- Sedgwick (Albany, NY)
- …not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- City of New York (New York, NY)
- …case folders for accurate claim establishment by accessing and checking the Welfare Management System (WMS), New York City Work Accountability and You (NYCWAY), HRA ... other means for referral to the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP CR). - Review claims...Program- Claims and Recovery (SNAP CR). - Review claims calculations and make determination of whether to re-budget,… more
- Molina Healthcare (Buffalo, NY)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... of internal customers as it pertains to other provider network management areas, such as provider contracts. **Knowledge/Skills/Abilities** * Manages all aspects… more
- CVS Health (Albany, NY)
- …complaints and appeals received by the organization. This includes denied claims , coverage issues, medical necessity, service quality, or other concerns expressed ... Excel, PowerPoint, Outlook). **Preferred Qualifications** + Prior experience working with claims . + Prior experience in health insurance. + Prior experience in… more
- City of New York (New York, NY)
- …in casualty lien cases and with mixed recovery cases to assert its liens, claims and child support arrears to meet its statutory recovery goals. The Office of ... Liens, and on mixed recovery cases assert all liens, claims and child support arrears, including extensive litigation, motion...and update notes into Office of Legal Affairs case management system records on case status. - Determine the… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …Identifying business needs and proposing potential analytics approaches for solutions + Budget management **This Role May Be For You If You Have** + Experience ... working with prescription, sales, EMR, claims /patient level data sets inclusive of pharma data sources...extracting insights from large longitudinal data sources, such as claims and other patient level datasets. + Expertise in… more
- CVS Health (Albany, NY)
- …and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to ... communication, analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. + DG… more
- Walgreens (Selden, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... the Pharmacy Manager. + Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more
- Warner Music Group (New York, NY)
- …and departments in various legal matters, including litigation and claims , digital licensing, mergers and acquisitions, anti-piracy, securities, compliance and ... gain hands-on experience in all aspects of the litigations and pre-litigation claims affecting a global music entertainment company and its affiliated record labels… more
- Sedgwick (New York, NY)
- …| REMOTE | Casualty/Workers Compensation Experience required + **Program management experience specifically in the Casualty space/Workers Compensation** + **NY ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more