- Centene Corporation (New York, NY)
- …to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, or unusual or new services in order to ... determine medical necessity and appropriate payment. + May develop alliances with the provider community through the development and implementation of the medical management programs. + As needed, may represent the business unit before various publics both… more
- Amalgamated Bank (New York, NY)
- …complex work-related matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing deposits, missing checks, ... original ATM envelopes, etc., to help resolve issues for customers in a timely manner + Perform RBR functions as assigned. Review and verify all previous days' work to ensure accuracy and resolve any discrepancy that may exist; including but not limited to… more
- Molina Healthcare (NY)
- …programming language + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with data in spreadsheets ... or analytical platforms + Eagerness to learn, ask questions, and contribute to team problem-solving + Strong attention to detail and an interest in audit or regulatory workflows **Preferred Experience** + Internship or academic project experience related to… more
- The Estee Lauder Companies (New York, NY)
- …introductions with commercial innovation initiatives. + Identify breakthrough claims , ingredients, and consumer-centric campaigns that elevate Clinique's skincare ... leadership. + Collaborate with Product Development, R&D and packaging teams to drive formulation innovation and sustainability initiatives. + Track post-launch performance to optimize future strategies. Go-to-Market & Integrated Marketing + Own the… more
- AIG (New York, NY)
- …American Commercial, and Specialty portfolios. + Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day ... business, and portfolio optimization strategies. + Carry out other modelling business activities including event response, business planning, budgeting, profit studies, portfolio optimization, reinsurance purchasing, and other exercises where catastrophe risk… more
- New York Racing Association (NY)
- …company, State and Federal guidelines. Provide timely responses to unemployment claims , including backup documentation. Work with different business units to ... coordinate company participation in hearings as needed; + Assist assigned business units with employee review process, compensation, submission of performance ratings and compensation recommendations; + Assist the Communications Manager and Recruitment… more
- Highmark Health (Albany, NY)
- …and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background ... in coding and reimbursement **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of… more
- MTA (New York, NY)
- …in new construction contracts per year and supporting the management of claims and changes on contracts valued at approximately $5 billion. Responsibilities Draft ... innovative construction contracts to support the MTA's capital program, including A+B bidding, design-build, progressive design-build, public - private partnerships, and other state -of-the- art construction contracting methods . Provides procurement support… more
- Walmart (Plattsburgh, NY)
- …area in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... identifying shrink and damages. Receives and stocks merchandise throughout the Facility, and organizes and maintains Facility by following Company procedures, utilizing equipment appropriately, merchandising, and completing paperwork, logs, and other required… more
- Constructive Partnerships Unlimited (Manhattan, 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. more