- HUB International (Melville, NY)
- …at HUB International, you become part of the largest privately owned global insurance broker, providing a broad array of property, casualty, risk management, life ... + Coordinates brokerage and client service efforts with captive management, actuarial, claims and loss prevention as required. + Working with Producer and client… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental/unit ... denials prevention initiatives. + Liaises with Managed Care Contracting and Insurance Company Provider Representatives to resolve underpayments and denials. +… more
- Guidehouse (New York, NY)
- …plan when needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold ... and associated coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system. +… more
- Humana (Albany, NY)
- …2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives, ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more
- Humana (Albany, NY)
- …and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are ... Office, ER, Telehealth, Home Health, and minor procedures + Experience with the Claims Life Cycle + Experience with coding/auditing Professional Inpatient Claims … more
- Highmark Health (Albany, NY)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... agencies. These studies and projects may involve all aspects of the health insurance business and care management processes and may be confidential in nature or… more
- Sedgwick (Albany, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance VP Client Services | Carrier, Captive, MGA | Remote We are seeking candidates ... Account Executive experience on national accounts and five (5) years claims /supervisory experience. **Skills & Knowledge** + In-depth understanding of workers… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vice President Business Development As a Vice President Business Development at ... designation required. Experience: Ten (10) years of relationship building in the claims management or risk management area or equivalent combination of education and… more
- AON (New York, NY)
- …("FSG"). Are you ready to begin a new challenge and work with the best Insurance Professionals in the business? Then this just maybe the new opportunity you are ... for assessing client needs, crafting solutions and negotiating with insurance carriers to acquire coverage that is in a...to leverage carriers effectively. + Engage the Aon FSG claims and legal advocacy group for claim administration and… more
- AON (New York, NY)
- …day will look like Utilizing risk expertise and knowledge of industry and insurance marketplace, a Broker II reviews clients' exposures and loss experience and ... include identification of: differences against expiring, coverage trigger (occurrence, claims made, occurrence reported), surplus lines or admitted, auditable or… more