- City of New York (New York, NY)
- …personnel for all contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates. - Maximize agency ... reimbursement by ensuring all expenditures are captured and reported accurately in claims . - Reconcile DOHMH submitted claims after state approval. - Handle the… more
- Exl Service (Queens, NY)
- …Loss Control + Commercial Lines Property/Casualty Underwriting + Commercial Lines Property/Casualty Claims Adjuster + Commercial insurance inspections + Fire and ... Overview Commercial Insurance Risk Control Consultant - Independent Contractor Overview...risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+… more
- UHS (Johnson City, NY)
- …OverviewUnited Health Services (UHS) is seeking a detail-oriented and proactive Commercial Insurance Liaison to join our team. In this critical role, you will ... prior authorizations for services provided to patients with commercial or managed care insurance plans. Your work helps ensure timely access to care while supporting… more
- Kelly Services (New York, NY)
- …statistics contained in the reporting packet. + Maintain knowledge of ongoing claim issues with funding reinsurance, etc.; proactively identify services issues and ... existing groups. + Communicate with the client on large claim situations and what oversight/management the company will provide....company will provide. + Resolve group level issues with claims , funding, eligibility etc. as needed by enlisting the… more
- New York State Civil Service (Albany, NY)
- …SAMS software program to perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use in aid calculations and ... implementation of guidelines and procedures, and risk-based analysis for post-edit claim verification projects;* Process revisions to school districts' prior year… more
- CVS Health (Albany, NY)
- …in support of an international network, medical cost management and overall claim /customer service strategies. This role will provide concierge level of service to ... float management. + Ensuring service level adherence (GOP TAT, eligibility processing, claim TAT, reconciliation TAT, fee invoicing etc) + Ensure TPA networks are… more
- Exl Service (Jamestown, NY)
- …Loss Control + Commercial Lines Property/Casualty Underwriting + Commercial Lines Property/Casualty Claims Adjuster + Commercial insurance inspections + Fire and ... Overview Commercial Insurance Inspector - Independent Contractor Overview EXL Risk...risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess excellent… more
- Travelers Insurance Company (Rochester, NY)
- …1 **What Is the Opportunity?** Construction provides a full suite of insurance solutions suited to construction contractors of all sizes, including General ... and gas products, the regulatory environment, and the local insurance market. + Strong critical thinking skills with the...is a Must Have?** + Four years of underwriting, claim , operations, risk assessment, actuarial, sales, product, or finance… more
- DoorDash (New York, NY)
- …Experience team is looking for a strategic, data-driven, and execution-focused Insurance Product Marketing Manager to lead go-to-market strategy and lifecycle ... engagement for our future suite of Dasher insurance products. You will be the connective tissue between...messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a… more
- Humana (Albany, NY)
- …CMS STAR ratings and manage Complaint Tracking Metrics (CTMs) across insurance operations. This role is responsible for driving process improvements, ensuring ... efforts to reduce member and provider complaints, influencing changes across insurance operations for higher quality and operational efficiency. + Ensure enrollment… more