- Molina Healthcare (Albany, NY)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic needs into… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... state funding, providing technical support, financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible for the… more
- Zurich NA (New York, NY)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
- Catholic Health (Buffalo, NY)
- …Performs follow-up on insurance company denials on a timely basis + Review of all claims for accuracy + Review and identify errors or issues with billing and correct ... and other publications. + Follow up on any unpaid/outstanding/denied claims within the payers timely filing guidelines to ensure...websites. + Make appropriate changes to correct the denied claims and submit corrected electronic or paper claims… more
- Citigroup (Getzville, NY)
- …& Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market ... in the timely investigation, and resolution of Interbank / Corporate Compensation Claims . The candidate will need to effectively interact with the front office,… more
- University of Rochester (Rochester, NY)
- …open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits ... claims , submits appeals and takes timely and routine action to resolve unpaid claims . Resolves moderately complex claims . **ESSENTIAL FUNCTIONS** + Edits and… more
- GE Vernova (Schenectady, NY)
- …supporting the North America (NAM) region. In this role, you will manage warranty claims with a focus on reducing cycle time, ensuring accurate cost allocation, and ... **Job Description** **Roles and Responsibilities** + Manage and track warranty claims from initiation through resolution, ensuring timely processing and closure. +… 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...documentation to determine the validity and value of disaster-related claims . This may involve reviewing income statements, balance sheets,… more
- MTA (New York, NY)
- …Contracts Department provides legal advice on all construction contracts, litigation and claims , and change orders, as well as third-party real estate agreements ... contract requirements are written to minimize legal risk and contractor claims . Analyze construction design plans, specifications, schedules, and estimates to… more
- Zurich NA (New York, NY)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of… more