• Transactional Solutions Claims

    WTW (New York, NY)
    …strategic buyers. We are seeking an experienced and highly motivated Transactional Insurance Claims Advocate to join our team. The successful candidate will be ... responsible for managing and overseeing transactional insurance claims (including representations and warranties, tax, and contingent insurance-related matters),… more
    WTW (12/17/24)
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  • Claims Advocate I

    World Insurance Associates, LLC. (Cedarhurst, NY)
    …work from one of our multiple offices throughout the region. Position Overview The Claims Specialist is responsible for managing claims filed with the insurance ... company, ensuring thorough investigation, and seeing claims through to closure. Primary Responsibilities + Initial contact with injured workers or insured to gather… more
    World Insurance Associates, LLC. (12/06/24)
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  • Senior Underwriting Specialist (Level II or III)…

    Zurich NA (New York, NY)
    …Institutions Underwriter is responsible for: + Serving as a customer industry advocate with a focus on improving the customer experience by understanding their ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
    Zurich NA (12/20/24)
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  • Senior Construction Casualty Underwriter

    Zurich NA (New York, NY)
    …Casualty Underwriter is responsible for: + Serving as a customer industry advocate with a focus on improving the customer experience by understanding their ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 8 or more years of experience in the Claims or Underwriting Support area OR Construction Casualty Underwriter… more
    Zurich NA (10/05/24)
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  • Middle Markets Underwriter

    Zurich NA (Parsippany, NJ)
    …Middle Markets Underwriter is responsible for: + Serving as a customer industry advocate with a focus on improving the customer experience by understanding their ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
    Zurich NA (11/14/24)
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  • Middle Market Underwriter (Property & Casualty)

    Zurich NA (Parsippany, NJ)
    …Markets P&C Underwriter is responsible for: + Serving as a customer industry advocate with a focus on improving the customer experience by understanding their risk ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
    Zurich NA (10/26/24)
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  • Chief Medical Officer, Medicaid

    VNS Health (Manhattan, NY)
    …+ Acts as a representative of the VNS Health Plans and an advocate for the community through liaison, lecturing and promotional activities. Attends external ... with in-network physicians regarding medical policies, utilization management, gaps in care, claims editing, use of resources and quality. + Performs high dollar … more
    VNS Health (11/20/24)
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  • Clinical Pharmacy Manager - World Trade Center…

    Mount Sinai Health System (New York, NY)
    …from PBM prescription portal for QA report and analyzing + Reviewing pharmacy claims to identify outliers, utilization and prescribing trends + Adhoc duties based on ... of pharmacy benefits plan and contracted pharmacies to ensure for appropriate claims adjudication, drug pricing, and reimbursement + Support financial, quality and… more
    Mount Sinai Health System (11/07/24)
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  • Case Manager (Intimate Partner Violence)

    Children's Aid (Manhattan, NY)
    …establish long-term safety and heal from the effects of trauma. The Case Manager/ Advocate will assist families, city-wide, who have been affected by intimate partner ... services; * Make phone calls and write letters to advocate on behalf of clients; * Assist clients in...of clients; * Assist clients in completing applications, filing claims for Office of Victim Services compensation, and applying… more
    Children's Aid (11/14/24)
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  • Community Health Worker 1199 Line…

    BronxCare Health System (Bronx, NY)
    …of patients and their family. Provide social support and informal counseling, advocate for individuals and community health needs, and provide services such as ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
    BronxCare Health System (12/18/24)
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  • Customer Care Representative I

    Elevance Health (New York, NY)
    …written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... help resolve members questions at the first point of contact + A customer advocate willing to listen and find creative solutions to address and resolve customers… more
    Elevance Health (12/25/24)
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  • Sr Rep, Provider Relations HP - Remote must reside…

    Molina Healthcare (New York, NY)
    …general supervision, works directly with the Plan's external providers to educate, advocate and engage as valuable partners, ensuring knowledge of and compliance ... SKILLS & ABILITIES** : * 3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare… more
    Molina Healthcare (12/21/24)
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  • Digital Asset Management (DAM) Business Product…

    Pfizer (New York, NY)
    …channels and markets. + Ensure DAM enables marketers to easily associate with claims , licensing and associated usage rights. + Work with other product leaders to ... manage product roadmaps, coordinate user-acceptance testing, drive user adoption, and advocate for the product. + Conduct product ceremonies with technical and… more
    Pfizer (12/20/24)
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  • Senior Dental Provider Services Representative

    Molina Healthcare (New York, NY)
    …with the Plan's highest priority, high volume, strategic providers to educate, advocate and engage as valuable partners. + Requires an in-depth knowledge of ... setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed… more
    Molina Healthcare (12/05/24)
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  • Provider Relations Representative

    Molina Healthcare (Manhattan, NY)
    …minimal direction, works directly with the Plan's external providers to educate, advocate and engage as valuable partners, ensuring knowledge of and compliance with ... & ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed… more
    Molina Healthcare (12/05/24)
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  • Portfolio Manager - Private Equity and Transaction…

    WTW (New York, NY)
    …of key private equity clients including monitoring portfolio company renewals, large claims , integration of add on deals, material changes in business and annual ... as a strong role model and influence on others for best Client Advocate practices **Qualifications** **The Requirements** + At least 7+ years' client management… more
    WTW (11/06/24)
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  • Contracts Manager, State and Local Government…

    KPMG (New York, NY)
    …and information for quarterly business reviews, internal audits, and client claims ; recommend and execute process enhancements as well as improvements; document ... a trusted advisor to engagement teams and business leadership; ability to advocate for leading contract lifecycle management practices, with an interest and acumen… more
    KPMG (10/26/24)
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  • Incident Management Investigator (Opwdd)

    FlexStaff (New York, NY)
    …(37.5 work week) this is a non-exempt position In this role, you will advocate for the rights of all people receiving services throughout the Agency by conducting ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
    FlexStaff (10/02/24)
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  • Customer Care Representative I

    Elevance Health (New Hyde Park, NY)
    …a trusted advisor and educator on health care related inquiries, such as claims questions, helping find a doctor and explaining benefits. **Available Shifts:** + ... help resolve members questions at the first point of contact. + A customer advocate willing to listen and find creative solutions to address and resolve customers'… more
    Elevance Health (12/20/24)
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  • Senior Account Executive

    HUB International (Cedarhurst, NY)
    …+ Day to day contact for client + Develop strong relationships + Resolve claims and administrative issues + Act as liaison with insurance carriers and as an ... advocate for clients + Design benefit plan in conjunction with client needs and financial resources + Process renewals, including competitive bidding, providing cost… more
    HUB International (11/22/24)
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