- Evolent (Albany, NY)
- …on Client Analytics will support both internal teams (EAS, Specialty Operations ) and external partners, delivering analyses that drive Evolent's value proposition. ... You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population… more
- Gerber Collision & Glass (Albany, NY)
- …industry. As a Claim Specialist, you are a key member of Glass America's shop operations team and instrumental in our overall success. You will have a direct impact ... + Have a sense of urgency when filing insurance claims with and/or without customers on the line. +...Follow our step by step process to File Insurance claims , order OEM glass, and receive necessary approvals from… more
- MTA (Bronx, NY)
- …not limited to the design, development, implementation, and continuous improvement of all operations training related to the transition to a zero emissions fleet and ... and at reducing collisions and minimizing expenses related to litigation and claims . Execute the development and implementation of an enhanced de-escalation training… more
- Nestle (New York, NY)
- …risk prediction and assessments in all new activities, sites, equipment, operations for the company (eg new packing equipment, installations, automation, etc). ... as all applicable external regulatory requirements. + Initiates WC Claims to insurance provider. + Ensure all locations have...locations have preferred HCP locations. + Follow up on Claims as required. + Partners with Human Resources and… more
- Adecco US, Inc. (Queens, NY)
- …the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
- Monroe Plan for Medical Care (Rochester, NY)
- …their telephone, email and fax inquiries. Inquiries include eligibility, referrals and claims . POSITION HAS DIRECT REPORTS: No ESSENTIAL JOB DUTIES/FUNCTIONS % of ... inquiries and concerns. Ability to independently handle and resolve incoming claims calls from providers. *Demonstrates through customer interactions the problem… more
- Sedgwick (Albany, NY)
- …Join a fast-paced, customer-focused team supporting one of the most innovative insurance operations in the industry. As an Inbound Customer Service Agent - Auto ... 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
- New York State Civil Service (Hauppauge, NY)
- …mental hygiene, and other litigation matters arising out of state legislation, regulations, and operations . The RO also engages in the defense of claims brought ... against the state of New York and its agencies in the Court of Claims . The RO offers a diverse and stimulating litigation practice with attorneys handling all phases… more
- New York State Civil Service (Latham, NY)
- …and files.* Receive, screen, review, and verify documents, forms, applications, claims , and other documents for completeness, content, and accuracy. * Establish ... of applicant eligibility for program services or for the validity of claims . * Explain reasons for agency determinations.* Contact various persons to obtain… more
- Evolent (Albany, NY)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... degree, preferably with a quantitative major (eg actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration,… more