- CVS Health (Albany, NY)
- …data, user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications. + Identify ... regulated industry. + Strong knowledge of healthcare payer operations ( claims , eligibility, enrollment, prior authorization, provider networks). + Experience working… more
- Amazon (New York, NY)
- …you will help develop programs and tools that contain costs, and continue successful third - party administrator ( TPA ) strategies and relationships. You ... loss and subrogation, with the future possibility of adjudicating claims . * Work closely with TPA and...of adjudicating claims . * Work closely with TPA and insurance partners to drive continuous improvement within… more
- Amazon (New York, NY)
- …you will help develop programs and tools that contain costs, and continue successful third party administrator ( TPA ) strategies and relationships. You ... prevent claims through safety measures. . Ensure that the TPA manages the claims diligently, partners with Risk Management and Legal (internal and external),… more
- Amazon (New York, NY)
- …You will help develop programs and tools that contain costs, and continue successful third - party administrator ( TPA ) strategies and relationships. You ... claims . - Develop strategy and action plans for claims in tandem with internal/external counsel, TPA 's,...for claims in tandem with internal/external counsel, TPA 's, and insurance companies. - Mediation attendance in conjunction… more
- Amazon (New York, NY)
- …partners. *Help develop programs and tools that contain costs, and continue successful third - party administrator ( TPA ) strategies and relationships. ... claims . *Develop strategy and action plans for claims in tandem with internal/external counsel, TPA 's,...for claims in tandem with internal/external counsel, TPA 's, and insurance companies on both litigated and non-litigated… more
- Amazon (New York, NY)
- …will support the team focusing on litigation management, discovery, litigation process improvement, third party administrator ( TPA ) programs across all ... Amazon Defense Counsel on litigated complex bodily injury (BI) claims for Amazon's expanding worldwide delivery fleet. Key job...to, and the performance management of, outside counsel and TPA partners handling litigated BI cases. * Coordinate and… more
- Axis (New York, NY)
- …claims management and handling expertise for both the oversight and management of TPA handled claims . This is primarily a casualty position, but multi-line ... will you do in this role?** + Auditing of Third - Party Administrators to ensure reserve adequacy. +...and severe loss as defined by escalation criteria and claims guidelines. + Ensuring TPA compliance with… more
- FlexStaff (Bronx, NY)
- …insurance experience within a healthcare or managed care setting (preferred) + Prior third party insurance billing experience, required. + Knowledge of medical ... Friday in the office. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA ,...Reviews batches to ensure accuracy. + Verifies patient demographics, third - party coverage, codes, allowances, etc. + Prepares… more
- Axis (New York, NY)
- …AXIS + Managing TPA relationships and overseeing TPAs that adjust D&O claims for AXIS + Managing reinsurance operations and relationships on all D&O product ... Description** AXIS is seeking a Head of Management Liability Claims - D&O to join our North America Claims team and support the expansion of AXIS presence in… more
- Northwell Health (New York, NY)
- **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The ... conditions + Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Attends JOC meetings with providers as appropriate to assist… more