- Molina Healthcare (Yonkers, NY)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Mount Sinai Health System (New York, NY)
- …primarily responsible for receiving prescriptions, addressing and rectifying rejected claims , conducting and completing necessary third party (insurance) prior ... **Responsibilities** 1. Receives prescriptions, with appropriate follow up on rejected claims . 2. Completes third party prior authorization requests and verifies… more
- Leonard Bus Sales, Inc. (Rome, NY)
- …bonus Responsibilities: + Ensures the efficient processing of all warranty claims within company and manufacturer guidelines; ensuring maximum profitability and ... is maintained. + Reviews all warranty discrepancies and charge backs with Service and Parts Managers, reconciles and resubmits rejected or underpaid claims… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …pharmaceutical and medical device industry. + Experience working with external service providers. + Working knowledge of current Good Manufacturing Practice (cGMP) ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Staffing Solutions Organization (Albany, NY)
- …resulting in cost savings and staff efficiencies. **Duties include:** + Review medical claims according to written procedures + Answer routine phone calls about ... claims review activities + Escalate issues & complex ...+ Maintains a positive, professional demeanor + Previous customer service experience _*Employees must follow established work schedules. The… more
- MetLife (New York, NY)
- …roadmap for Pet, aligned with business objectives and enterprise data strategy. * Claims automation: Given the exponential growth of the Pet business, claims ... OCR, NLP and LLMs, and building a brand-new ontology for animal health claims . * Governance and data expertise: Establish governance frameworks for data modeling,… more
- New York State Civil Service (Albany, NY)
- …orders, mechanics' liens, bankruptcy, and the defense and settlement of contract claims . Experience with bankruptcy and surety law is helpful, but not required. ... liens, bankruptcy and the defense and settlement of delay claims and other contract claims . * Negotiate...LISTED. Additional Comments This position is temporary, pending Civil Service Commission action to place the position in the… more
- Zurich NA (New York, NY)
- …High School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the insurance industry and the legal ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...+ Established wholesale broker relationships in targeted region + Service oriented and responsive + Strong negotiation skills +… more
- New York State Civil Service (Albany, NY)
- …responsible for the following;. Accept and process both original and continued claims for Unemployment Insurance. . Conduct telephone interviews with claimants in ... benefits.. Determine the need for further fact-finding and place claims on hold pending further investigation. Work a variety...Work a variety of reports . Provide excellent customer service and decrease flow-out Minimum Qualifications 60 or more… more
- The Hartford (Melville, NY)
- …financial exposure. Must work to understand the insured's business, uncover new service opportunities, or additional exposures to loss. Service Consultation: ... could lead to potential losses. Must have the ability to complete detailed service plans and provide consultative recommendations in business letters. Must be able… more