- DeCrescente Distributing Company (Mechanicville, NY)
- …bill reconciliation, carrier connections, etc.) + Manages Unemployment Insurance claims by tracking charges, providing timely responses, and requesting/attending ... hearings when warranted. + Coordinates reporting for departmental Key Performance Indicators and other HR data as requested. + Reviews and edits disciplinary documentation; attend disciplinary/termination meetings as necessary. People + Works directly with… more
- Capital One (New York, NY)
- …systems and platforms that power Fraud defenses and Fraud & Disputes claims processing + Partner cross-functionally with client, cloud infrastructure, and machine ... learning platform teams to align on and co-develop technical solutions. + Architect and build highly secure & scalable systems that enable server-driven product experiences across devices, with exceptional reliability and availability. + Design… more
- Marriott (North Hills, NY)
- …* Oversees first aid program for guests and employees. * Oversees the claims process and protects company assets by closely monitoring the General Liability and ... Worker's Compensation cases. * Communicates the importance of safety procedures, detailing procedure codes, ensuring employee understanding of safety codes, monitoring processes and procedures related to safety. * Emphasizes teamwork, close working… more
- RTX Corporation (Clayville, NY)
- …supplied material defect occurrences and verification of supplied material defect claims + Leading cross-functional teams in pursuit of performance improvements ... aligned to department and organizational goals + Preventing/Minimizing business impact from supplied material defects; supplier quality risk mitigation + Lead on-site supplier engagements, including performance reviews, process walks and Quality System audits… more
- Constructive Partnerships Unlimited (Queens, 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. MACHINES/EQUIPMENT OPERATED: 1. Various pieces of adaptive equipment (wheelchairs, walkers, bathroom equipment, splints, etc.)2. Mechanical Lifter3. Household Appliance… more
- Molina Healthcare (Syracuse, NY)
- …SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or ... equivalent combination of education and experience **Required Experience** 3-5 years **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years To all current Molina employees: If you are… more
- Molina Healthcare (Albany, NY)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
- Power-Flo Technologies (New Hyde Park, NY)
- …Follow-up with contractors and internal teams + Manage freight damage claims Switchgear Quotations Specialist and Project Coordinator Qualifications + Sales ... oriented, self-starter who is willing and eager to gain product and service knowledge + Aptitude for learning + Strong customer service skills + Ability to negotiate, solve problems, and close with customers + Strong verbal and written communication skills,… more
- Axis (New York, NY)
- …Responsibilities include mentoring or managing underwriters, working with actuaries and claims professionals, and negotiating with brokers. The position also entails ... updating underwriting guidelines according to market trends and contributing to the development of new insurance products. **Candidate Profile** The role of **Lead Underwriter - MPL** requires comprehensive expertise in Miscellaneous Professional Liability.… more
- Guardian Life (New York, NY)
- …team to deliver AI-centered solutions directed at our largest processes (eg, claims processing, customer service bots, operations automation) to grow our business ... and drive operational efficiency. AI Transformation Leads set strategy, define the product roadmap, and drive execution. They work closely with the data science team who build models, with the technology teams who integrate those models into our environment,… more