- Citigroup (Getzville, NY)
- …and product processor systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim is paid / settled; and ... up to date and accurate audit trails for all claims + Be prepared for weekly aging sessions to...and retention awards. Citi offers competitive employee benefits, including: medical , dental & vision coverage; 401(k); life, accident, and… more
- CVS Health (Amherst, NY)
- …with heart, each and every day. **Position Summary** Provides plan benefit review , interpretation and systematic setup essential for online viewing and processing ... related to Customer Service, Claims , Enrollment, Billing and Reporting in support of internal...of rate adjustments or renewal activity. + Collaborates on review , analysis and development of recommendations for the design… more
- Staffing Solutions Organization (Albany, NY)
- …following duties to be successful in the position: + Work independently to review information submitted relative to Third Party Health Insurance (TPHI) and make the ... determination regarding when and how to update eligibility and claims systems. + Take the appropriate actions regarding Medicaid...reimbursement. + Demonstrate systems processes for new employees and review their task progress. + Review and… more
- Stony Brook University (Stony Brook, NY)
- …+ Receive, screen, review , and verify documents and/or forms. + Review applications, claims , and other documents for completeness, content, and accuracy. ... various internal and external parties to obtain information. + Prepare, process, review , and record numerical transactions and records. This activity may include:… more
- Actalent (New York, NY)
- …you will manage the owner change directive process and contribute to monthly claims cost reporting. Responsibilities + Collaborate with the Project Manager and team ... monitoring, and implementation of the JDE Quantity Book. + Draft and review project-related communications, including letters and notices. + Assess impacts of owner… more
- OLV Human Services (Lackawanna, NY)
- …+ Ensure the timely and accurate preparation and submission of billing claims and anticipated payments. + Regular communication with payers (insurance companies, ... Oversight of internal billing staff to include assignment and review of tasks, mentoring, and performance appraisal. + ...utilization, and accounts receivable reports. + Processing of billing claims as necessary. + Updating of rate and procedure… more
- Pfizer (New York, NY)
- …360-degree view of the customer's experience. Support Copay/Affordability Program business review meetings among key Pfizer stakeholders by creating program metrics, ... forecasting, predictive modeling. + Consulting experience and experiences of analyzing patient/ claims data is highly desired. + Deep understanding of pharmaceutical… more
- AON (New York, NY)
- …to clients, and work with them in a consultative manner. + RFP review & preparation, Summary Plan Descriptions and contract compliance. + Communicate and support ... State and Federal requirements + Analysis of utilization reports, carrier reports, and claims data & trends. + Possess a strong understanding of the health and… more
- AON (Plainview, NY)
- …and fees. + Prepare Foreign currency wire requests for claimants. + Ability to review team's work for errors and post to Accpac subledger accounting package. + ... Prepare premium and profit-sharing remittances and carrier claims salvage payments including Subledger Ledger reconciliation. + Ensure timely collection of client… more
- WSP USA (New York, NY)
- …negotiate with contractors and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to ... Participate in the development and issuance of project procedures and policies; review and make recommendations on SCA-wide procedures and policies. + Provide… more