- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures… more
- AIG (Parsippany, NJ)
- …multichannel distribution network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a ... the implementation of new accounting systems as it relates to invested assets, and management of the risks, controls and AIG audit as it relates to investments and… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …in evaluating and analyzing current-state workflows across key functions such as claims , provider operations, member services, utilization management , care ... governance teams. Desired Skills: Technology Awareness: Understanding of payer systems ( claims platforms, provider portals, care management tools) and emerging… more
- AIG (Parsippany, NJ)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management , among other functions. ... the trust of UW. They will also partner with claims staff to understand changes in claims ...relevant industry, and regulatory changes and effectively communicate to management impacts on business. + Review underwriting actions impacting… more
- EFI Global (Dallas, TX)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system(s) and keeps management informed of developments that ... buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- PPL Corporation (Allentown, PA)
- …prompt resolution of contractor issues and change order submittals, including analyzing claims and disputes, and subsequently consults with management to ... prompt resolution of contractor issues and change order submittals, including analyzing claims and disputes, and subsequently consults with management to… more
- State of Massachusetts (Boston, MA)
- …claims , benefits and/or taxes; the practice of law; labor relations work; claims investigation or adjustment work; credit management or credit investigation ... I is responsible for conducting hearings on appeals of claims for agency services or benefits; for promptly preparing...its customer service and operational goals. * Prepare case management reports. * Perform other related work as required.… more
- CVS Health (OK)
- …metrics and provide operational direction. + Integrate care coordination and case management with core business functions, including claims , member services, ... it all with heart, each and every day. **Position Summary** The Director of Care Management is a key member of the Aetna Better Health of Oklahoma leadership team.… more
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