- Constructive Partnerships Unlimited (Manhattan, NY)
- QA/QI Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6269) Job Brief The QA/QI Review Specialist is responsible for completing internal quality reviews within… more
- Axis (New York, NY)
- …and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the ... liability and damages issues in connection with complex primary and excess claims and maintaining appropriate documentation * Analyzes insurance coverage issues and… more
- MetLife (Oriskany, NY)
- ADA Claim Specialist Location: Virtual, but must be commutable to Oriskany, NY Employees are to report to the office once a month after training Training: IN-PERSON ... administer Family & Medical Leave Act standalone/ADA (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and… more
- Highmark Health (Albany, NY)
- …and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly ... gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports,… more
- Sedgwick (New York, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vocational Specialist **This Vocational Specialist will by a hybrid role remote work ... PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ **_"Always accepting… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... NYC Department of Environmental Protection (DEP) enriches the environment and protects public health for all New Yorkers by providing 1.1 billion gallons of high… more
- Catholic Health (Buffalo, NY)
- …Retail/Oral Pharmacy and Home Care. The position will support the Catholic Health Infusion Pharmacy, Retail/Oral Pharmacy and Home Care and has responsibility for ... regulations as well as the standards established by Catholic Health . Responsibilities will include, but are not limited to,...payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or… more
- CUNY (Staten Island, NY)
- HR Specialist **POSITION DETAILS** The College of Staten Island (CSI) is a City University of New York (CUNY) senior College organized around two academic divisions ... successful future careers. Reporting to the Human Resources Managers, the HR Specialist : + Provides administrative support to the HR Benefits Manager by assisting… more
- Richmond Community Services (Mount Kisco, NY)
- …and processing monthly premiums, handling invoices, and generating reports for various health and welfare benefits. You'll make sure our employees have access to ... need and that all records are maintained accurately. + COBRA & Disability Claims : You'll help employees maintain their benefits through COBRA and manage both… more
- Shinda Management Corporation (Queens Village, NY)
- Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in the ... community by redefining affordable housing. Description SMC is seeking a Compliance Specialist to join our compliance department. Under the supervision of the Manger… more