- Amentum (Albany, NY)
- …on individuals, business entities, and assets. + Analyze large and complex healthcare claims datasets to identify fraud, waste, and abuse patterns. + Design and run ... trends and patterns. + Extract and manipulate federal health claims data using CMS tools such as OnePI, STARS,...matter area involved - for example, Medicare billing and claims systems, or DoD inventory systems. + Working knowledge… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Leonard Bus Sales, Inc. (Rome, NY)
- …bonus Responsibilities: + Ensures the efficient processing of all warranty claims within company and manufacturer guidelines; ensuring maximum profitability and ... and Parts Managers, reconciles and resubmits rejected or underpaid claims , posts all credits and charge backs, and follows...charge backs, and follows up on payments of outstanding claims . Minimum Requirements of the position are: + High… more
- Robert Half Finance & Accounting (Amherst, NY)
- …+ Handle the processing of disability, FMLA, PFL, and workers' compensation claims , and ADA accommodations + Oversee the processing for Workers Compensation and ... system for efficient management of leaves + Process NYS Unemployment Claims , dispute inaccurate claims , and represent the organization at hearings + Assist with… more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Sedgwick (Albany, NY)
- …designation required. Experience: Ten (10) years of relationship building in the claims management or risk management area or equivalent combination of education and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- MetLife (New York, NY)
- …roadmap for Pet, aligned with business objectives and enterprise data strategy. * Claims automation: Given the exponential growth of the Pet business, claims ... OCR, NLP and LLMs, and building a brand-new ontology for animal health claims . * Governance and data expertise: Establish governance frameworks for data modeling,… more
- Human Technologies Corporation (Utica, NY)
- …parties. * Investigate, assess, document, and track incidents, near misses, and potential claims that may present a risk of loss to the organization, injury, or ... a 24/7 on-call protocol for immediately addressing any reported injuries. * Coordinate claims management and follow up activities with other team members related to… more
- Ross Stores, Inc. (New York, NY)
- …to promote compliance and mitigate legal exposure, while effectively managing projects/ claims \. The position will report to the Sr\. Director, Employment Law, ... options in order to facilitate business decisions and outcomes\. * Claims management: Effectively and efficiently resolve demand letters and pre\-litigation… more