- Brighton Health Plan Solutions, LLC (New York, NY)
- …Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider payment disputes by our ... Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. + Previous experience handling claim disputes. +… more
- Insight Global (New York, NY)
- …a data-driven approach. This role will support a large body of work for the Dispute teams back-office operations. The claims agents use Pega Dispute as their ... is integrated with Mastercard and currently consists of many dispute processing workflows that are manual and require optimization....workflows to reduce the number of days in the dispute lifecycle. This will ultimately help the bank eliminate… more
- American Arbitration Association (New York, NY)
- …and adoption of the American Arbitration Association's (AAA) groundbreaking Digital Dispute Resolution platform (DDRC), an AI-native solution launching in Q4 2025. ... as the integration point between DDRC sales initiatives and AAA's core dispute resolution services, ensuring continuity and alignment in messaging, positioning, and… more
- City of New York (New York, NY)
- …employees on matters involving performance, behavior, conflict prevention and dispute resolution, progressive discipline. - Assist managers with employee writeups, ... paperwork when an incident occurs. - Liaise with the agency's Alternative Dispute Resolution (ADR) Coordinator; Provide guidance and direction to CFB staff… more
- Molina Healthcare (Yonkers, NY)
- …+ Responsible for the comprehensive research and resolution of the appeals, dispute , grievances, and/or complaints from Molina members, providers and related outside ... information on trends if requested. + Composes all correspondence and appeal/ dispute and or grievances information concisely and accurately, in accordance with… more
- MTA (Jamaica, NY)
- …to departmental managers in handling contract interpretation, employee complaints, dispute resolution, implementing new initiatives within contractual restraints and ... + Experience in or knowledge of collective bargaining administration and dispute resolution. + Experience in or knowledge of representing management/union at… more
- American Express (New York, NY)
- …innovate and provide functional strategies recommendations for enabling effective fraud dispute framework for new product /features + Support fraud decisioning ... fraud related loss recoveries **Qualifications:** + Experience in Fraud Risk & dispute management for online and mobile environment is strongly desired + Familiarity… more
- American Arbitration Association (New York, NY)
- …are actively recruiting for a Director of the International Centre for Dispute Resolution (ICDR) to deliver case management services, drive business development, ... required. 4-6 years of relevant experience in legal, court, or alternative dispute resolution (ADR) environment. KNOWLEDGE, SKILLS, & ABILITIES + In-depth knowledge… more
- New York State Civil Service (Albany, NY)
- …a hearing officer in such proceedings, mediates disputes, develops and executes dispute settlement agreements and renders decisions which are binding upon campus ... represented employees.- Advises campus officers on union contract interpretation, dispute resolution, disciplinary matters and other campus employee relations… more
- Stony Brook University (Commack, NY)
- …on commercial and government changes affecting the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach contract ... analysis. + Proven track record of successful payer relations and dispute resolution. + Demonstrated ability to develop strategic contracting initiatives that… more