• Commercial Claims Processing Associate,…

    MVP Health Care (Schenectady, NY)
    …the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess ... improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is...experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills… more
    MVP Health Care (07/30/25)
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  • Claims Processor

    City of New York (New York, NY)
    …UI claims by obtaining the appropriate separation codes from Payroll Management System (PMS) - Enter all UI claims in the Unemployment Insurance Case ... System (UICTS) - Upload and attach all UI claims in UICTS - Identify all viable separation issues...Only those candidates under consideration will be contacted. SPECIAL EXAMINER (DCAS) - 06668 Qualifications 1. Education and/or experience… more
    City of New York (07/26/25)
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  • Specialist, Configuration Oversight

    Molina Healthcare (NY)
    …is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it ... written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims processing… more
    Molina Healthcare (07/18/25)
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  • RN Crisis Care Triage

    Sedgwick (Albany, NY)
    claim . + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker status ... is professionally documented and enters incident data into computer system . + Educates the assigned FCM on Sedgwick benchmarks...ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case… more
    Sedgwick (07/25/25)
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  • Risk Control Consultant Boiler & Machinery

    Travelers Insurance Company (New York, NY)
    …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more
    Travelers Insurance Company (06/03/25)
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  • Investigator, Special Investigative Unit (Remote)

    Molina Healthcare (Albany, NY)
    …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... + Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation following SIU… more
    Molina Healthcare (07/24/25)
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  • Homicide Advocate - Crime Victims Assistance…

    City of New York (New York, NY)
    …support, and advocacy through interactions with law enforcement, the criminal justice system , the medical examiner 's office, and others as necessary. The ... Homicide Detectives. - Assist homicide survivors in navigating the medical Examiner 's office. - Provide immediate emotional support and offering concrete services… more
    City of New York (06/15/25)
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  • Crime Victim Advocate: Homicide Specialist

    City of New York (New York, NY)
    …support, and advocacy through interactions with law enforcement, the criminal justice system , the medical examiner 's office, and others as necessary. This ... families to determine their needs. Help homicide survivors navigate the Medical Examiner 's Office, liaise with Bronx Homicide Detectives, and explain the Criminal… more
    City of New York (05/14/25)
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  • Assistant Insurance Fund Services Representative…

    New York State Civil Service (Endicott, NY)
    …information is required.* Accurately process caseloads and work in designated systems , efficiently enough to maintain and meet required deadlines which prevent ... existing, or past payments being provided to check the coordination of claims , if applicable.* Provide any additional information required to assist various internal… more
    New York State Civil Service (07/22/25)
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