- Eisai, Inc (Nutley, NJ)
- …pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code ... Compliance)Eisai Salary Transparency Language:The base salary range for the Associate Senior Counsel, Market Access is from :189,100-248,200Under current guidelines,… more
- Eisai, Inc (Phoenix, AZ)
- …with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- City of New York (New York, NY)
- …available sources to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical ... in a permanent (not provisional) Civil Service title of Claim Specialist. To be considered for this position, PLEASE...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- City of New York (New York, NY)
- …available sources to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims , utilize statistical ... in a permanent (not provisional) Civil Service title of Claim Specialist. To be considered for this position, PLEASE...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- City of Portland (Portland, OR)
- …required, you may have one or more of the following: + Senior Claim Law Associate (SCLA) or Associate in Claims (AIC) designation at the time of hire. ... best practices, and proficiency in using online research tools, claims management systems , and Microsoft Office programs....following preferred qualifications: + Senior Claim Law Associate (SCLA) or Associate in Claims… more
- Travelers Insurance Company (Syracuse, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... where you can be the best you. As an Associate Counsel with Travelers you'll be responsible for high...the supervision of experienced counsel. + Learn and understand Claim customer's expectations and key department business goals and… more
- MVP Health Care (Schenectady, NY)
- …Macess Systems . + Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + ... innovative thinking and continuous improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is the opportunity for you if you… more
- Amazon (New York, NY)
- …an experienced application analyst to help architect, configure, and manage our Origami system , for Amazon's Global Risk Management and Claims (GRMC) team. This ... automation to 25+ insurance and risk programs. As a system analyst, you will drive architectural, configuration, and design...and maintained by the Application Analyst cover the full claims lifecycle, encompassing processes such as claim … more
- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Services Associate | Workers Compensation | Hybrid | Sacramento, CA Are ... an assigned team primarily responsible for Workers Compensation excess claims . To review claim files specific to...in audit exceptions. + Reviews and updates notes/diaries in claims management system as instructed. + Coordinates… more
- City of New York (New York, NY)
- …million people in Upstate New York, and has a wastewater conveyance and treatment system capable of processing over 1.3 billion gallons of wastewater per day to ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This… more
- XPO, Inc. (North Richland Hills, TX)
- Associate Analyst, Claims - Hybrid Requisition Id: 381428 Business Unit: LTL Location: North Richland Hills, TX, US, 76180 **What you'll need to succeed as an ... Associate Analyst, Claims at XPO** Minimum qualifications:...contracts and agreements and the National Motor Freight Classification system + Knowledge of risk reduction and claims… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... the country, with nearly 6,000 employees. DEP's water supply system is comprised of 19 reservoirs and 3 controlled...is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office.… more
- Sedgwick (Southfield, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Services Associate (Hybrid) As a Claims Services Associate ... identifying trends in audit exceptions. + Reviews and updates notes/diaries in claims management system as instructed. + Coordinates jurisdictional training on… more
- NTT DATA North America (MO)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate ** to work for our end client and their team. **In this ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- NTT DATA North America (MO)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate ** to join our team for a remote position. **Role ... Responsibilities** -Processing of Professional claim forms files by provider -Reviewing the policies and...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- REI (Seattle, WA)
- …claims monitoring and administration, creating reports and analysis to understand claims and claim trends, and communication with employees, claimants, ... states OH and WA. + Bachelor's degree preferred. + Associate in Claims (AIC) or similar professional...Teams, Word, and Excel with ability to learn new systems (ex: RMIS or third party claims … more
- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride...sound decision-making capabilities + Working knowledge utilizing an automated claim processing system and Microsoft Office tools… more
- Walmart (Bentonville, AR)
- …rates, litigation rates, and return-to-work outcomes. + Leverage "views" within the claim system to effectively manage inventory, ensure accurate claim ... with the necessary skill set to achieve an optimal claim outcome. + Escalate claims to leadership...+ Resolve escalated complaints from the client, customer, or associate . + Monitor the team's phone queue to ensure… more
- First Horizon Bank (Knoxville, TN)
- …the best at serving their customers one opportunity at a time. Our Claim Resolution Specialists are dedicated to putting clients first and consistently delivering ... for First Horizon clients navigating credit and debit card fraud or dispute claims , ensuring a seamless and supportive experience. + Thoroughly review, research, and… more
