understand and ensure compliance with relevant regulatory requirements. + Proficiency using various industry-standard settlement platforms as well as the firm's proprietary systems. +… more
- City of New York (New York, NY)
- …buy back applications: Military and Previous City/State service. They also process claims for Layoff and Childcare Leave service during membership for certain ... titles. Active Accounts Review The Active Accounts Review Unit is responsible for determining the funding levels in Tier 3, 4 and Tier 6 members' Member Contributions Accumulation Fund {MCAF} and Tier 2, 3, 4 and Tier 6 members' Retirement Reserve Fund {RRF}.… more
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