- Walmart (Lockport, NY)
- …associates regarding store operations utilizing technology business initiativesmerchandising and company direction introducing and leading company change efforts ... recruiting and developing qualified associates to meet staffing needs and achieve company growth potential Controls the unexplained loss of merchandise and improves… more
- Travelers Insurance Company (Manhattan, NY)
- …to hazards, controls, and management. They will need to evaluate how a company identifies and manages their inherent risk factors. Additionally they are expected to ... book of business. + Build and maintain productive relationships with Underwriting, Claim , Risk Control Specialists, and Brokers to service customers as a unified… more
- Westchester Jewish Community Services (White Plains, NY)
- …3rd Party Insurance. This position ensures timely and accurate processing of claims , collections, and account reconciliations to support the financial health of our ... billing for Managed Care, Medicaid, and Third-Party Payers, ensuring timely claim submission, editing, transmission, and verification. + Post insurance carrier… more
- Sunrise Senior Living (Glen Cove, NY)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... **Business Processes - Key Controls** + Ensure business controls are followed with company policy and completed for each business area. + Assist in providing audit… more
- Deloitte (Rochester, NY)
- …of Health Plan Actuarial liabilities for Incurred But Not Paid (IBNP) claims and Loss Adjustment Expense (LAE) for products covering Medical, Pharmacy, and ... Preferred: * 6+ years of experience working in a consulting or insurance company environment* 2+ years of experience managing teams* Proficient in Microsoft Excel,… more
- MVP Health Care (Rochester, NY)
- …justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law ... and CPT Assistant coding guidelines as they relate to claim data. + Working knowledge of MS Office (Word,...conducted by government agencies, law enforcement, and other insurance company SIU staff. + Make recommendations for and conduct… more
- WMCHealth (Warwick, NY)
- Follow Up Representative Company : Good Samaritan Hospital City/State: Warwick, NY Category: Clerical/Administrative Support Department: General Patient Accounting ... based on the Follow-Up Department guidelines. Prepares and posts any necessary adjustments and claim changes on accounts though the system based on the follow up to… more
- UHS (Binghamton, NY)
- …vital role, you will focus on the prevention and resolution of clinical claim denials by analyzing denial patterns, investigating and appealing denied claims , ... recharge. We support your long-term wellness with a 403(b) retirement plan and company match, flexible spending accounts, access to financial advisors, and up to… more
- Independent Health (Buffalo, NY)
- …and resolve inquiries; provide benefit clarification and eligibility; communicate claim and reimbursement information, facilitate proper utilization of policies and ... preferred + Six (6) months experience working for a health insurance company , physician's office or pharmacy required. Experience handling self-funded pharmacy calls… more
- Travelers Insurance Company (New York, NY)
- …designation. **What is a Must Have?** + Four years of underwriting, claim , operations, risk assessment, actuarial, sales, product, or finance experience. **What Is ... with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools,… more
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