- MVP Health Care (Tarrytown, NY)
- …fraudulent activity. + Possess knowledge of CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data. + Working ... justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law… more
- Sunrise Senior Living (Hicksville, NY)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... Medical, Dental, Vision, Life, and Disability Plans + Retirement Savings Plans + Employee Assistant Program / Discount Program + Paid time off (PTO), sick time, and… more
- Sharecare (Albany, NY)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... + Coordinate issue resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or… more
- New York State Civil Service (Albany, NY)
- …unlicensed operation, fraudulent school activity, non-payment of fines, tuition reimbursement claims , etc.;* Develop and/or assist with the development of responses ... meet the open-competitive minimum qualifications for this position. The qualifications are:* Assistant Attorney 1: EITHER:o Be a graduate of an accredited law school… more
- New York State Civil Service (Albany, NY)
- …Senior Attorney, the incumbent will perform the following duties: .Investigate lawsuits and claims as well as CPLR Article 78 proceedings against the agency and ... Minimum Qualifications Senior Attorney (SG-25):One year of permanent competitive service as an Assistant Attorney 3, or Admission to the NYS Bar and two years of… more
- New York State Civil Service (New York, NY)
- …including rates of medical necessity approvals and denials, rates of appeals, claims paid; and cost-sharing requirements;* Reviews the health care provider networks ... Minimum Qualifications: Senior Attorney, SG-25: One year as an Assistant Attorney 3 or admission to the NYS Bar...Bar and two years of subsequent professional legal experience. Assistant Attorney 3, SG-22: One year as Assistant… more
- MTA (New York, NY)
- …provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst, Assistant Director, and Deputy Director; actively contributes to ... an Owner Controlled Insurance Programs (OCIP), including oversight of safety, claims , and administrative services provided by the insurance broker and/or insurance… more
- MTA (Brooklyn, NY)
- …OA/TA Department: General Counsel Division/Unit: Torts Reports to: Deputy Executive Assistant General Counsel/ Assistant General Counsel Work Location 130 ... a high volume of personal injury and property damage claims and lawsuits brought in state and federal courts...+ Handle high volume personal injury and/or property damage claims during all phases of litigation, including hearings, depositions,… more
- New York State Civil Service (Albany, NY)
- …and the Office of the Attorney General in the evaluation of and response to claims pertaining to leasing matters against the State or OGS and the development of ... appropriate defenses to such claims .* Provides legal support and counsel on leasing services,...experience earned post-NYS Bar Admission. **Senior Attorney level requirements:* Assistant Attorney 1 (equated to SG-18): Law school graduation… more
- New York State Civil Service (Watertown, NY)
- …standards of quality and workmanship and overall safety on the project. Assistant to Regional Construction Engineer duties include working under the Regional ... direction and supervision of the Regional Traffic Engineer and/or Assistant Regional Traffic Engineer, incumbents will be assigned to...program to gather data for FOIL requests and small claims * * Capital contract ADP Plan reviews and… more