- CenterLight Health System (NY)
- …monies and proper application of transaction by our TPA. + Perform in-depth claims audit to confirm that all medical claims paid and denied accurately. ... claims department by timely and accurate processing of claims appeals and performing claims audit...enhance claim workflow and efficiency. + Analyze patient and medical information to identify Coordination of Benefits (COB), Worker's… more
- Axis (New York, NY)
- …Reinsurance Senior Claim Specialist - Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims Location: New York Hiring Manager: Marina ... office following in person orientation, provided performance is satisfactory. The Reinsurance Claims Specialist is a key contributor to the reinsurance team at AXIS.… more
- Molina Healthcare (Yonkers, NY)
- …and improvements. + Provides oversight of research and analytics associated with medical claims processing requirements (1500 and UB04), provider and benefit ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
- Sedgwick (Rochester, NY)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | New York Jurisdiction Job Description We are seeking a… more
- Healthfirst (NY)
- …and results verification before sign-off and Production. + Assist in the on-going audit of configurations for new and existing claims business rules within ... fee schedules and accurately document file changes into the claims processing system + Research and identify published updates...to understand manner to other staff. + Proficiency in medical terminology, medical coding (CPT4, ICD10, and… more
- CenterLight Health System (NY)
- …contractual guidelines. This position requires a working knowledge of Government Programs medical claims payment system and configuration with strong focus on ... a pivotal role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining processes, conducting comprehensive data analysis,… more
- Axis (New York, NY)
- …request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims Specialist to join ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management… more
- DePaul (Rochester, NY)
- Overview DePaul is looking for an experienced Insurance and Claims Coordinator to manage the organization's insurance procurement and claims program. This ... includes managing the reporting, processing and adjustment of claims relating to our All-Risk Property and Business Interruption, Builder's Risk, General and… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- Amazon (New York, NY)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of...Bachelor's degree or equivalent - 6+ years of compliance, audit or risk management experience - Knowledge of Microsoft… more