- Canon USA & Affiliates (Albany, NY)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- AON (NY)
- …all service-related calls to assigned service person + Stay informed of all claims or service issues and become involved in resolution when required + Participate ... to detail + Advocate for insured with underwriting and claims + Ability to demonstrate a positive attitude and...to assigned service person + Stay informed of all claims or service issues and become involved in resolution… more
- JPMorgan Chase (New York, NY)
- …Morgan Health, you will utilize your deep experience with health care claims warehouses, data transformations, and product design thinking to evolve and execute ... this role, you will leverage your expertise in medical and pharmaceutical claims data, survey data, biometrics data and industry-standard groupers to propose… more
- Sedgwick (Albany, NY)
- …& Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- M&T Bank (Getzville, NY)
- …might occur in the near future. + Respond to FHA demands, including BCDE Claims , and all other claims besides principal. Provide additional documentation as ... in cases where HUD denied an over-allowable request. + Liaise with Accounting, Claims and Foreclosure groups. + Complete insurance claims for damaged properties… more
- Molina Healthcare (Rochester, NY)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
- Centene Corporation (New York, NY)
- …state of New York.** **Position Purpose:** Oversee and ensure the effective operation of Claims Support Services and Claims Projects. + Oversight of Claims ... Support Services and Claims Projects. + Collect, validate and analyze data to deliver business solutions. + Monitor performance and develop & implement business solutions to address process and/or quality gaps. + Promote change through sharing of best… more
- Ellis Medicine (Schenectady, NY)
- …Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider ... and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to...for Revenue Management, the Medicare system (FISS), and the claims scrubber (SSI) daily for data entry errors and… more
- General Dynamics Information Technology (Menands, NY)
- …Required:** None **Job Family:** Professional Engineering **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 + ... TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience...+ REQUIRED SKILLS AND ABILITIES: + Experience with healthcare claims of all types; including 837 (I, D and… more
- City of New York (New York, NY)
- …and operations, DEP is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office. BLA's staff provide critical ... unit. - Respond to litigation support requests, discovery demands, subpoenas, Comptroller claims , and/or other forms and papers related to legal proceedings and… more