- MTA (Brooklyn, NY)
- …administration. + Leading internal investigations related to questionable or fraudulent claims . + Overseeing the TPA and monitoring service level agreements and ... key advisor to the CAO on issues related to policy compliance, claims litigation, audits, and availability-related initiatives. + Liaising with legal, labor… 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
- 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
- Sumitomo Pharma (Albany, NY)
- …and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling + ... of advisory comments and any other interactions regarding use of promotional claims for assigned products, including pre-clearance of launch materials. + Direct and… 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
- WMCHealth (Poughkeepsie, NY)
- …link Job Details: Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of medical services provided ... Responsibilities include initial billing, investigation and reconciliation of problem claims , insurance follow up, filing, and other clerical tasks.… 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
- Zurich NA (New York, NY)
- …business operates globally, partnering with leaders across distribution, underwriting, claims , assistance, and shared services to capture requirements, design future ... subject matter expertise in at least one functional area (Distribution, Underwriting, Claims , etc.) + Prior experience in a post-merger integration environment +… more
- Walgreens (Brooklyn, NY)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Walgreens (Forest Hills, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more