- Racker (Ithaca, NY)
- …Generates reports to track utilization data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends and generates reports for ... to include providing benefits information and processing clearances. + Performs quality checks of benefits-related data, including PPACA oversight. + Assists… more
- City of New York (New York, NY)
- …public health for all New Yorkers by providing 1.1 billion gallons of high- quality drinking water, managing wastewater and stormwater, and reducing air, noise, and ... grant programs. - Manage awarded federal and state grants: quarterly reporting, claims , review fiscal year close revenue reconciliation reports submitted to the NYC… more
- Paychex (Rochester, NY)
- …multiple Paychex products. Ensures good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with ... with key clients and internal and external partners to deliver advanced quality service + Consults with clients and other partners to identify opportunities… more
- City of New York (New York, NY)
- …public health for all New Yorkers by providing 1.1 billion gallons of high- quality drinking water, managing wastewater and stormwater, and reducing air, noise, and ... Services (PS) Unit, the Other than Personal Services (OTPS) Unit and the Revenue & Claims Unit. Candidates will be assigned to a unit based on need. Candidates must… more
- Prestige Employee Administrators (Melville, NY)
- …provided cost-effective employee benefits and HR services, transparent pricing, and personalized, quality service to every client. We go the extra mile to develop ... carriers and clients + Collect and maintain plan documentation + Audit plans + Claims assistance + Partner with Accounting to reconcile bill + Benefit system set up… more
- National Nuclear Security Administration (Schenectady, NY)
- …detailed knowledge of, and ability to apply, engineering disciplines and quality assurance principles sufficient to oversee and evaluate contractor work programs ... engineering. EDUCATION: You must provide transcripts to support your educational claims . Education must be accredited by an accrediting institution recognized by… more
- The Cigna Group (New York, NY)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... competitive position. + Supports initiatives that improve total medical cost and quality . + Drives change with external provider partners by offering consultative… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …resolves customer inquiries accurately & efficiently resulting in acceptable quality , First Contact Resolution, and performance. + Provides outreach related ... to claims , onboarding, effectuation, retention, provider inquiries, and any other complex inquiry. + Demonstrates willingness to adapt and be flexible to changes and… more
- Brighton Health Plan Solutions, LLC (Melville, NY)
- …physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. This job description is ... the management. * Balancing the demands of the caller with requirements for quality , average handle time, and productivity. * Use appropriate verbiage and level of… more
- Constructive Partnerships Unlimited (Queens, NY)
- …follow-up. + Performs other related duties as assigned to support program quality and regulatory compliance QUALIFICATIONS AND REQUIREMENTS + Bachelor's degree in ... including the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completion of annual corporate… more