- CVS Health (Albany, NY)
- …compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue ... resolution and maintain strong working relationships. + Stay informed about industry trends, regulatory changes, and best practices related to self-funded plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA (Third Party… more
- ITT (Seneca Falls, NY)
- …Strong Interpersonal skills. + -Knowledge of transportation, operations, industry and claims . \#LI-BS1 \#LI-RL1 \#LI-HYBRID \#IP1 **Equal Pay Act Statement** We aim ... $151,900 Plus Benefits and Incentive Plans. Connect With Us! (https://careersenus-itt-inc.icims.com/jobs/14882/trade-compliance- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834443231) _ITT Inc. is an Equal Opportunity employer, including… more
- US Tech Solutions (New York, NY)
- …+ Partner with key teams in Product to map creative research and claims , creative product roadmaps and build marketing GTM plan for launches and announcements. ... + Oversee 3P research with GMI and integrate findings into creative narratives for sales and clients. + Project manage creative content marketing to amplify key messages throughout the year via Streaming and Social activation channels. + Thought Leadership:… more
- Tompkins Community Bank (Attica, NY)
- …expectations + Complete service requests including but not limited to claims , premium payments, policy endorsements, identification card issuance, photo & property ... inspections, binders. + Establish expectations with current and prospective clients and provide accurate, thorough and timely quotes. + Maintain follow up system to maximize retention and hit ratio. + Proactively develop prospects through referrals from… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient… more
- AIG (New York, NY)
- …network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a market leader in critical ... lines of the insurance business. Corporate Finance - Investment Accounting The Investment Accounting group at AIG is responsible for the accounting and reporting for AIG's Invested Assets of over $300 billion as of 31 December 2022 comprised primarily of fixed… more
- Catholic Health Services (Centereach, NY)
- …similar EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on pharmacy dispensing systems and familiar ... with insurance adjudication processes This role involves working with a broad array of complex disease states and medical conditions. Candidates should be comfortable working with clinical data, lab values, and reading/writing notes in patient medical records… more
- University of Rochester (Rochester, NY)
- …resolution and adjudication, including refund of credits + Review and advise supervisor or manager on trends of incorrectly paid claims from specific payers + ... independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues that affect… more
- Molina Healthcare (Syracuse, NY)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more