- CVS Health (Albany, NY)
- …requirements. + Apply clinical criteria and policies to member/provider claims and coordinate clinical resolutions with MD support. **Performance Improvement ... Quality, CPHQ preferred. + Background in Managed Care. + Familiarity with claims processing workflows. + Experience with quality improvement, PIPs, ANE oversight,… more
- CVS Health (Albany, NY)
- …regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** ... are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or… more
- AON (Plainview, NY)
- …accounting package. + Prepare premium and profit-sharing remittances and carrier claims salvage payments including Subledger Ledger reconciliation. + Ensure timely ... stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves of absence, paid… more
- The Estee Lauder Companies (New York, NY)
- …texture and fragrance benchmark, usage, product. ingredients/technologies, positioning and claims with input from Executive Director and/or supervisor. * Creates ... * Innate ability to think creatively and brainstorm new approaches, ingredients, claims , shades or ideas. * Multi-functional, flexible to handle ever changing… more
- WSP USA (New York, NY)
- …and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate action. + ... Compile contract and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in the performance of the above… more
- Walgreens (Corning, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Family of Kidz (Garden City, NY)
- …Time Off (between 25-28 days!) + 12 Holidays including Winter break 12/25-1/1 + Medical , Dental, and Vision Insurance + 401(k) + Flexible Spending and Health Savings ... employees who work 25 or more hours per week ( Medical , Dental, Vision, FSA, and Pet Insurance) + Employee...to correct files as needed + Cleanup projects in CLAIMS + Ensure receipt and distribution of all necessary… more
- Capgemini (New York, NY)
- …workflows The analyst will support optimization initiatives for policy servicing claims management and customer engagement platforms Key Responsibilities Collect and ... Tableau or Qlik Strong understanding of insurance workflows such as policy issuance claims processing and customer onboarding Ability to work with large datasets and… more
- AON (New York, NY)
- …check market quotes, binders and policy documentation. + Ensure client, marketing and claims files are maintained in a timely fashion. + Check computations of ... stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves of absence, paid… more
- AON (New York, NY)
- …and other transactional duties + Review and clearing audits and adjustments + Claims review and analysis + Assist team as needed, ie: special projects, daily ... plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves...duties + Review and clearing audits and adjustments + Claims review and analysis + Assist team as needed,… more