- MTA (Brooklyn, NY)
- …from inception to resolution. + Handle, complex, high-exposure personal injury claims during all phases of litigation, including statutory hearings, depositions, ... conferences, settlement negotiations, and trials. + Critically analyze personal injury claims and develop, implement, and oversee litigation strategies designed to… more
- City of New York (New York, NY)
- …to protect the City fisc, and to represent the City in the array of claims that arise in its operations . Division attorneys handle matters involving virtually ... civil enforcement of the Administrative Code, fraud and false claims act cases, and property damage claims ....false claims act cases, and property damage claims . After the completion of orientation, attorneys hired by… more
- Intermountain Health (Broomfield, CO)
- **Job Description:** Supervises day-to-day operations within the assigned department. The Cash Management Credit Balance Resolution Supervisor has the responsibility ... **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on… more
- PPL Corporation (Louisville, KY)
- …planning, detailed design, procurement, construction, close out and turnover to operations on assigned project portfolio. Manages contractor commitments to ensure ... resolution of contractor issues and change order submittals, including analyzing claims and disputes, and subsequently consults with management to resolve/negotiate … more
- 3M (Maplewood, MN)
- …cross-functional point of contact (global logistics, sourcing, packaging, enterprise customer operations , etc.) + Track carrier claims to ensure reimbursements ... business groups, with a primary emphasis on defect-free shipments, warehousing quality and claims management (customer and carrier). **You will make an impact and be… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies;… more
- Northern Rivers Family Services (Albany, NY)
- …workflows and compliance issues and work with team to improve and strengthen operations and compliance on routine basis. + Prepare data analysis, identify trends, ... and professional insurance networks, Medicaid and Medicare as applicable. + Oversee claim review audit with consultants and internal compliance and audit teams. +… more
- Humana (Boston, MA)
- …beneficiary, provider, and Government inquiries regarding eligibility, enrollment, billing, claims , referrals/authorizations, network operations , access to care, ... to correct multifaceted problems relating to eligibility, enrollment, billing, claims , referrals/authorizations, network operations , access to care, Defense… more
- USAA (Chesapeake, VA)
- …systems to collect and analyze data. **What sets you apart:** + P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager, Claims ... assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer… more
- Xeris Pharmaceuticals, Inc. (Chicago, IL)
- …disease and/or biotech industry experience preferred + Experience with specialty pharmacy claims and data operations + Self-starter who anticipates challenges, ... of primary/secondary insights + Leverage syndicated data (eg, IQVIA, claims data) and internal data assets to develop a...business rules used to issue product alerts based on claims data + Respond to and develop solutions for… more