- Elevance Health (Middletown, NY)
- …states. ** Preferred Skills, Capabilities, and Experiences:** + Certification as a Case Manager is preferred . For candidates working in person or remotely in ... **Nurse Case Manager I** **Location:** This role enables associates to...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS… more
- Otsuka America Pharmaceutical Inc. (White Plains, NY)
- …more sales experience in rare disease, immunology, renal, oncology, and/or hospital account manager is strongly preferred + Proven track record for consistently ... to the patients they serve. The Rare Disease Account Manager will report directly to the Area Business Lead,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Molina Healthcare (Albany, NY)
- …administering claims payments, provider claims inquiries, reconsiderations, claims adjudication, and maintaining claim records for the Portal Response ... Preferred License, Certification, Association** + Certification in Training and Development preferred for manager overseeing Training unit + Internal Audit… more
- Mount Sinai Health System (New York, NY)
- …encounters and performed procedures. Develops methodologies to follow up on claim denials and correspondence. Participates in systems, financial, and medical billing ... meetings to represent administration and departments. Researches data and prepares for meetings. Provides presentation materials and trends. Implements billing procedures and closely monitors accuracy of billing data submitted. Performs other related duties as… more
- Travelers Insurance Company (Melville, NY)
- …claim handling experience preferred . + Commercial Claim handling experience preferred + General knowledge and skill in claims handling and litigation ... assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the...facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel.… more
- Molina Healthcare (Yonkers, NY)
- …to providers. **Job Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which ... billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement… more
- Zurich NA (New York, NY)
- Financial Lines Claims Manager 124357 We are currently looking to add a Claims Manager to join our Management Solutions Group and work out of our 4 World ... not-for-Profit (PNP) group including management liability, employment practices and fiduciary liability claims . The Claims Manager is expected to coordinate… more
- Amazon (New York, NY)
- …with a level of urgency. Preferred Qualifications - Fleet or commercial auto claims experience - Auditing experience within a claim organization - ARM, AIC, ... across all of its various use cases. Amazon's Logistics Claims Management team is seeking a talented claims...collaboration. * Leverage subject matter expertise to deep dive claim processes, challenge status quo, and develop tactful solutions… more
- Axis (New York, NY)
- …Specialist** AXIS is seeking a Senior Claims Specialist to join our North America Claims team reporting to the Manager of Casualty Claims . This position ... and handling expertise for both the oversight and management of TPA handled claims . This is primarily a casualty position, but multi-line experience is a plus.… more
- Corning Incorporated (Corning, NY)
- …DMAIC, and Total Quality methods **Experiences/Education - Desired** + Certified Quality Manager (CQM) or equivalent certification is preferred + Certified ... Quality Systems Program Manager **Date:** Jul 31, 2025 **Location:** Fairport, NY,...statuses as well as detailed accounts of aging customer claims . **Experiences/Education - Required** + Bachelor's degree in a… more