- NBC Universal (New York, NY)
- …Regulatory will work on a wide range of matters, including general commercial disputes, media litigation (including defamation claims and journalist privilege ... issues), employment litigation, privacy claims , consumer protection claims , intellectual property claims (both affirmative and defensive), insured matters,… more
- Evolent (Albany, NY)
- …+ Good knowledge US Healthcare - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A ... assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable experience with Testing, Writing Test cases, Test Plans,… more
- Travelers Insurance Company (Melville, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...solicits input and shares ideas. + Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial , Medicare Advantage and Medicaid Managed Care Plans. The team serves ... potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or...with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues that affect ... reimbursement of claims and advising the management team of those trends...Communicate with other hospital departments and with government and commercial insurance companies. Any additional duties as assigned. +… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues that affect ... reimbursement of claims and advising the management team of those trends...Communicate with other hospital departments and with government and commercial insurance companies. Any additional duties as assigned. -… more
- Robert Half Finance & Accounting (New York, NY)
- …Collaborates across departments - including Legal, Human Resources, Technical, Finance, and Commercial teams - to manage and plan insurance policy renewals and ... service agreements with brokers, presenting recommendations for approval to the HSO. Claims and Administrative Oversight + Works alongside Finance and Legal teams to… more
- The Institute for Family Health (New Paltz, NY)
- …companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider credentialing and ... Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be responsible for...Article 31, dental CMS, managed care, sliding fee, and commercial payer billing guidelines and regulations. + Understanding of… more
- Zurich NA (New York, NY)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Qualifications: + Bachelor's Degree or equivalent years of E&S Commercial insurance industry experience + Technical knowledge of Primary… more
- Independent Health (Buffalo, NY)
- …phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. The COB ... maintain an acceptable level of production as outlined in the Claims /COB Performance Management Policy with minimal supervision and demonstrate basic problem-solving… more