- WTW (New York, NY)
- …Align with individual client sales strategies. + Conduct thorough needs analysis/ risk assessment to uncover prospects/clients' unique coverage needs. + Provide ... consultative advice in key risk areas. + Identify and close potential cross-sell opportunities....face with clients. + Champion the proper advocacy of claims . + Participate in stewardship meetings. + Support Client… more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis ... coding of risk adjustment eligible members. This position will have responsibility...required. + Chronic Conditions knowledge preferred. + Experience in claims adjudication, billing and enrollment systems, product or pricing… more
- MTA (New York, NY)
- Manager, Product Development, Legal Safety and Risk Products Job ID: 12652 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: ... Aug 14, 2025 Description JOB TITLE: Manager Product Development, Legal, Safety & Risk Products SALARY RANGE: $160,963 $189,990 HAY POINTS: 805 DEPT/DIV: IT / Product… more
- Molina Healthcare (Rochester, NY)
- …**Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… more
- Molina Healthcare (NY)
- …**Job Summary** The Junior Analyst will play a supporting role on the RADV ( Risk Adjustment Data Validation) team, assisting in the execution of CMS and internal ... confirm required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations, and clinical teams-to ensure accurate and consistent data… more
- Travelers Insurance Company (Melville, NY)
- …internal and/or external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants, and ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Melville, NY)
- …internal and/or external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants, and ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Melville, NY)
- …internal and/or external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants nurse ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… more
- AIG (New York, NY)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. ... are reimagining the way we help customers to manage risk . Join us as a Supervising Actuary- Casualty Specialty...techniques and assessing the impact of loss trends and claims emergence. Also, they will be responsible for one… more
- ThermoFisher Scientific (Rochester, NY)
- …with regulations, providing clear rationale and documentation. + Support material change risk assessments and verify product claims align with global industry ... regulations (USP, ISO 10993, ISO 13485, IVDR, MDR). + Experience with risk management principles (ISO 14971) and drafting protocols, reports, and procedures (SOPs).… more