- Brighton Health Plan Solutions, LLC (New York, NY)
- …work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
- New York eHealth Collaborative (New York, NY)
- …large and complex datasets (eg, master patient indexes, SPARCS, healthcare claims ). + Design, implement, maintain, and enhance data workflows, ETL/ELT pipelines, ... audiences. + Familiarity with Clinical Quality reporting, Medicare and Medicaid claims data, ICD coding, CDA standards, web scraping, EHR/EMR systems, and… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s of business and the legal… more
- Robert Half Legal (New York, NY)
- …actions, as well as individual and class-wide discrimination, harassment, and retaliation claims under federal, state, and local laws. This is a hands-on role ... with a focus on employment law + Demonstrated experience with wage-and-hour claims + Substantial deposition experience + Strong legal research and writing skills… more
- Molina Healthcare (Albany, NY)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more
- Sedgwick (Albany, NY)
- …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 ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- EFI Global (Rochester, NY)
- …in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking ... methodology, and claims operating systems + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office… more
- City of New York (New York, NY)
- …and/or systems. - Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy ... thousands of staff work hours, and single-handedly ensuring that over 80,000 claims are correctly processed. - Coordinate planning, set policies and prioritize the… more
- City of New York (New York, NY)
- Job Description Claims and Collections pursues monetary recoveries owed to the City of New York from former Cash Assistance recipients who have received 1-Shot deals ... emergency shelter and/or utility arrears as stipulated in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function… more
- City of New York (New York, NY)
- …verifies accounting data for accuracy and completeness. Responsible for the examination of claims and vouchers as well as all valid claims before being ... processed for approval. - Review reconciliation of ledger accounts and comparison of cross total in order to ensure compliance with generally accepted accounting principles. - Submit monthly reports to the Coordinator/Director for submission to various city… more