- CenterLight Health System (NY)
- …effectiveness of the claims department by timely and accurate processing of claims appeals and performing claims audit , ensuring payment integrity and ... monies and proper application of transaction by our TPA. + Perform in-depth claims audit to confirm that all medical claims paid and denied accurately.… more
- Monroe One Boces (Fairport, NY)
- …of Education. He/she must have the necessary knowledge and skills to effectively audit claims including experience with purchasing, bidding, and claims . ... classified in the civil service exempt class. DUTIES: 1. Verify and audit appropriateness of all claims for payments. 2. Examine all claim forms with respect to… more
- Gates Chili Central School District (Rochester, NY)
- …strives to dismantle exclusion, bias, racism, and prejudice of all forms. Deputy Internal Claims Auditor To audit and approve each claim (except contracted wages ... The individual appointed to the position should be independent, qualified to audit the claims , and should receive any necessary training. The claims auditor… more
- Axis (New York, NY)
- …(both external and internal); ability to prepare reports, presentation materials and to explain claims data and cedent audit results + AXIS Culture and Values ... part in the selection process. AXIS is seeking a **_Head of Reinsurance Liability Claims and Manager of North America Reinsurance Claims Team_** to join our… more
- Sedgwick (Rochester, NY)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | New York Jurisdiction Job Description We are seeking a… more
- AON (New York, NY)
- …What the day will look like As respects property damage and business interruption claims + Review, audit and analyze accounting books and records, financial ... will look like As respects property damage and business interruption claims + Review, audit and analyze accounting books and records, financial documents, or… more
- Highmark Health (Albany, NY)
- …the consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit sampling review process. 2. Develop ... data relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse… more
- ManpowerGroup (New York, NY)
- …processes, identify discrepancies, and collaborate with various departments to ensure proper claims handling. **Key Responsibilities:** + Audit Life Insurance ... in providing training and guidance to junior auditors and other staff on audit processes, policies, and compliance requirements. + Claims Process Improvement:… more
- The Estee Lauder Companies (Melville, NY)
- …savings opportunities for the Company. + Oversee and manage the Sales Tax Reverse Audit Claims projects completed by PWC determining those that are viable and ... + Successfully manage and negotiate favorable Sales & Use Tax audit settlements and claims for refund with government authorities. Assist with the preparation of… more
- WTW (New York, NY)
- …+ **Conduct stewardship client meetings, assist underwriting in their renewal process, audit claims performance against best practices, and implement value added ... **Be responsible for the overall technical, financial, service, and audit performance and results of the partner TPA at...degree or equivalent with ten or more years of claims servicing and technical experience.** + **Knowledge at the… more