- Grant Thornton (New York, NY)
- As a Process Risk & Claims Audit Manager, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand ... and help you achieve more, confidently. Your day-to-day may include: + Leverage claims operations experience and claim audit experience to review and analyze… more
- Molina Healthcare (Yonkers, NY)
- …(eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: Lead current/future-state ... state regs). + Designs and embeds controls, SLAs, and quality checks to support audit readiness and reduce rework. + ** Process Improvement & Change Management**… more
- Axis (New York, NY)
- …part in the selection process . About the Team AXIS is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing ... We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns...primary claims for AXIS US Primary Casualty policies. How does… more
- Axis (New York, NY)
- …Accommodation is available upon request for candidates taking part in the selection process . **Job Description: Senior Claims Specialist** AXIS is seeking a ... We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns...of signal reserves as well as the sensitivity projection process , to drive optimal claims resolutions for… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- Hiring Company: Delicatessen Services Co., LLC Overview:Support the BH Audit Team with performing Food Safety & Product Quality audits at different venues to include ... Sr. QA Manager. Job Description:Essential Functions + Organize and Audit co-manufacturers QA related documents to ensure compliance to...COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &… more
- City of New York (New York, NY)
- …of this proportion, not being able to adequately replace or staff ACS' Internal Audit & Risk Management Unit will greatly impact our ability to effectively ... (13) lines of service operations, invoice payments and approval process . The Internal Audit team consisted of...of Service (LOS) that require attention or have concerning risk factors. DCAS' ACS provides audit /review and… more
- Molina Healthcare (Yonkers, NY)
- …functions include, but may not be limited to: chart retrieval strategy, risk adjustment retrieval performance, process effectiveness, market performance, project ... experience. * Minimum 5 years people management experience * Minimum 5 years Risk adjustment audit /RADV experience * Demonstrated knowledge of and experience… more
- Outreach Development Corporation (Richmond Hill, NY)
- …Audit and Internal Controls + Collaborate with external auditors to facilitate the annual audit process and address any audit findings. + Maintain robust ... and best practices to optimize revenue collection. + Managing the collection process , including follow-up on outstanding claims and patient balances, and… more
- MTA (New York, NY)
- …all agencies. Responsible for all safety-related aspects and activities associated with risk management and quality assurance related to the operations of commuter ... operations, investigations, safety engineering, and construction. Assess and manage risk , update, and implement policies and procedures, and communicate them… more
- Sunrise Senior Living (Edgewater, NJ)
- …resolutions. + Complete payroll reconciliation per Sunrise internal business controls. + Process and manage unemployment and worker's compensation claims and ... such as, Payroll and Human Resources Administration, Recruitment Administration and Process , Information Monitoring/ Process and Systems, Financial Systems Close… more
- AIG (New York, NY)
- …the control environment and implementing process improvements * Support the audit process with external and internal auditors Qualifications: * 3+ years ... with primary responsibility for operational controlling as it relates to insurance claims disbursements, in close coordination with AIG's global claims function… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The AVP, Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of ... integrity of enterprise revenue, and enabling the organization's overall risk adjustment strategy. Knowledge/Skills/Abilities + Responsible for encounters accuracy &… more
- American Express (New York, NY)
- …laws, regulations. Areas of responsibility will include assessment of compliance risk associated with new marketing strategies, prospect and customer experiences, ... marketing claims and disclosures, and other business-owned content. **Responsibilities:** +...and services as part of the New Product Development process to assess compliance risks and evaluate proposed controls… more
- Akumin (New York, NY)
- …opportunities for improvement. + Ensure data integrity across systems and support audit readiness. **Compliance & Risk Management** + Maintain up-to-date ... oversee all facets of the billing lifecycle, including charge capture, claims management, collections, cash application, denial resolution, and system optimization.… more
- AIG (New York, NY)
- …are in place for the business. This includes adherence to Legal, Compliance, Risk and Audit 's governance framework + Maintains business continuity plans + ... ensure that service delivery meets expectations. Fosters close partnership with underwriting, risk management, distribution and claims teams in order to provide… more
- Burns & McDonnell (Morristown, NJ)
- …Negotiate prime contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process . + Implement assigned sections of the Project ... client, supplier and company commissioning and startup teams as needed. + Implement, audit , and oversee project documentation. + Implement process for confirming… more
- Guardian Life (New York, NY)
- …leaders. Our solutions and actions are critical to Guardian's revenue growth, risk management and customer experience. Guardian created a Data Science Lab (DSL) ... cases (classification, OCR/layout understanding, entity/table extraction, summarization) across underwriting, claims , and customer service. + Design and ship retrieval-augmented… more
- DoorDash (New York, NY)
- …and CX-ensuring our insurance programs drive value for Dashers, reduce business risk , and reinforce DoorDash's trust and safety commitments. This role requires ... from positioning to launch and retention. + Partner with Product, Legal, Risk , and Compliance to translate complex requirements into simple, clear, actionable… more
- AIG (New York, NY)
- …diversified, multichannel distribution network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to ... types and management of the risks, controls and AIG audit as it relates to investments and supporting Investment...and Investment MD&A + Assist with the implementation of process improvements and new systems, in coordination with other… more
- AIG (New York, NY)
- …diversified, multichannel distribution network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to ... assets, and management of the risks, controls and AIG audit as it relates to investments and supporting Investment...other regulatory reporting requirements + Lead the implementation of process improvements, in coordination with other areas of the… more