- MyFlorida (Tampa, FL)
- …service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book inventory, and various administrative tasks. This ... office. + Pay/validation operator and assists players in completing claims in prizes greater than $599.00. + Primary or...or secondary ticket sales redemption. + Validates and processes claims and pays prizes. + Performs daily and weekly… more
- YAI (Manhattan, NY)
- …for YAI in New York, New Jersey and California. + Oversees the day-to-day operations of the revenue cycle, ensuring adherence to policies and procedures. + Ensures ... in the billing systems (eg Digital Agency [DA] and NextGen). + Ensures claims are submitted within required deadlines and that payments are received and posted… more
- Centene Corporation (New York, NY)
- …IT resources to implement system efficiencies and configuration enhancements to improve claims processing operations . + Apply Coding Guidelines as described in ... to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review,...adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. + Provide regular reports… more
- MTA (Brooklyn, NY)
- …or supervisory capacity. DESIRED SKILLS: + Managing Workers' Compensation operations (excluding FELA) and benefits administration. + Leading internal investigations ... related to questionable or fraudulent claims . + Overseeing the TPA and monitoring service level...to the CAO on issues related to policy compliance, claims litigation, audits, and availability-related initiatives. + Liaising with… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical ... tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities. **Responsibilities** **Job Duties:** + Manages the existing… more
- Hatch (Pittsburgh, PA)
- …With expertise insustainable (https://bit.ly/32fZGnV) studies, asset building and operations , and industry-leading efficiencies, our best-in-class team leverages ... to monitor and evaluate contractor progress, performance, schedule delays, and claims . + Review and construction management of TBM and drill-and-blast tunneling… more
- Transdev (Lombard, IL)
- …Responsibilities: + Primary support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department to support valuation of ... significant estimates related to insured claims + Create and maintain pricing model related to...global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft...managing complex portfolios + Technical knowledge of insurance industry operations and processes + Knowledge in risk selection and… more
- PSEG (Newark, NJ)
- …a team of experienced litigators and litigation support personnel. Oversee the corporate claims function that handles pre-litigation claims on behalf of the ... initiatives and strategy. + Keep abreast of legal and claims activities that affect the energy industry. + All...on a schedule that may be different from normal operations . For all roles, PSEG's drug and alcohol testing… more
- Empirical Systems Aerospace, Inc. (San Luis Obispo, CA)
- …project reports and make presentations at meetings + Support negotiations of claims , manage contractual changes and resolve disputes or conflict resolution with ... Contractors and Customers + Assess and prepare claims from suppliers + Manage contract closeout procedures + Confer with counsel and leadership on items out of the… more