- MTA (Brooklyn, NY)
- …in state and federal trial and appellate courts related to varied tort claims involving MTA and its agencies. The successful candidate will have significant ... collaboratively as part of a litigation team as related to personal injury claims brought against MTA agencies. + Conduct legal research; draft appellate briefs,… more
- Canon USA & Affiliates (Albany, NY)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- AON (NY)
- …all service-related calls to assigned service person + Stay informed of all claims or service issues and become involved in resolution when required + Participate ... to detail + Advocate for insured with underwriting and claims + Ability to demonstrate a positive attitude and...to assigned service person + Stay informed of all claims or service issues and become involved in resolution… more
- JPMorgan Chase (New York, NY)
- …Morgan Health, you will utilize your deep experience with health care claims warehouses, data transformations, and product design thinking to evolve and execute ... this role, you will leverage your expertise in medical and pharmaceutical claims data, survey data, biometrics data and industry-standard groupers to propose… more
- Molina Healthcare (Rochester, NY)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
- Stony Brook University (East Setauket, NY)
- …Analyst may include the following, but are not limited to:** + Analyze claims and remittance data and present findings to departmental leadership. + Complete ... business processes and business systems configuration, including: Patient Billing, Claims Scrubber, Contract Management and Work Listing Software. + Interpret… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims , Underwriting support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich approved Apprenticeship… more
- CDPHP (Latham, NY)
- …as Marketing, Enrollment, Pharmacy (internal and external), Provider Services, and Claims Operations to resolve member inquiries as defined within Member Services ... fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience with a documentation system… more
- Elevance Health (Latham, NY)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more