- Humana (Albany, NY)
- …MAAA + 2+ years of actuarial experience in health insurance and/or medical claims analytics + Proficiency in data analysis and one or more statistical programming ... Strong communication skills + Strong working knowledge of healthcare claims as it relates to trend analytics, total cost...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… 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
- ManpowerGroup (Chester, NY)
- …and coordinate wellness initiatives. + Research and resolve benefit issues including claims assistance and assist with Open Enrollment and ACA compliance. **What's ... of benefits experience preferred. + Knowledge of benefits and claims processes, as well as HR benefit laws such...to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup… more
- Rochester Regional Health (Rochester, NY)
- …Billing and Reimbursement Specialist is responsible for timely processing of medical claims for DRUGSCAN. RESPONSIBILITIES + Process current and aged denials to ... obtain claim processing status and clarification regarding un-responded or partially responded claims . + Analyze and report trends based on data analysis. +… more
- Tutor Perini (New York, NY)
- …Performance_** The world relies on infrastructure - to ensure public safety, maintain a quality of life and support a healthy economy. For more than a century, Tutor ... and responding to FOIL requests (Freedom of Information Laws). - Assist with claims and dispute related issues (research, compile and redact). + Identifies critical… more
- Parsons Corporation (New York, NY)
- …detailed schedules for estimates and work to be bid. + Change orders and claims management. + Coordination with project teams, as needed, to analyze delays and ... the Primavera Scheduling Software (P6). + Change orders and claims management experience + Ability to read and interpret...and solutions that improve communities as well as people's quality of life by promoting economic growth, enhancing mobility,… more
- Walgreens (Tappan, NY)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- New York Times (New York, NY)
- …could also be successful. You know how to apply a skeptic's eye to marketing claims , and while you have a wide array of industry contacts and sources, you also ... years experience vetting and reporting on health and sustainability claims + At least two years experience working with...being the world's best source of independent, reliable and quality journalism. To do so, we embrace a diverse… more
- WSP USA (New York, NY)
- …under the guidance of a senior level SCA Project Officer. + Ensure the quality and high standards of performance and compliance in both design and construction by ... SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as...and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in… more
- The Hartford (Melville, NY)
- …are expected to be submitted in a timely fashion and be of high quality . These reports must provide direction to the insured, agent and underwriter to improve ... courses, and other approved educational sources such as CPCU/IIA (CPCU, ARM, Claims ), CIC etc. Industry Specific Knowledge and Safety: Have working knowledge of… more