Who we are: Nirvana is on a mission to modernize commercial insurance and enable a safer world. Our technology platform delivers modern insurance & risk management to not only help our customers protect their businesses, but...
The Payment Integrity (PI) Analyst will assist in the development of a strategic roadmap to recover, eliminate, and prevent unnecessary medical-expense spending and support the execution for a comprehensive claim accuracy program. The incumbent will...
Job Summary Analyze, review, and process suspended claims, predetermination, and Service Requests based on industry standards and clinical guidelines. Research, analyze, and investigate member benefits, policy and...
Required Qualifications (as evidenced on attached resume):Associates degree (foreign equivalent or higher). In lieu of degree, two (2) years of full-time experience in a medical setting may be considered. Four (4) years of full-time experience...
Description Job Title Complex Claim Analyst, Multi Line Location Hybrid (Rockville Centre, NY) or Remote Summary Reporting the Unit Manager, this role will be responsible for direct handling...
Description Position at MTA Headquarters JOB TITLE: Senior Owner - Insurance Programs Administration Claims SALARY RANGE: $85,000 - $90,000 HAY POINTS: 496 DEPT/DIV: Risk Management...
Description The Claims Manager is responsible for promptly reporting and managing claims from workers' compensation, auto, property, and general liability. The candidate will be able to analyze mid-level claims to ensure accurate and...
Pelago is the world's leading virtual clinic for Substance Use Management. Our program provides guidance, support and treatment for members seeking to overcome their tobacco, alcohol and opioid use. From unhealthy habits to active substance use...
A leading professional services organization located in Flushing/Queens is seeking a new Claims Associate, Workers Compensation Examiner. Responsibilities: The Workers Compensation Examiner will: Review of...
What You'll Do ESSENTIAL JOB RESPONSIBILITIES include but are not limited to: Support and demonstrate IMA's core valuesValue and understand the importance of diversity, equity, and...