- Molina Healthcare (Buffalo, NY)
- …technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span people, process, ... and measurable success criteria (eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: … more
- Sedgwick (Albany, NY)
- …level examiner with a strong background in insurance coverage analysis to support insurance carriers by evaluating claims and loss complaints, interpreting ... Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote...looking for an opportunity to join a global industry leader where you can bring your big ideas to… more
- AIG (New York, NY)
- Join us as a Complex Claims Director- Cyber, Media, & Technology to grow your experience in Claims . Make your mark in Claims Our Claims teams are the ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- AIG (New York, NY)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst III - EPL and D&O to play your part in that transformation. It's an ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are… more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... to confirm the proper decision rationale and approve evidentiary support is included and written summaries are accurate. +...non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems… more
- Cognizant (Albany, NY)
- …and performance of payer domain systems. **In this role, you will:** + Lead the implementation and customization of Facets Claims solutions to meet ... **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment...for configurations and processes. + Monitor post-implementation performance and support issue resolution. + Provide regular updates to stakeholders… more
- Carrington (Albany, NY)
- …losses in order to dispute financial impact + Review and procure additional support upon receipt of rebutted responses from external partners / investors + Analyze ... in order to apply the proper decision rationale and provide evidentiary support to complete accurate written summaries. + Research incurred losses, using analytical… more
- MKS Instruments Inc (Rochester, NY)
- …development programs. + Operations: Perform processes such as onboarding, orientation, immigration support , unemployment claims , benefits support , and leave ... Senior HR Business Partner at MKS, you will handle day-to-day operational support for a dynamic product development and manufacturing organization. You will balance… more
- ASM Global (New York, NY)
- …and resolution.* Coordinate with insurers and brokers on coverage and claims handling.* Support internal investigations and pre-litigation dispute resolution.* ... Internal Stakeholder Satisfaction: Feedback scores from business units on legal support and responsiveness.* Compliance & Reporting: Timely and accurate reporting to… more
- Humana (Albany, NY)
- …contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana ... value-based care, population health, or disease or care management. Medical Directors support Humana values throughout all activities. **Use your skills to make an… more