- Transdev (Hillburn, NY)
- …Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims ... + Assist the Safety Manager in working with corporate claims staff to ensure that all liability and Workers'...global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team… more
- Axis (New York, NY)
- …They will also collaborate with cross-functional teams, including compliance, actuarial, operations , product development, and claims , to support underwriting ... decisions, integrate new offerings, and improve workflows to drive premium growth. This role demands strong executive presence and the capacity to effectively influence within a complex, matrixed organization. The position also encompasses cultivating… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …to support development, planning, and implementation of the S&OP (Sales & Operations Planning) process. You will support execution of global sourcing strategies ... / project manager, product development, new product introduction, technical operations , site quality and pharmaceutical development internal/external manufacturing teams.… more
- Molina Healthcare (NY)
- …Governance and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations based on data and industry knowledge. ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more
- Robert Half Accountemps (Rochester, NY)
- …Contract-to-permanent position, you will play a critical role in managing billing operations and ensuring accurate processing of medical claims . This opportunity ... and proficiency in industry-standard software. Responsibilities: * Manage and process medical claims efficiently using a variety of billing systems and software. *… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives ... + Handle inbound calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address customer needs and concerns… more
- Two95 International Inc. (New York, NY)
- …opportunities and the root causes for them, and collaborate with the client and our operations staff to achieve our goals. More specifically, your job would be to: * ... * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively...analyses * Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data quality checks * Partner… more
- MTA (Brooklyn, NY)
- …from inception to resolution. + Handle, complex, high-exposure personal injury claims during all phases of litigation, including statutory hearings, depositions, ... conferences, settlement negotiations, and trials. + Critically analyze personal injury claims and develop, implement, and oversee litigation strategies designed to… more
- CDM Smith (Albany, NY)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...of the disaster on the applicant's assets, inventory, and operations . * Expert Testimony and Litigation Support: In cases… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies;… more
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