- AON (NY)
- …to balance risk, customer value, and profitability. + Leverage data to analyze claims trends and product performance to inform product and underwriting decisions. + ... religion, creed, sex, sexual orientation, gender identity, national origin, age, disability , veteran, marital, domestic partner status, or other legally protected… more
- AON (NY)
- …and influence decision-makers. + Work closely with product, marketing, operations, and claims teams to ensure integrated service delivery. Be the internal advocate ... religion, creed, sex, sexual orientation, gender identity, national origin, age, disability , veteran, marital, domestic partner status, or other legally protected… more
- Allied Universal (Bronx, NY)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... $30 /** **hr** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation,… more
- Humana (Albany, NY)
- …clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key ... or managed care working experience + Experience working with medical, pharmacy, lab claims + Experience working with big data and using PySpark, Spark R or… more
- Humana (Albany, NY)
- …**Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, ... Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience in a… more
- Sedgwick (Albany, NY)
- …cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance. + ... and assure efficient, cost effective, quality program delivery for medical and disability management. + Coordinating and evaluating the service delivery between the… more
- Humana (Albany, NY)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,...off, paid parental and caregiver leave), short-term and long-term disability , life insurance and many other opportunities. Application Deadline:… more
- WSP USA (New York, NY)
- …and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate action. + ... Compile contract and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in the performance of the above… more
- PSEG Long Island (Hicksville, NY)
- …various information technology projects being undertaken including Managing change orders claims and back charges Asserting warranty claims Developing methods ... race, color, religion, national origin, sex, age, marital status, sexual orientation, disability or veteran status or any other characteristic protected by federal,… more
- New York State Civil Service (Endicott, NY)
- …responsible for the following;. Accept and process both original and continued claims for Unemployment Insurance. . Conduct telephone interviews with claimants in ... of certifying for benefits.. Determine the need for further fact-finding and place claims on hold pending further investigation. Work a variety of reports . Provide… more