- MyFlorida (Tallahassee, FL)
- …will be given to candidates with at least two years of experience in complex litigation, including but not limited to the prosecution or defense of cases involving ... investigates and enforces cases under state and federal antitrust laws, Florida False Claims Act, Florida securities law, Civil Racketeering and as needed civil … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address ... and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and providers to obtain… more
- Molina Healthcare (Orem, UT)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems ... role supports negotiations with assigned contracts and letters of agreements with non- complex provider community that result in high quality, cost effective and… more
- Port Authority of New York and New Jersey (New York, NY)
- …Department is seeking a motivated and detail-oriented intern to support the Director 's Office and the Risk Financing Division. This internship offers a professional ... and change-management initiatives, Certificates of Insurance review, data analysis, claims support, and risk-transfer activities. This role provides meaningful… more
- City of New York (New York, NY)
- …The Bureau of Engineering (BOE) investigates construction and construction related disputes and claims for and against the City of New York, and in collaboration ... of its oversight of City Agencies. Reporting to a Director , the Managing Engineers will be responsible for the...responsible for the investigation and analysis of construction contract claims and disputes and for the oversight of the… more
- Zurich NA (Queens County, 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 ... including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft Office OR AVP, Middle… more
- Addiction Recovery Care (Lexington, KY)
- …supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on ... Key Responsibilities + Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim… more
- Trinity Health (Westchester, IL)
- …Case Management, and Managed Care to gather necessary information and ensure claims are processed efficiently. **Key Responsibilities:** + Proactively follow up on ... claim rejections and denials, make corrections, and take appropriate actions or refer claims to the necessary team for resolution. + Evaluate accounts and resubmit … more
- Zurich NA (Columbia, SC)
- …Qualifications** * Bachelors Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * High School Diploma or ... Equivalent and 9 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * Zurich Certified Insurance Apprentice, including… more
- KBR (Houston, TX)
- …Integrated Solutions Americas team. This role will report to a legal Director and will be an individual contributor role. Functional job responsibilities will ... labor and employment, confidentiality agreements, payment and invoicing, risk mitigation, claims management, and dispute resolution issues and claims . +… more