- Molina Healthcare (Yonkers, NY)
- …across Medicaid, Medicare, and Marketplace lines of business. This includes direct management of internal teams and external vendors handling both first-pass and ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …teams while aligning with CoE training efforts + **Performance & Risk Management :** + Provide regular updates on the performance and effectiveness of omnichannel ... Strong matrix team-building skills, a team-oriented approach, and supportive management style. + Solid written and oral communication skills...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …(Word, Excel, PowerPoint, Outlook) and familiarity with electronic document management systems (EDMS). **Competencies** See OPDC Competencies Chart (Level X) ... in regulatory affairs or related areas (eg, clinical development, project management , quality assurance, etc.) in pharmaceutical or healthcare related industry.… more
- Zurich NA (New York, NY)
- …areas of product/proposition development, marketing, fulfillment, and portfolio management . Responsibilities include: + Generating, underwriting and analyzing ... and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …+ Work with bioanalytical team members on activities related to sample management , pharmacogenomics and biomarker development and provide analysis support related to ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- CVS Health (Albany, NY)
- …Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act as ... customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or… more
- City of New York (New York, NY)
- …and maintain expense and claiming data received from the Bureau of Claims & Reimbursement (BCR), which includes approximately 3,200 DSS/HRA/DHS and other agency ... claims submitted annually for Federal and State reimbursement. -...Federal and State reimbursements entered in the city's Financial Management System (FMS) for quality assurance. - Perform data… more
- Otsuka America Pharmaceutical Inc. (White Plains, NY)
- …Otsuka's Rare Disease Selling Model creates a unified focus among account management , medical, patient access, market access and total office education to engage ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Citigroup (Getzville, NY)
- …and product processor systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim is paid / settled; and ... up to date and accurate audit trails for all claims + Be prepared for weekly aging sessions to...articulate and concise, written and verbal + Strong risk management and control mindset + Provides evaluative judgment based… more
- Colgate-Palmolive (New York, NY)
- …service to our employees and retirees, this role involves detailed claims resolution, eligibility support, and continuous project engagement to enhance our ... and efficient service delivery + Resolve escalated health and insurance program claims and advocate for employees and retirees in benefits-related matters + Help… more