- First Student (NY)
- …by the position. + Provide support to RSD and Risk Management on claims management and in litigation. Complete Root Cause Analysis with operations and maintenance ... closely with the workers' compensation third-party administrator to proactively manage claims . + Has direct responsibility to ensure proper driving trainer staffing… more
- Sedgwick (Albany, NY)
- …and RESPONSIBILITIES** + Answers approximately 40 inbound calls per day in a professional and timely manner. + Supports a wide range of customer needs, including: ... 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)
- …for all medically related issues for medical management of workers' compensation claims . Responsibilities include: Consult managerial and legal staff in regards to ... work injury and assist with medical case management of claims . Review and process high value and complicated in-patient...A valid license as a New York State Registered Professional Nurse and 2 years of satisfactory nursing experience… more
- Momentive Performance Materials Inc. (Niskayuna, NY)
- …focus on execution. + Receive, enter, and manage customer non-conformance claims , ensuring accurate complaint entry, coding, coordinator assignment, and clear ... and features. + Analyze SAP data to monitor open claims and determine necessary follow-up actions. + Build and...years of service. + Student debt pay-off program. + Professional development programs and courses. + Wellness programs and… more
- CenterWell (Albany, NY)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- The Wesley Community (Saratoga Springs, NY)
- …Time | Days | 8am - 4:30pm We are seeking an experienced Billing Specialist professional who loves what they do! Everything we do at The Wesley Community is guided ... types. + Monitor and maintain aging reports for outstanding claims . Respond to and resolve insurance claims ...outstanding claims . Respond to and resolve insurance claims denials, rejections, and underpayments in a timely manner.… more
- Fujifilm (Albany, NY)
- …Code of Conduct, Interactions with Healthcare Professionals Policy, Anti-Kickback, False Claims Act, HIPAA, Anti-Corruption Policy and Antitrust Policy among others, ... + Strong understanding of healthcare regulations (eg, Anti-Kickback Statute, False Claims Act) and global compliance frameworks (eg, FCPA, UK Bribery Act).… more
- Conifer Realty LLC (Rochester, NY)
- …captive insurance company and Risk Management function, ensuring incident data, claims management, and loss control programs are fully integrated with security ... safety risk assessments leveraging law enforcement data, regional crime statistics, claims history, inherent exposure potential and site evaluations. + Partner with… more
- Albany Medical Center (Albany, NY)
- …per policy on a daily basis Validate timely follow up on all outstanding claims Validate timely submission of all payor appeals for claim denied erroneously Validate ... Intermediate knowledge of medical terminology Ensure daily team compliance with Professional Image Standard Organization and prioritization of tasks Work daily to… more
- WMCHealth (Poughkeepsie, NY)
- …lawsuit, etc.) and alerts the department director, medical staff leadership, and claims manager. + Conducts special studies in collaboration with medical staff on ... potential lawsuit, etc.) and alerts the department director, administration, and the claims manager. Initiates a more thorough review to clarify the circumstances. +… more