- Sedgwick (Albany, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Asst. Claims Manager - Liability **PRIMARY PURPOSE** : To oversee technical and ... business plan with goals and objectives for assigned clients. + Ensures claims management policies and procedures are followed to assure meeting service standards,… more
- Capital One (New York, NY)
- Principal Associate, Process Manager Claims Servicing |Retail Bank Capital One, a Fortune 500 company and one of the nation's top 10 banks, offers a broad ... money, not your credit - goes wrong? This Process Manager for Claims Servicing in Retail Bank...least 3 years of Process or Project Management experience ** Preferred Qualifications:** + Bachelor's Degree or military experience +… more
- CVS Health (New York, NY)
- …and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication and ... processing of pharmacy and vaccine/medical claims , maintaining current services, support optimalization of existing vendor product portfolio, provide continual… more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $38,937.60 - $50,618.88 Entry level hospital billing and claims position. Qualifications: High school diploma or GED is required. AAS degree ... is preferred . Knowledge in billing codes and EDI requirements. Knowledge...in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented,… more
- Elevance Health (Latham, NY)
- **Title: Claims Representative I (Health & Dental) - FEP** **Latham, NY** **Location:** This role enables associates to work virtually full-time, with the exception ... 9/8/2025** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Healthfirst (NY)
- …and track record of success directing the efforts of developers as a project manager or product owner in a deadline-driven and fast-paced environment + Ability to ... High School Diploma or GED from an accredited program ** Preferred Qualifications:** + Bachelor's Degree or higher from an...terms, code sets (HCPCS, ICD10, DRGs, CPT, etc.), and claims processing practices WE ARE AN EQUAL OPPORTUNITY EMPLOYER.… more
- Molina Healthcare (NY)
- …thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred . The Case Manager must be able to work in a high-volume ... settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are interested… more
- Elevance Health (Latham, NY)
- …states. ** Preferred Skills, Capabilities, and Experiences:** + Certification as a Case Manager is preferred . + BS in a health or human services related ... **Telephonic Nurse Case Manager I** **Location:** This role requires associates to...as applicable. + Assists in problem solving with providers, claims or service issues. + Coordinates with providers, hospitals,… more
- New York State Civil Service (Albany, NY)
- …degree in engineering, architecture, or construction related field strongly preferred , plus seven years' experience in contracting, claim ... Authority of the State of New York Title Senior Manager , Cost Control Occupational Category Administrative or General Management...takes a lead role in Project Controls functions of claims management, claims negotiation, and litigation support… more
- Travelers Insurance Company (New York, NY)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel...preferred . + Advanced level knowledge and skill in claim and litigation. + Basic working level knowledge and… more