- Molina Healthcare (Buffalo, NY)
- …configuration, and testing for platforms such as Salesforce ( case management , integrations), QNXT (or similar core claims ), RPA/automation, and ... they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span… more
- Albany Medical Center (Albany, NY)
- … Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Claims Management : Develop litigation strategies for management of ... experts, life care planners, structure brokers and settlement strategies. * Establish claims files immediately * Conduct all interviews within specified timeframes *… more
- Axis (New York, NY)
- …and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is grounded ... This role offers meaningful opportunities to contribute to impactful case resolutions within specialized insurance sectors **What Will You...Do In This Role?** + Serving as a Senior Claims Specialist focused on management liability … more
- CVS Health (Albany, NY)
- …improvements across key provider journeys including self-service / digital transactions, claims management , dispute resolution, and more. They will directly ... Strong organizational skills **Preferred Qualifications** + Prior experience across common claims management tools / resources including Availity provider… more
- Axis (New York, NY)
- …and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is grounded ... This role offers meaningful opportunities to contribute to impactful case resolutions within specialized insurance sectors. **What Will You...You Do In This Role?** + Serving as a Claims Specialist focused on Management Liability … more
- Zurich NA (Albany, NY)
- …organizations. **This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate ... + Develop and implement effective claim resolution strategies, including case evaluations, issue escalation, and timely disposition planning. +...and 4 or more years of experience in the Claims and Litigation Management area.OR + High… more
- MTA (New York, NY)
- …as assigned. Required Qualifications: Required Knowledge/Skills/Abilities: + Experience with varied Claims Management and RMIS Systems + Thorough understanding ... Mgt Date Posted: Sep 4, 2025 Description JOB TITLE: Claims Specialist DEPT/DIV: Risk & Insurance Management ...the defense counsel, the agency, and the contract construction manager to ensure timely compliance with discovery demands and… more
- CDPHP (Latham, NY)
- …for the member population serviced by CDPHP. Based on national standards for case management practice, the RN Case Manager will focus on empowering the ... RN Case Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with a current New York State… more
- CVS Health (Albany, NY)
- …functionality. - Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include the member's level of ... every day. **Position Summary** This is a remote RN Case Manager for New York residents. -... conferences for multidisciplinary focus to benefit overall claim management . - Utilizes case management … more
- Elevance Health (Latham, NY)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for ... as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of... Management experience. + Certification as a Case Manager . + Minimum 2 years' experience… more
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