- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider ... Essential Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. + Previous experience handling… more
- Axis (New York, NY)
- …+ Experience presenting to senior management and outside partners + Knowledge of claims and litigation management, dispute resolution processes, and trials and ... selection process. **Job Description** AXIS is seeking a **_Claims Specialist - Management Liability_** to join our North America... - Management Liability_** to join our North America Claims team. The selected candidate will work closely with… more
- Molina Healthcare (Yonkers, NY)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... + Responsible for the comprehensive research and resolution of the appeals, dispute , grievances, and/or complaints from Molina members, providers and related outside… more
- Molina Healthcare (Yonkers, NY)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and… more
- Entergy (New York, NY)
- …contract governance and provide oversight of supplier performance management, including claims management and dispute management/resolution + Establish and ... with a focus on rotating and reciprocating generation and/or renewables. The specialist will support the identification, development, and execution of projects by… more