- Molina Healthcare (Yonkers, NY)
- **Job Summary** This position is responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with ... forecast funding needs, and evaluate ROI on the covered benefits and its management + Oversees vendor performance, compliance , and satisfaction, with a focus… more
- Travelers Insurance Company (Melville, NY)
- …cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance ... external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse...to quality standards and trend analysis. + Utilize diary management system to ensure that all claims … more
- Travelers Insurance Company (Melville, NY)
- …cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance ... external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse...(CFA) for adherence to quality standards. + Utilizes diary management system to ensure that all claims … more
- Travelers Insurance Company (Melville, NY)
- …cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance ... external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse...to quality standards and trend analysis. + Utilizes diary management system to ensure that all claims … more
- Zurich NA (New York, NY)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Zurich NA (New York, NY)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- Human Technologies Corporation (Utica, NY)
- …meetings. Establish Key Performance Indicators and metrics to measure performance on risk management , regulatory and safety, including employee injury summary. ... protocol for immediately addressing any reported injuries. * Coordinate claims management and follow up activities with...and timely resolution with all insurance, legal, and statutory risk management obligations. * Schedule all required… more
- MTA (New York, NY)
- …to the Deputy General Counsel and be accountable for providing legal counsel, contract management , procurement, risk management , and policy advice to MTA ... specifications to ensure that contract requirements are written to minimize legal risk and contractor claims . Analyze construction design plans, specifications,… more
- MVP Health Care (Schenectady, NY)
- …Collaboration** + Partner with Claims Operations, Finance, Provider Relations, Compliance , IT, and Care Management to ensure payment integrity is ... management or equivalent experience. + Deep expertise in claims processing, coding, reimbursement methodologies, and fraud prevention. + Proven success… more
- GE Vernova (Saratoga Springs, NY)
- …delivery, profit & loss accountability, and customer satisfaction through management of project related activities and resources. Impacts departmental operations ... to ensure the right rigor around schedule and cost management processes to deliver projects on-time and within budget....project budgeting in cost and schedule tools + Ensures compliance to the Global Standard process for Project Controls… more