- Walmart (Greece, NY)
- …versustraining Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and ... and collaborating with all levels of associates regarding store operations utilizing technology business initiativesmerchandising and company direction introducing… more
- Independent Health (Buffalo, NY)
- …related phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. ... interpret basic COB information as it relates to Independent Health's obligation for claim payment and follow New York State Rules & Regulations, NAIC Guidelines,… more
- Robert Half Finance & Accounting (New York, NY)
- …resolution and settlement. + Monitors claim -handling performance, supervising the Claims Manager to ensure efficient operations . + Cooperates with Marine ... insurance policies. + Presents renewal quotes to the Head of Ship Operations (HSO), secures necessary authorizations, and finalizes policy agreements via brokers. +… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Position Summary** The Senior Manager, Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities**...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Healthfirst (NY)
- …from an accredited institution + Experience in Healthcare/Health Plan customer service, operations , vendor management, or claims processing. + Previous work ... **Preferred Qualifications** + Demonstrated experience or deep understanding of healthcare Operations processes and supporting systems such as Claims Processing,… more
- CDM Smith (Albany, NY)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- Highmark Health (Albany, NY)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... and audit support when needed. **ESSENTIAL RESPONSIBILITIES** + Supervises the daily operations and workforce work distribution to ensure that standards are met for… more
- Mount Sinai Health System (New York, NY)
- …team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. The Managed Care Contracting Team ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- City of New York (New York, NY)
- …to the Bureau's Claim Prepares used to track and identify all claims submitted for reimbursement. - Assist with the management of the distribution of scanned ... to be eligible for continued employment. Office of Fiscal Operations is seeking a highly responsible individual to serve...is critical to tracking and cataloging of all BCR claims , as well as the submission of all DSS… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for developing and delivering the Global Quality strategic plan, ... department's budget, ensuring efficient allocation of resources and cost-effective operations , including resource utilization and optimization + **Global Systems:**… more