- Centers Plan for Healthy Living (Staten Island, NY)
- …Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure claims are processed in accordance with Federal, State ... general supervision. PRIMARY RESPONSIBILITIES: + Conducts monthly audits of CPHL claims utilizing CPHL guidelines, policies and procedures or any other regulatory… more
- World Insurance Associates, LLC. (Cedarhurst, NY)
- …and bonding, employee benefits, financial and retirement services, and human capital management solutions. Our rapid growth and market leading presence has created ... work from one of our multiple offices throughout the region. Position Overview The Claims Specialist is responsible for managing claims filed with the insurance… more
- Amazon (New York, NY)
- …Team and Amazon Defense Counsel on litigated complex bodily injury (BI) claims for Amazon's expanding worldwide delivery fleet. Key job responsibilities Essential ... Auto Team, you will support the team focusing on litigation management , discovery, litigation process improvement, third party administrator (TPA) programs across… more
- Healthfirst (NY)
- …Business Transformation and Operations teams to support effective department management including introducing new technology, system upgrades and reporting impacts ... within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). + Experience with database reporting and automation,… more
- Healthfirst (NY)
- …to juggle multiple projects and tasks. Demonstrated knowledge of project management concepts (preferably Agile/SCRUM) + Hands on experience in leading process ... a preferred area of study in technology, business, project management or other associated field + Experience working in...terms, code sets (HCPCS, ICD10, DRGs, CPT, etc.), and claims processing practices WE ARE AN EQUAL OPPORTUNITY EMPLOYER.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... staff such as secretarial/administrative assistants, medical assistants, schedulers, data management and medical records staff. Ensures successful delivery of… more
- WTW (New York, NY)
- …services including clinical/health management program design, pharmacy solutions, disability /absence management strategies and claims audit services. ... We provide solutions encompassing creative plan design, vendor evaluation and management , pricing and funding strategies, data analytics, valuation support, and… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for strategically ... responsible for providing strategic insight and ensuring smooth day-to-day data lifecycle management processes and activities for data assets as follows: + Providing… more
- CDM Smith (Albany, NY)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...other duties as assigned. \#LI-LP2 **Job Title:** FEMA Disaster Management Accountant **Group:** WAF Field Mod Fringe **Employment Type:**… more
- MetLife (Oriskany, NY)
- …of Short Term Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer ... in a related field or equivalent experience * 7-8 years of related disability claims administration experience Preferred: * Prior training or management… more