- Ankura (Lexington, NY)
- …processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D ... requirements. + Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills. + Prior success in managing small projects and teams and able to Ability to be able work on multiple client projects… more
- Ankura (New York, NY)
- …enhance a Bank's processes and control + Optimizing and redesigning an Insurers claims function + Documenting a Bank's obligations that arose from laws, rules, and ... regulatory requirements + Redesigning a Corporate Trust's operating model Responsibilities: + Interfacing with clients to gather data + Interviewing clients and reviewing documentation to understand current state processes + Documenting processes and controls… more
- Ankura (New York, NY)
- …enhance a Bank's processes and control + Optimizing and redesigning an Insurers claims function + Documenting a Bank's obligations that arose from laws, rules, and ... regulatory requirements + Redesigning a Corporate Trust's operating model Essential Duties and Responsibilities: + Assist in gathering client data + Reviewing client documentation to understand current state processes + Documenting processes and controls and… more
- Insight Global (New York, NY)
- …collections and discrepancy resolution. The role also participates in the claims process, provides technical guidance to staff, maintains client retention ... communications, and meets with clients as needed. Additional duties involve fee collection, reconciliation of outstanding balances, ensuring data integrity within the agency management system, and managing third-party vendor relationships. This position… more
- Insight Global (New York, NY)
- …deployment, compensation, retirement, revenue, parish closures, client experience, medical claims information, client and employee engagement with their offerings, ... weather events, and other trends available in various data systems. They also may be called upon to cooperate in additional research requested by the client and may make presentations to the leadership of the company and client, including Board of Trustees.… more
- Xylem (Cheektowaga, NY)
- …identify bottlenecks, and balance workloads. + Report customer complaints and warranty claims to management. + Assist in developing new price lists and technical ... data for field sales. + Maintain and update account files and documentation of industry trends. + Recommend strategic account handling based on market, delivery, cost, and profitability. **Qualifications** **Education & Experience** + Bachelor's Degree in… more
- Insight Global (New York, NY)
- …support a large body of work for the Dispute team's back-office operations. The claims agents use Pega Dispute as their platform to manage credit card disputes and ... chargebacks between all parties. Pega is integrated with Mastercard and currently consists of many dispute processing workflows that are manual and require optimization. The goal of this position is to drive automations in these Pega and chargeback related… more
- Walgreens (Newburgh, NY)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest alternative medications, and answer… more
- Win (Women In Need) (Brooklyn, NY)
- …overseeing construction contracts and maintenance efforts related to Win insurance claims . + Implement a training and certification process; establish measurable ... benchmarks for technical proficiency. + Oversee the repairs and maintenance of all facility equipment including HVAC building management systems, plumbing, and elevator maintenance and repair. + Coordinate new construction and facility improvements. + Assist… more
- MVP Health Care (Rochester, NY)
- …our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims /Operations** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** **Hiring Max ... To achieve this, we're looking for an **Associate, Integrated Care** to join #TeamMVP. If you have a passion for collaboration, patient-centered care, and system improvement this is the opportunity for you. **What's in it for you:** + Growth opportunities to… more