- AIG (New York, NY)
- …learn about AIG's global business operations, particularly as it relates to our Claims and Underwriting processes. You will be responsible for managing the dispute ... decisions, and prepare related documentation, such as final decision letters, claims settlement terms, and/or regulatory submissions. . Build AIG's relationships… more
- AECOM (New York, NY)
- …DSO, G&A, project delivery, client satisfaction, staff utilization, safety, claims resolution and quality. **Capability Development (People, Practice and Tools)** ... achievement, DSO, G&A, project delivery, client satisfaction, staff utilization, safety, claims resolution and quality. + Experience growing of a regional business… more
- AON (Plainview, NY)
- …accounting package. + Prepare premium and profit-sharing remittances and carrier claims salvage payments including Subledger Ledger reconciliation. + Ensure timely ... accounting package. + Prepare premium and profit-sharing remittances and carrier claims salvage payments including Subledger Ledger reconciliation. + Ensure timely… more
- Molina Healthcare (Rochester, NY)
- …Supporting the OH Plan, the candidate will act as the Ohio Operation lead on Claims and Encounters as well as the liaison to our state regulator in these areas. ... developer role but the candidate must be technically inclined and interface with IT, Claims , and Encounter Teams. Must be a self-starter willing to learn. Must be a… more
- City of New York (New York, NY)
- …Providers. Utilize standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or services rendered ... the agency. Proactively pursue the detection, prevention of payment and fraudulent claims . - Draft written reports. Evaluate information. Analyze results of audit… more
- Philadelphia Insurance Companies (Melville, NY)
- …Works with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the end-to-end product ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Molina Healthcare (Buffalo, NY)
- …likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge ... specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 8 or more years of experience in the Claims or Unde rwriting Support areaAND + Knowledge of Microsoft Office + Experience working… more
- First Student (NY)
- …by the position. + Provide support to RSD and Risk Management on claims management and in litigation. Complete Root Cause Analysis with operations and maintenance ... closely with the workers' compensation third-party administrator to proactively manage claims . + Has direct responsibility to ensure proper driving trainer staffing… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... **Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and… more