• Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …alert supervisor of potential problems. + Collaborates with other key departments ( Claims , Customer Service, related care management units) to ensure end-to-end ... Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates and utilizes corporate... management programs (systems researched may include: care management system, claims and membership system, MedAi);… more
    Excellus BlueCross BlueShield (10/21/25)
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  • Sr. Technical Specialist, GL

    Travelers Insurance Company (Melville, NY)
    …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... to quality standards and trend analysis. + Utilizes diary management system to ensure that all claims ...case and statutory law and expert + litigation management skills preferred. + Extensive claim and/or legal experience… more
    Travelers Insurance Company (10/16/25)
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  • Sr. Litigation Specialist, GL (Construction)

    Travelers Insurance Company (Melville, NY)
    …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... (CFA) for adherence to quality standards. + Utilizes diary management system to ensure that all claims ...has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management… more
    Travelers Insurance Company (08/29/25)
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  • Technical Specialist, Auto Liability

    Travelers Insurance Company (Melville, NY)
    …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... tools in accordance with department guidelines. + Utilizes diary management system to ensure that all claims ...has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management… more
    Travelers Insurance Company (10/22/25)
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  • Clinical Risk Management Analyst (RN) - Day…

    Trinity Health (Syracuse, NY)
    …patients, visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** None **CAREER PATH:** ... home position Monday - Friday, Day Shift Schedule **Position: Clinical Risk Management Analyst** **Mission Statement:** We, St Joseph's Health and Trinity Health,… more
    Trinity Health (11/20/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …you to apply! Job Description: Summary: Under the guidance of the SIU Management , this position is responsible for the accurate and thorough clinical investigation ... compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Leave Administration Specialist (Contract)

    Colgate-Palmolive (New York, NY)
    …for data accuracy; address deviations with stakeholders. Day-to-Day Responsibilities: + Case management : Review leave requests (FMLA, STD/LTD, parental, medical, ... military, ADA); verify eligibility and documentation using the leave management system; send and track notices/forms; manage case lifecycle (open, update,… more
    Colgate-Palmolive (11/16/25)
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  • Family Health Advocate - Remote

    Sharecare (Albany, NY)
    …members to Clinical Advocates (Nurse) for conditions that require clinical care and case management assistance + Primary duties include but are not limited ... during the training period will be evaluated on a case by case basis and must be...benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management… more
    Sharecare (11/22/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Albany, NY)
    …prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
    CenterWell (11/06/25)
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  • Sr Counsel, Emp Law & Contracts

    NBC Universal (New York, NY)
    …and collaborate with clients to address business needs + Familiarity with web-based case management systems Additional Requirements + Hybrid: This position has ... restructuring, employment policy development and application, worker classification, workforce management , discrimination and harassment claims , family and… more
    NBC Universal (09/20/25)
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