- AON (Berkeley Heights, NJ)
- …risk control and claims services. We have an excellent career opportunity as Claims Director in our US Global Risk Consulting (AGRC) practice. This person ... and claims services. We have an excellent career opportunity as Claims Director in our US Global Risk Consulting (AGRC) practice. This person will lead… more
- AIG (New York, NY)
- Join us as a Senior Complex Claims Director - Cyber, Media, & Technology to grow your experience in Claims . Make your mark in Claims Our Claims teams ... and efficiency. How you will create an impact As a Senior Complex Claims Director , you will be responsible for handling all aspects of complex first party… more
- AIG (New York, NY)
- Join us as a Senior Complex Claims Director - Financial Lines D&O to grow your experience in Claims . Make your mark in Claims Our Claims teams are the ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- HomeSafe Alliance (Trenton, NJ)
- …Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes and ... as needed to ensure prompt recovery of claim expenses. + Work with the Director of Claims and Claims Managers to ensure any concerns or issues are addressed.… more
- MTA (New York, NY)
- …phones and other administrative tasks and functions at the direction of Asst. and/or Director - Claims & Investigations. + Tendering of claims for excluded ... Senior Claims Administrator Job ID: 7867 Business Unit: MTA...496 DEPT/DIV : Risk Management SUPERVISOR : Acting Deputy Director , OCIP LOCATION : 2 Broadway, New York, NY… more
- Humana (Trenton, NJ)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Trenton, NJ)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- MTA (New York, NY)
- …- $115,000 HAY POINTS : 657 DEPT/DIV : Legal and Compliance SUPERVISOR : Assistant Director Claims & Investigations LOCATION : 2 Broadway HOURS OF WORK : 9:00 ... Claim Agents and Senior Claim Agent staff in absence of Asst. Director & Director - Claims & Investigations, attend management meetings, participate in RFPs,… more
- Axis (New York, NY)
- …candidates taking part in the selection process. AXIS is seeking a _Senior Claim Director , Specialty Complex_ _Claims_ to join our North America Claims team. ... This role will report the Head of Specialty Complex Claims . As a direct report to the Head of...a direct report to the Head of Specialty Complex Claims , you should possess the ability to handle and… more
- VNS Health (Manhattan, NY)
- …regional staff at all levels including but not limited to, Provider Relations, Claims , Medical Director , third party administrator, pharmacy benefit manager, to ... achieve resolution of appeals and grievances. + Ensures the accuracy and integrity of data collection and reporting systems to support analysis and reporting of grievances and appeals data for operations and for required CMS and DOH reporting. Participates in… more
- Zurich NA (New York, NY)
- …public company Director 's and Officer's (D&O), Fiduciary and transactional risk claims of moderate to high value and complexity. The ideal candidate will have ... Legal Claims Professional - Public D&O 119736 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes… more
- City of New York (New York, NY)
- …Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate ... supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute cases in the...all staff under direct supervision. - Represent the Executive Director and/or Division Director (in their absence)… more
- VNS Health (Manhattan, NY)
- OverviewManages the configuration and maintenance of the claims system used to administer operations of current and new business for VNS Health Plan products. ... reports, recommendations, and updates/revisions to address existing and potential claims system issues. Works under general direction. Compensation Range:$98,200.00… more
- Zelis (Morristown, NJ)
- Position Overview: The Director of Out of Network Services is responsible for overseeing the operations and performance of the Out of Network Post Pay Solutions ... department. The Director ensures that the department meets the quality, productivity,...procedures, and contractual obligations related to out of network claims . + Collaborate with other departments, such as network… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... state funding, providing technical support, financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible for the… more
- City of New York (New York, NY)
- …comparable civil service title.* Reporting to the Chief Operating Officer, the Director of Disability Retirement Services will lead the Division, providing strategic ... transformative improvements in service delivery including case management. The Director will champion a results-oriented approach, integrating innovative practices… more
- Brennan Center for Justice (New York, NY)
- …and justice in the United States, is seeking a highly skilled and experienced Director of Human Resources (HR) to support the Chief Human Resources Officer (CHRO) in ... overseeing the center's comprehensive human resources strategy. The Director of Human Resources will play a critical role in advancing the HR operations, ensuring… more
- Merck (New York, NY)
- **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages ... questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support, and… more
- Cardinal Health (Trenton, NJ)
- …and promote enrollment. **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the design, implementation, and ... and adjustments as necessary. + Financial Acumen: + Analyze benefits utilization and claims data to identify opportunities for cost savings or plan enhancements that… more