- UNUM (Albany, NY)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you, we encourage you to apply! Job Description: Summary: The Account Service Consultant ensures prompt, accurate, and efficient servicing of all Broker, Member, and ... issues and enhance Group & Broker satisfaction/retention. The Account Service Consultant maintains constant communication with the Sales staff and other Business… more
- Oracle (Albany, NY)
- **Job Description** As a senior principal consultant on the HDI Implementation team within the Analytics Center of Excellence, you will be responsible for working ... the Health Data Intelligence platform and the solutions of Health Data Warehouse, Claims Analytics, and Determinants of Health among other disciplines. You will work… more
- Travelers Insurance Company (Melville, NY)
- …resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... quality standards and state specific regulations. May be a consultant or training resources and serves as a contact...**What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more
- Deloitte (New York, NY)
- …in Deloitte's Business Tax Services Insurance practice. What you'll do As an Insurance Tax Senior Consultant within the Business Tax Services group, you will ... in the insurance industry across business functions such as underwriting, claims , IT, finance and accounting + Coordinating with the client's tax and finance… more
- WMCHealth (Poughkeepsie, NY)
- …Improvement (PI) Plan. Serves as a resource, an educator and a consultant . Ensures accurate data collection, analysis, and reporting to establish and maintain ... and alerts the department director, medical staff leadership, and claims manager. + Conducts special studies in collaboration with...support of their QI efforts. Serves as leader or consultant to a QI team. + Analyzes data from… more
- City of New York (New York, NY)
- …and contract specifications, prevailing wage requirements, site safety requirements, insurance requirements, and the City's vendor outreach programs; ensure ... compiles contract and project documentation bearing on these dispute claims . - Acts as liaison with the community and...visit job sites. - May oversee the work of consultant resident engineers and construction managers, and of … more
- Guardian Life (New York, NY)
- …team to deliver AI-centered solutions directed at our largest processes (eg, claims processing, customer service bots, operations automation) to grow our business ... more often found at a startup than a 165-year-old insurance company. Guardian has placed AI at the center...8+ years of experience as a product manager, management consultant , or other relevant role. + Strong analytical and… more
- The Hartford (New York, NY)
- Exec Consultant Risk Eng - KR07HE We're determined to...make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... of accounts.Develop and maintain professional working relationships with Underwriting, Claims , Other HIG Business Partners, Clients and Brokers. Support… more