- Axis (New York, NY)
- …request for candidates taking part in the selection process. Job Description: AXIS is seeking a Senior Claims Specialist - Excess Claims to join our ... as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,...to senior management * In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- Axis (New York, NY)
- …Heights, NJ, Princeton, NJ * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... for the timely evaluation, reserving and disposition of assigned claims * Documents coverage, investigation, damages, reserve rationale, negotiations, etc.… more
- Axis (Red Bank, NJ)
- …available upon request for candidates taking part in the selection process. Grade H Senior Claims Specialist , Property Salary range: Alph: $95K-130K Job ... Summary: Under limited direction, acts as highest-level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of… more
- Axis (New York, NY)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals ... to senior members of the team where necessary * Obtain...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- MTA (New York, NY)
- Senior Contracts Specialist Job ID: 5876 Business Unit: MTA Construction & Development Location: New York, NY, United States Regular/Temporary: Regular ... to apply 30 days after their effective date of hire. JOB TITLE: Senior Contracts Specialist (Construction Contracts) AGENCY: Construction & Development DEPT/DIV:… more
- Stryker (Mahwah, NJ)
- …our award-winning organization by visiting stryker.com We are currently seeking a ** Senior Regulatory Affairs Specialist ** to join our Joint Replacement Division ... are developed and launched with precision. **What you will do** As the ** Senior ** **R** **egulatory Affairs Specialist ** , you will evaluate the regulatory… more
- AIG (New York, NY)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Underwriting Specialist to play your part in that transformation. It's an ... and add more value to our customers and AIG. Senior Underwriting Specialist , AIG Group Captives The...Foster collaborative relationships with associates in Actuarial, Finance, Operations, Claims , and Distribution to ensure a team approach to… more
- Healthfirst (New York, NY)
- The Sr. Network Optimization Specialist is the point person responsible for ensuring maximization of operational and reimbursement efficiency between Healthfirst and ... financial opportunities. + Collaborate with internal partners from DSE, Claims and Provider Operations, Contract Configuration, Product, Sales, Technology,… more
- Northwell Health (Westbury, NY)
- …editor report to analyze, research and resolve issues related to Medicare outpatient claims that generate code editor edits. + Maintains current knowledge base of ... regulatory & coding guidelines, billing processes, Ambulatory Payment Classification (APC) groups, federal, state and regulatory agency coding and reimbursement changes and coding requirements to ensure hospital procedures and services are properly ordered and… more
- SMBC (Jersey City, NJ)
- …portfolio of benefits to its employees. **Role Description** The Insurance Specialist is responsible for identifying, assessing, and managing potential risks that ... with regulatory requirements and industry best practices. The Insurance Specialist collaborates with different departments, such as Legal, Procurement Sourcing… more
- MTA (New York, NY)
- Contract Specialist Level 2 Job ID: 5878 Business Unit: MTA Construction & Development Location: New York, NY, United States Regular/Temporary: Regular Department: ... days after their effective date of hire. JOB TITLE: Contract Specialist Level 2 (Construction Contracts) AGENCY: Construction & Development DEPT/DIV:… more
- Zelis (Morristown, NJ)
- The Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request ... obtain billing documents via fax, mail & e-mail for claims processing + Organize and prioritize claims ...people who could be pretending to be recruiters or senior professionals at Zelis. As the leading healthcare payments… more
- Shinda Management Corporation (Queens Village, NY)
- Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in the ... Our property management portfolio consists of rental housing for family and senior residents, developments funded by the low-income housing tax credit program,… more
- MTA (New York, NY)
- Principal Technical Specialist Job ID: 3389 Business Unit: MTA Construction & Development Location: New York, NY, United States Regular/Temporary: Regular ... days after their effective date of hire. JOB TITLE: Principal Technical Specialist AGENCY: Construction & Development DEPT/DIV: Delivery/ Signals & Train Controls… more
- CS Energy (Edison, NJ)
- The Project Controls Specialist works under the guidance of our Project Controls Leadership and in partnership with our Operations Team to provide a single point of ... follow-ups + Support Operations with verifying and checking of invoices and claims from suppliers, vendors, and subcontractors to ensure that all project… more
- Robert Half Finance & Accounting (Middlesex, NJ)
- Description Robert Half is seeking a Senior Benefits & Wellness Specialist they will be responsible for the development, implementation, and administration of ... Coordinate with insurance providers, brokers, and vendors to manage benefits enrollment, claims resolution, and annual renewals. + Conduct regular audits to ensure… more
- The Mount Sinai Health System (New York, NY)
- …coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to ... related to data entry of billing and mentors less senior billing staff on coding and other items. Demonstrates...problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department… more
- Social Security Administration (Queens, NY)
- …Appeals (OHA) Screening and OHA decision writing. Serves as a contact with OHA Senior Attorneys and Congressional Liaison Staffs. Serves as a contact person for DDS ... included the development, examination, investigation, adjudication, or authorization of claims for disability retirement, disability and death compensation, or… more
- Northwell Health (Manhasset, NY)
- …companies. + Resolves issues related to credentialing, managed care participation, claims payment, demographic changes, referrals, and accessibility. + Responds to ... operational plans. + Implements projects and facilitates directives assigned by senior leadership; collaborates with network staff to facilitate operations. +… more
- Healthfirst (New York, NY)
- …experts to ensure content is complete, accurate, and maximizes business opportunities. The Senior Specialist is responsible for supporting the Manager, Senior ... product portfolio, including collecting/organizing documentation to successful execution. The Senior Specialist will lead and drive product-driven workgroups… more