- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …and peer review. Participates in clinical review process such as tort claims , peer reviews, management reviews and administrative activities, as directed by the ... be carried into retirement). Licensure: 1 full and unrestricted license from any US State or territory. CME: Possible...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year ... Duties may include: Chart reviews Congressional, other suspense items VA Tort Claims Other duties as assigned 5. General Compliance: Follow departmental and VHA… more
- AON (New York, NY)
- …language; Project Insurance Manual; Project Safety Standards; Project reports, eg Monthly/Quarterly/ Claims ; Stewardship Report; and Fee and premium invoices. + Acts ... evaluate program progress and issues. + Reviews periodic program claims reports and participates in periodic claims ...is highly desirable + Must have an active P&C license or obtain one within 90 days of being… more
- Molina Healthcare (Rochester, NY)
- …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... the Medicaid and Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- World Insurance Associates, LLC. (Webster, NY)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies. This includes marketing of renewal ... all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries Qualifications + Bachelor's degree or equivalent work… more
- World Insurance Associates, LLC. (Cold Spring Harbor, NY)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries + Coordinate expiration list with department manager… more
- City of New York (New York, NY)
- …- Interviewing applicants regarding their ordinary and/or accident disability claims . - Performing physical examinations on applicants. - Discussing medical ... in order to render a decision on the applicant's claim . - Dictating the findings of the document analysis,...by the appropriate medical board. 3. Possession of a license to practice medicine in the State of New… 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 ... to MD or RN. + New York State Nursing license required (RN preferred). Experience in health insurance fraud...and CPT Assistant coding guidelines as they relate to claim data. + Working knowledge of MS Office (Word,… more
- Travelers Insurance Company (Melville, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... substantive case analysis and recommendations to insured clients and Claim partners on file handling strategies. + Collaborates with...7 years experience as a practicing attorney. + Active license in good standing to practice law in the… 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 ... process candidates in the ATS system and perform background screenings, license verifications, and other required screenings/verifications per applicable federal and… more
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