- UpvoteDownvoteShare Job
- Suggest Revision
Good knowledge and working experience on US Health-care Payer E2E Claims Adjudication , Provider Data Management, Member Enrollment, Care Management, HEDIS, Poupulation Health, and Billing. US Healthcare Payer E2E Claims Adjudication , Provider Data Management.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Compiles and organizes medical records; distributes to Medicare Compliance nurses for analysis; and provides guidance and advice on processing claims based on nurses’ analysis. Analyzes lien notices for accuracy, communicates with the CMS to efficiently facilitate lien resolutions on claims and/or prepare MSA submissions in accordance with submission guidelines from CMS as assigned.
Full-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Close coordination/contact with all VP Claims Leaders as it relates to ensuring proper staffing across. Strong Property Insurance claims background both personal and commercial lines. distribution capabilities, exceptional financial strength, underwriting excellence, superior claims.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Experience with Labor Law 200, 240(1), and 241(6), premises liability claims. 3+ years defending personal injury claims venued in NY Supreme Courts. Please consider joining our team by sending your credentials to AttorneyRecruiting@wilsonelser.com and putting "NYC Personal Injury Defense Attorney " in the subject line.
$115,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
The Managed Care Specialist is responsible for resolving managed care denied and underpaid claims timely. Track MCO responses Complete understanding of billing system (Netsmart/ MyUnity) is needed to identify payment discrepancies, monitor and track performance of recoveries, meet goals, audit claim payments, and identify other issues affecting AR. Work closely with Revenue Cycle Director and Director and resolve issues as they arise.
$65,000 - $68,900 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Reinsurance Claims Analyst. Our client is seeking an accomplished claims professional to technically manage an assigned workload of global Property and Casualty multi-line reinsurance claims, ensuring all claims are handled in accordance with regulatory guidelines, while applying Company and Best Practices.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Communicate and collaborate with Controllers Group, FP&A and functioning in a high visibility senior management level with reinsurance placement (ceded Re), finance controllers, actuarial, treasury, claims, legal, systems, etc.
$120,000 - $200,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Process scrap, un-usable and usable material for warranty claims in accordance with manufacturer and company policy. The Shipping and Receiving Clerk is responsible for the receiving and shipping of parts, stock, equipment and materials required for the effective and efficient operations of the dealership.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Devising solutions in response to member dissatisfaction/ complaints/issues to support ongoing organizational improvement efforts. About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Oversee the response to our insurers for insurance claims/suits against the entities or with adjusters and agents for damage claims from storm, flood, fire, wind, etc. Oversee the response to our insurers for insurance claims/suits against the entities or with adjusters and agents for damage claims from storm, flood, fire, wind, etc.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
As an Employee Relations Consultants you will be responsible for counseling on a wide range of employment-related matters, including negotiating employment terms for new hires, overseeing the performance management process, and advising on terminations, reductions-in-force, and business restructures alongside partnering with the Benefits Team to manage disability claims as they impact ongoing employment and the Rewards Team on executive compensation issues.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
You will work collaboratively across business units including but not limited to; claims, finance, risk engineering, actuary, and technical underwriting while gaining extensive knowledge in a growing and innovative industry.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Processes workers compensation claims and conducts the preliminary investigations. This position will have both administrative and strategic responsibilities when it comes to planning, implementing, and maintaining HR programs, policies, and procedures including but not limited to, benefits administration, employee, and labor relations, leave of absence management, workers compensation, talent acquisition and compensation, within the New York office and throughout the enterprise.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
File complaints with the state Office of Mental Health (OMH) and Department Of Health (DOH), regarding Medicaid Managed Care Organizations claim denials and not following OMH and DOH regulations and guidance.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Resilience is seeking a highly-motivated cyber insurance or privacy attorney to join itsglobal Claims and Incident Management team. Act as the lead within the Resilience Claims' internal emergency response team.
$190,000 - $225,000 a yearExpandApply NowActive JobUpdated Today
claims complaints jobs Company: Metroplus Health Plan in Bronx, NY
FEATURED BLOG POSTS
Why Do Recruiters Ghost and What Can You Do About It?
Once you’ve finally mustered up the courage to find another job, leaning into the job hunt can feel scary and overwhelming. So, it does nothing to help your confidence when your outbox is full of unanswered follow-ups and interview requests. You thought that ghosting only happens on dating apps—so why do recruiters ghost, too? Recruiter ghosting is not an effective recruiting strategy, but sometimes it’s inevitable. How can you overcome such an unfortunate new career trend? Read on.
Internal Hiring Best Practices
Each companies hiring strategy is based on a set of rules that defines the ideal candidate. Many companies utilize internal and external hiring to ensure they have skilled, experienced workers. If you work in recruiting, maximizing your internal hiring strategies could be the key to retaining employees and simplifying your hiring process.
Why is it so Hard to Get a Job After College
For many, it was easy finding a job while in college. But after job hunting for weeks, you may wonder why it is so hard to get a job after college. After all, you’ve put a lot of time and effort into getting your degree. But don’t get discouraged. The University of Washington found that 53% of graduates are either unemployed or working a job that doesn’t require a degree. Other studies also show that landing your first job can take between 3 and 6 months. So, getting your first job takes time.
Why Leadership Is So Important in Your Career
There are plenty of baseball players worldwide, but only a select few will master the sport enough to play in the World Series. Similarly, you’ll meet hundreds of “managers” throughout your professional career. Still, only a few will cement themselves as true leaders in your mind. This is why leadership is important—the most influential leaders leave a mark. They inspire.
Making the Move to Salary Transparency
The salary transparency trend continues. Last year, Colorado passed its Equal Pay Transparency Rules, which required employers to include compensation in job postings, notify employees about promotional opportunities, and record job descriptions and wage records. Soon after, states like Washington, Nevada, Maryland, and Rhode Island followed suit.
Brand Reputation 101
People's initial perception of your organization is also known as your brand reputation. Your brand rep either encourages or discourages people from engaging with your company. This means the way people view your company will affect sales and even recruiting efforts.
Recruiting in a Tight Market
As a recruiter or employer, you know how much the economy affects your recruitment and retention efforts. You aren't just in competition with companies in your industry, but you are also fighting against inflation, recession, unemployment rates, and so much more.