- HomeSafe Alliance (Albany, NY)
- **Title:** Assistant Claims Manager (Military Move) **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household ... motivated **Assistant** **Cl** **aims Manager** to assist in all aspects of claims management, to support and promote process improvement methodologies and best… more
- Sedgwick (Albany, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Albany, NY)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims...and requirements that resulted in the loss. + Keep Supervisor informed of all trends and problems including, but… more
- CDPHP (Albany, NY)
- …experience. Annual salary range: $75,000 - 95,000 The Risk Adjustment Coding Supervisor will be responsible for oversight of CDPHP's Risk Adjustment Coding ... preferred. + Diagnosis code auditing experience is preferred. + Experience in claims adjudication, billing and enrollment systems, product or pricing is preferred. +… more
- Highmark Health (Albany, NY)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- Albany International Airport (Albany, NY)
- POSITION: Airport Operations Supervisor REPORTS TO: Operations Manager LOCATION: ALB AIRPORT: Albany International Airport SUMMARY Assists the Operations Manager in ... collection and dissemination of data such as property or personal injury claims , unusual occurrences, and malfunctioning machinery or equipment for use of management… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Authorization and Denial Supervisor - Hybrid - Must be local to Albany,NY** **Summary** This ... on competencies and quality of work. + Leads oversight of appeals denied claims for elated services, drugs, treatments and supplies. + Obtains and ensures timely… more
- Mathematica (Albany, NY)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Albany Medical Center (Albany, NY)
- …new test methodologies and procedures. This individual may also serve as a qualified supervisor in the absence of the Laboratory Supervisor and Assistant ... improve processes and implement solutions. 18. Integrate customer needs, intended use claims and regulatory requirements in development and design goals for new… more
- Mathematica (Albany, NY)
- …and maintaining clinical quality measures, supporting states with implementing all-payer claims databases, alternative payment models, or tools to support analytics, ... policy issues. * Familiarity with Medicare or Medicaid enrollment, claims , financial, or program data is preferred. * Excellent...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Evolent Health (Albany, NY)
- …for assigned health plan regarding the accurate and timely submission of claims /statements. + Works with management to obtain corporate financial goals and ... to payers and customers in a timely manner. + Researches and resubmits claims without response or denied in established time frame. + Resolves billing payment… more
- New York State Civil Service (Albany, NY)
- …should be performed in a clear, tactful and professional manner.- Communicate with supervisor and follow through on instructions received; inform supervisor of ... - May be required to Advocate in cases at BCMS conferences and Small Claims Hearings. May participate at hearings as a witness for the Department and assist… more
- Walgreens (Chatham, NY)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels' patients and answers their ... ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with… more
- Walgreens (Albany, NY)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Sunrun (Albany, NY)
- …driver's license + Three years of this experience must be as a manager, supervisor , or equivalent position of leadership + Strong knowledge of safety regulations for ... risk assessment + Familiarity with the insurance industry, specifically Workers' Compensation claims + Working knowledge of the Microsoft Office Suite and common… more
- Albany Leadership (Albany, NY)
- …laws. ? Process Annual FRPL forms and input into the system ? Monthly CN Claims processing ? Assist in ordering and prepping all School event meals ? Perform special ... assignments and other duties as assigned or required by the supervisor . Desired Skills: ? Ability to complete 10 hours of training annually as required by the USDA.… more
- CVS Health (Albany, NY)
- …+ Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- Walgreens (Watervliet, NY)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... management. Reviews KPI's with Pharmacy Manager, Store Manager, and Healthcare Supervisor . + Develops and maintains good relationships with local medical community… more
- Daymon Worldwide Inc (Latham, NY)
- …all sales targets are met. This position works closely with order entry, claims , schematics and retail associates to increase sales volume within a specific revenue ... Descriptions Job duties include additional responsibilities as assigned by one's supervisor or other manager related to the position/department. This job description… more