- WSP USA (New York, NY)
- …and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate action. + ... Compile contract and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in the performance of the above… more
- Travelers Insurance Company (New York, NY)
- …on all accounts. Under close supervision, performs risk evaluations and claims investigations on less complex accounts as assigned. Participates in individual ... equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements of the… more
- The Hartford (Melville, NY)
- …courses, and other approved educational sources such as CPCU/IIA (CPCU, ARM, Claims ), CIC etc. Industry Specific Knowledge and Safety: Have working knowledge of ... discipline. + Active participation with partnering business units such as underwriting, claims , and sales teams. + Work with Risk Engineering Managing Director on… more
- MDD Forensic Accountants (Melville, NY)
- …corporations, government entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Senior Accountant to serve ... + Prepare preliminary draft of report narrative and schedules + Evaluate insurance claims and economic damage + Work closely with senior staff on litigation cases,… more
- Walgreens (Brooklyn, NY)
- …Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages ... (merchandise billed, but not received), order errors or damaged goods involving Rx drugs. + Assists with exterior and interior maintenance by ensuring the Pharmacy Department is stocked with adequate supplies, clean, neat and orderly in condition and… more
- KPH Healthcare Services, Inc. (Ithaca, NY)
- …in the initial submission, and resubmission (as required) of all third party claims + Assist in the management of the pharmacy inventory, including transmitting, ... processing and receiving orders to the Kinney Warehouse and additional suppliers as needed + Assist in the checking of pharmacy inventory for outdates and processing all returns + Locating prescription files and other manual records from storage as needed +… more
- Gilead Sciences, Inc. (Syracuse, NY)
- …and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office ... of the Inspector General's Compliance Program Guidance for Pharmaceutical Manufacturers **Basic Qualifications** **:** High School Degree and Sixteen Years' Experience OR Associates Degree and Fourteen Years' Experience OR Bachelor's Degree and Twelve Years'… more
- FlexStaff (New York, NY)
- …the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. The salary range for this position is $90,000-$100,000/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and… more
- Walgreens (Rochester, NY)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational quality and customer service. +… more
- Elevance Health (Latham, NY)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... inpatient admission, outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data entry of referral requests into the UM system in… more