• Long Term Care Benefits Planner I/II (Rochester)

    Excellus BlueCross BlueShield (Rochester, NY)
    …of the insurance contract. + Reviews and audits the Insured's benefit file and claim payment to encourage timely submission of claims . Responsible for ensuring ... Insured, Insured's family, care providers, and adjudication of the claims . All work is directed under the terms and...State time service standards. (this includes the task of claim payment) + Works closely with all providers and… more
    Excellus BlueCross BlueShield (08/25/25)
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  • Regional General Adjuster - Northeast Region

    Sedgwick (Albany, NY)
    …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. +… more
    Sedgwick (06/25/25)
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  • VP & Medical Director

    Travelers Insurance Company (Albany, NY)
    …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
    Travelers Insurance Company (07/25/25)
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  • Accounts Receivable Representative

    Ellis Medicine (Schenectady, NY)
    …REQUIREMENTS: + Education: High School Diploma or Equivalent required. Associate's degree preferred . + Experience: 2 years of accounts receivable experience in a ... hospital or healthcare setting preferred . + Must have knowledge of medical records, medical...outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to… more
    Ellis Medicine (08/13/25)
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  • Coordinator Integrated Disability Management MHB

    Catholic Health (Buffalo, NY)
    … + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), and/or claim adjuster licensure preferred EXPERIENCE + Minimum of three (3) ... (IDM) position is responsible for monitoring and aggressively managing claims leaves, and absences associated with occupational and non-occupational injury… more
    Catholic Health (06/12/25)
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  • Quality Analyst (Regression Tester)

    General Dynamics Information Technology (Menands, NY)
    …time management skills while working in a rapid software development environment + PREFERRED SKILLS: + Experience with healthcare claims terminology and the ... Trust/Other Required:** None **Job Family:** Professional Engineering **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 +… more
    General Dynamics Information Technology (08/13/25)
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  • Change Control Manager - Kensico-Eastview Tunnel…

    Tutor Perini (New Rochelle, NY)
    …all changes from initiation through negotiation and final approval. + Investigate potential claims , such as delays, unforeseen conditions, or extra work. + Prepare ... claim documentation including narratives, cost breakdowns, time impact analyses...+ Collaborate with legal and contract teams to ensure claims are submitted in accordance with contract terms and… more
    Tutor Perini (09/04/25)
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  • Senior Billing Specialist

    Access: Supports For Living (Middletown, NY)
    …revenue management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, ... issues + Handling billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing + Analyze, billing and processing program claims for… more
    Access: Supports For Living (09/04/25)
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  • Accounts Receivable Representative

    Leviton (Melville, NY)
    …recording and application of all customer cash receipts and the posting of claims and chargebacks. This role will evaluate, process, and resolve customer deductions ... generating resolution effort reports in Excel to highlight trends and track claim outcomes. Collaborate with outside sales, logistics, warehouse, and customers to… more
    Leviton (07/29/25)
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  • Sr. Executive General Adjuster - Northeast Region

    Sedgwick (New York, NY)
    …Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... including handling accounting-based losses (business interruption and stock). + Examines claim forms and other records to determine insurance coverage. + Interviews,… more
    Sedgwick (06/29/25)
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