- Trinity Health (Rensselaer, NY)
- …with proper documentation. - Works in colaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. - ... Maintains up-to-date knowledge of referral/payer prior authorization requirements, eligibility guidelines and documentation requirements. - Communicates insurance decisions to patient. - Conducts follow up calls as necessary to physician offices, patients and… more
- AIG (New York, NY)
- …will be a trusted business partner, working closely with the underwriting and claims departments to ensure profitable performance and growth. How you will create an ... impact + Perform and communicate the results of pricing studies for Cyber & Professional liability product segments + Construct & maintain advanced models for various business functions such as pricing or claim monitoring + Work closely with underwriting… more
- MTA (New York, NY)
- …management (RFI's, AWO's, inspections, testing, submittals, O&M manuals, training, warranty claims , invoices etc.); field visits to ascertain project activities and ... status; assisting management with technical aspects of the projects; Monitor project performance against established baselines and pursue opportunities for improved performance. Identify project issues and risks and ensure timely resolution and mitigation.… more
- The Coca-Cola Company (Whitestone, NY)
- …steps for BA products + Work with regulatory teams to validate all product claims + Will participate in other projects as needed **Job Requirements:** + Bachelor's ... degree in Food Science, Engineering, or relevant technical discipline required + 2-3 years of Food Industry experience in Innovation and product development required; Familiarity with nutrition science desired + Product Development experience required +… more
- Belcan (Hauppauge, NY)
- …suppliers and company personnel. * Negotiates and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations and engineering ... changes with suppliers. * Prepares moderately complex reports by collecting, analyzing, and summarizing information and trends. * Provides parts, equipment, and materials information by answering questions and requests. * Applies continuous improvement… more
- City of New York (New York, NY)
- …act on behalf of the Bureau of Fraud Investigation, Liens and Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their staff review cases, ... calculates cash assistance and food stamp grants and enter recoupments, close cases and/or individual lines, and reduce budgets. The DFRP is recruiting for (7) seven Eligibility Specialist level IIIs to function as Group Processing Workers, who will: - Confirm… more
- Zurich NA (New York, NY)
- …industryOR + Bachelors Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance industryAND + Experience in ... Experience in a specialized line of business or segment + 2 or more years of people management experience Preferred Qualifications: + Advanced knowledge of Energy product lines, the commercial insurance and Energy industry + Strong Broker relationships +… more
- Brighton Health Plan Solutions, LLC (Melville, NY)
- …physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. This job description is ... not designed to cover or contain a comprehensive listing of activities, duties or responsibilities, and activities may change, or new ones may be assigned at any time with or without notice. Primary Responsibilities * Listen attentively to customer needs and… more
- Bowery Residents Committee (Manhattan, NY)
- …Act (NLRA), and Equal Employment Opportunity (EEO) regulations. + Respond to unemployment claims and participate in Department of Labor hearing + Stay updated on ... employment law changes and advise management on necessary policy updates. + Collaborate with HR leadership to design and update workplace policies and procedures. Data Analysis and Reporting: + Track and analyze labor and employee relations trends to identify… more
- Constructive Partnerships Unlimited (Queens, NY)
- …including the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completion of annual corporate ... compliance training . Fully cooperates in all corporate compliance investigations and reviews. more