- Healthfirst (NY)
- …Healthfirst_** + **_Work closely with numerous departmental partners, including operations , sales and finance_** **_Minimum Requirements:_** + **_Highschool Diploma ... or GED equivalent_** + **_Direct experience working with managed care operations and//or health plans_** + **_Claims experience including root-cause analysis, system… more
- Centene Corporation (Queens, NY)
- …and external stakeholders related to operational areas. + Oversee day-to-day operations including claims processing, provider network management, member ... and other regulatory bodies. + Oversee implementation and optimization of health plan operations systems (eg, claims adjudication platforms, CRM tools). + Drive… more
- Humana (Albany, NY)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- MVP Health Care (Schenectady, NY)
- …contact our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims / Operations ** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** ... virtual, in Schenectady or Rochester, NY + 1-2 years of data entry or claims experience preferred. High accuracy and attention to detail. + Strong data entry skills… more
- Centene Corporation (New York, NY)
- …IT resources to implement system efficiencies and configuration enhancements to improve claims processing operations . + Apply Coding Guidelines as described in ... to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review,...adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. + Provide regular reports… more
- Travelers Insurance Company (Albany, NY)
- …+ 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining coverage, liability, ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- OneMain Financial (New York, NY)
- …degree a plus. **Preferred Skills** + Experience in digital insurance products, claims workflows, or insurance operations . + Familiarity with workflow ... and delivering opportunities that increase insurance coverage rates, improve claims experiences, and enhance operational efficiency. This is a high-impact… more
- AIG (New York, NY)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions. ... property casualty networks. It is an exciting time to join us - across our operations , we are thinking in new and innovative ways to deliver ever-better solutions to… more
- AIG (New York, NY)
- …utilization of internal resources, where appropriate. + Creation and maintenance of claims shared resources site in collaboration with operations . This will ... manage risk. Join us as Business Manager, North America Claims to play your part in that transformation. It's...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- AIG (New York, NY)
- …reimagining the way we help customers to manage risk. Join us as a Complex Claims Director to play your part in that transformation. It's an opportunity to grow your ... of the team. Make your mark in Excess Casualty Claims Our Claims teams are the proven...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more