- Humana (Albany, NY)
- …communicating cost trend drivers, utilization patterns, and economic insights to support each Humana Medicaid market. The ideal candidate combines actuarial ... data to enhance internal actuarial models and develop new tools which support strategic decision-making. Technical expertise and coding experience a key skill needed… more
- New York Times (New York, NY)
- …could also be successful. You know how to apply a skeptic's eye to marketing claims , and while you have a wide array of industry contacts and sources, you also ... writers as direct reports, set clear expectations, facilitate performance feedback, and support learning and development + Manage editorial process and serve as top… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... **Responsibilities** + Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …mail, fax, and email concerning, but not limited to, policy benefits, claim payments, benefit reductions and billing. The LTC Customer Service Representative ... and performance. * Participates in meetings, training, and skill development to support career path and individual development plans. * Identifies and follows… more
- Robert Half Finance & Accounting (Albany, NY)
- …Responsibilities: * Oversee existing insurance policies to ensure audits, reports, and claims are managed in compliance with New York State regulations. * Assist ... policyholders by addressing claims , providing educational materials, verifying coverage, and delivering proof of insurance. * Identify and pursue new business… more
- Amentum (Albany, NY)
- …determine the best coverage model, and build out a network of insurance providers to support our current and future needs. In this role, you will be required to ... appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with… more
- Robert Half Finance & Accounting (Albany, NY)
- …programs, products, and services. * Process applications and documentation for new claims or policy transfers, ensuring timely submissions. * Manage new and transfer ... smooth daily operations. * Foster communication with other departments to support their responsibilities and enhance overall organizational efficiency. * Build and… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …Paralegal will assist General Counsel by providing clerical and research support services including document preparation and review; interviewing clients and ... counsel and tenants as needed to defend and initiate legal proceedings. + Support the Risk Manager in tracking insurance-covered litigation matters. File claims … more
- Sedgwick (Albany, NY)
- …Answer approximately 40 inbound calls per day in a professional and timely manner + Support a wide range of customer needs, including: + General policy support + ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- City of New York (New York, NY)
- …and operations, DEP is involved in a significant amount of litigation and claims filed with the Comptroller's office. BLA's staff provide critical litigation ... support to the Law Department attorneys representing the agency...Technology and Innovation in connection with related procurement and claims matters and other legal issues. With latitude for… more