- New York State Civil Service (Albany, NY)
- …functions or applications using programming languages to perform analyses using commercial claims data.* Develops and maintains reports on commercial health data and ... key performance indicators to evaluate behavioral health service delivery and assess network adequacy.* Conducts data analysis (including commercial claims and… more
- Saratoga Hospital (Saratoga Springs, NY)
- …support for all leave of absence cases. Effectively coordinates all cases/ claims to include general administration, comprehensive case management and program ... Family leave and all related employment laws. Performs exemplary customer service and assistance to employees, directors,' and senior managers. Provide assistance… more
- AON (New York, NY)
- …+ Communicate internally with brokers, coverage / exposure experts, producers, client service team and M&A team members and collaborate to develop findings and ... + Analyze and provide technical input on insurance coverage, claims history, insurance-related collateral, insurance-related financial expense, surety bonds and… more
- Latham, The Pool Company (Latham, NY)
- …communicates with homeowners and dealers regarding warranty/ non warranty items ( claims , repairs, inquiries, etc.). This manager will handle escalations from ... Warranty. Some of What You Will Do: + Reviews warranty inquiries/ claims and classifies warranty or non-warranty. + Handles Dealer/ Distributor/ Homeowner… more
- University of Rochester (Rochester, NY)
- …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and ... receive prescribed medications in a timely manner + Provides excellent customer service . Triages patient and referral calls to appropriate party. Answer incoming… more
- UNUM (Albany, NY)
- …to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's ... Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The… more
- City of New York (New York, NY)
- …Officer who is responsible for all procurements for the unit including large service contracts, consultant projects, and the purchase of supplies and materials for a ... materials; managing all grant-related activities including expenditures; deliverables, fiscal claims , evaluations, and reporting; and providing guidance to partner… more
- 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...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- Leviton (Melville, NY)
- …accounts to determine root causes and aging trends. Partner with Sales, Customer Service , and clients to resolve payment disputes and reduce delays. Deliver timely ... contribute to department goals. Qualifications Understanding of collections and deduction/ claims processes. Ability to build rapport and communicate effectively with… more
- Arnot Health (Elmira, NY)
- …plans, retirement plans, and leave programs to provide general customer service timely, accurately, and thoroughly.* 2. Maintains thorough knowledge of regulatory ... employees with interpretation and application of Arnot Health benefits (ie claims processing, waiting period, qualifying events, covered expenses) and assisting with… more