Crop Claims Intern

Position Overview This position is responsible for the data entry and system adjudication of provider claims including but not limited to professional, ancillary and facility claims. The position is responsible for the end-to-end processing of claims. Job Description Process claims involving medical and/or surgical services; screens for complete...

MetroPlusHealth 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. As a wholly-owned...

MetroPlusHealth 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. As a wholly-owned...

Company Description From 1946, people of the House of Parfums Christian Dior in France and around the world embody the spirit of excellence, creativity, and the uniquesavoir-faireof its creator, the couturier-perfumer Christian Dior. Revolutionizing the codes of French elegance and luxury with its perfumes, combining tradition and daring innovation in makeup...

Long Term Disability Claims SpecialistFully Remote10-20 hours per weekMust have at least 3+ years prior LTD/IDI Insurance Claims ExperienceRequired:3+ years of LTD/IDI Insurance Claims experiencePrior experience with independent judgement and decision making while relying on the available factsBe able to demonstrate the use of critical thinking and analysis...

MetroPlusHealth 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. As a wholly-owned...

Job DescriptionJob DescriptionOur client, an insurance provider, is searching for a  Director of Claims Quality. This is a permanent role where employees are required onsite 2 days per week. The full job description is as follows: Location: NYC (2 days per week onsite)Job Type: permanent About the role:The Director of Claims Quality has responsibility for...

Job Description Responsible for Credit Offsetting to Returns and Destroy in Field. Research/collect all chargebacks relating to Shortages, Pricing, Discounts, Destroy and Field and Return Discrepancies for Assigned Accounts. Actively monitor all customers for chargebacks related to outbound shipping and merchandise budgeted expenses on all Retail Department...

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under general direction, and...

CHUBB NORTH AMERICA CLAIMS - QUALITY ASSURANCE & COMPLIANCE LEAD KEY OBJECTIVE This individual is responsible for the North America (NA) Claims Quality Assurance and Claims Compliance function. The individual will lead a team of Quality Assurance and Compliance professionals and will manage and implement effective Quality Assurance and Compliance programs....

CHUBB NORTH AMERICA CLAIMS - QUALITY ASSURANCE & COMPLIANCE LEAD KEY OBJECTIVE This individual is responsible for the North America (NA) Claims Quality Assurance and Claims Compliance function. The individual will lead a team of Quality Assurance and Compliance professionals and will manage and implement effective Quality Assurance and Compliance programs....

MetroPlusHealth 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. As a wholly-owned...

Department: Claim Advocacy & ConsultingJob SummaryResponsible for providing high level support, including technical knowledge to the claim consulting team in the daily advocacy and consulting service to the commercial insurance lines division’s customers. Provide prompt and courteous service to customers, team members and insurance companies regarding...

Department: Claim Advocacy & ConsultingJob SummaryResponsible for providing high level support, including technical knowledge to the claim consulting team in the daily advocacy and consulting service to the commercial insurance lines division’s customers. Provide prompt and courteous service to customers, team members and insurance companies regarding...

**Description** Job Information: Title: Director, Claims Operations Opening Date: 05/15/2024 Closing Date: 06/05/2024 Authority: TA/OA Department: Revenue Control Division/Unit: Revenue Control/Claims Operations Reports to: Chief Officer, Customer Relations Work Location: 2 Broadway, New York Hours of Work: As Required Compensation: Director, Claims...

Summary of Position Serve as the key operational liaison with Provider Network Management and Finance: responsible for the reconciliation, reprocessing/recoupment and provider communication for claim payment integrity challenges. Oversee contract review; ensure that contract provisions are in alignment with corporate goals. Develop and implement dashboards...

MetroPlusHealth 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. As a wholly owned...

Job DescriptionJob DescriptionWho are we? A strong, trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI) provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers around the globe. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with...

At Nutrien, our purpose is Feeding the Future and we do so with safety, inclusion, integrity and results as our core values. Nothing is more important than sending our people home safe, every day. Nutrien Ag Solutions is the retail division of Nutrien™,  the largest crop inputs company in the world. As part of our collective mission of Feeding the...

Summary of Job Ensure prompt, efficient, accurate and timely claims adjudication of high dollar claims in accordance with the current policy benefits, limitations or exclusions. Provide resolution of provider inquiries and collaborate with internal departments. Provide feedback or suggestions to enhance current processes and/or systems. Responsibilities: ...