- CBRE (Albany, NY)
- …People Business Partners for Leave of Absence and Accommodation requests, Worker's Comp claims , Health and Safety issues, and investigations. + Support employee ... This position serves as the key intake point for employee and manager questions within the assigned account client group, researching and resolving issues… more
- Travelers Insurance Company (New York, NY)
- …1 **What Is the Opportunity?** Reports to Boiler and Machinery Field Manager . Conduct boiler and pressure vessel inspections in accordance with jurisdictional rules ... on all accounts. Under close supervision, performs risk evaluations and claims investigations on less complex accounts as assigned. Participates in individual… more
- Centene Corporation (New York, NY)
- …in a related environment with minimum (1) year experience in a supervisor/ manager capacity. **Preferred Skills:** Claims SQL or Snowflake manipulation 2 ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....department policy and procedures. + Monitor daily team tasks- claims pend and appeals + Assists department management in… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- General Dynamics Information Technology (Menands, NY)
- …testing best practices, experience with manual testing tools and have knowledge of health care claims processing. We are looking for a qualified candidate ... as productively as an individual. + Preferred Skills: + MMIS related claims and ancillary transaction processing + Knowledge of Electronic Data Interchange (EDI)… more
- WTW (New York, NY)
- …collaborate with our team of pricing, portfolio management, underwriting, finance and claims experts to deliver consulting and technology solutions to our personal ... our North America P&C propositions, especially for Pricing, Product, Claims and Underwriting (PPCU). Our goal is to substantially...cross-functional teams + Serve as a mentor and project manager to more junior colleagues, training them on both… more
- City of New York (New York, NY)
- …telephone contacts and other means for referral to the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP CR). - Review claims calculations and ... making recommendations concerning eligibility for public assistance or unemployment, health benefits, social security, insurance, or participation in social services… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …work; position responsible for adding charges into billing system, generate insurance claims and patient statements; post payments, follow up on charges, and answer ... Post denials, correcting charges, filing appeals, and following up on unpaid claims , including composing and processing correspondence as required. + Participate in… more
- TEKsystems (Smithtown, NY)
- …history of a property's title by examining public records to identify any claims , liens, encumbrances, or other issues that may affect ownership. You will prepare ... a property's title, examining public records to identify any claims , liens, encumbrances, or other issues that may affect...an opportunity for growth and lots of responsibility. The manager is hands-on and will train candidates on the… more
- Molina Healthcare (Syracuse, NY)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
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