• Claims Services Representative 1/…

    New York State Civil Service (Melville, NY)
    NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/ Trainee 1/2 Occupational Category Other Professional Careers Salary Grade NS ... with case analysis over the anticipated life of the claim .*Recommend cases for appeal to WCB. *Negotiate and/or make... can be retired. Minimum Qualifications For Appointment to Claims Services Representative Trainee 1: *Reachable on… more
    New York State Civil Service (08/22/25)
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  • Senior Claims Representative

    Ryder System (Albany, NY)
    …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Claims Representative handles complex and mid-to-high exposure ... bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as directs… more
    Ryder System (08/14/25)
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  • Workers Compensation Claims

    Sedgwick (Albany, NY)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative | New York Jurisdiction | Dedicated Client ... and compliance with statutory requirements. + Negotiate settlements of claims within designated authority to reach claim ...of claims within designated authority to reach claim resolution. + Provide clear and effective communication with… more
    Sedgwick (07/15/25)
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  • Commercial Auto Claims

    Sedgwick (Albany, NY)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim... claims ; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based… more
    Sedgwick (07/16/25)
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  • Senior Claims Representative

    Port Authority of New York and New Jersey (New York, NY)
    …the Workers' Compensation Principal Program Coordinator, oversee Third-party Administrator (TPA) claim adjusters in accordance with best practices on all major ... phases of claim handling including coverage, investigation, compensability, medical management, disability...on valuation of the exposure and strategy to resolve claims . Oversee the accident reporting process to ensure that… more
    Port Authority of New York and New Jersey (08/28/25)
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  • Claims Service Representative

    Centers Plan for Healthy Living (Staten Island, NY)
    …offices, clinics, social day cares, home care agencies, DME suppliers) regarding claim decision and payments across all Centers Plan for Healthy Living (CPHL) ... product offerings. + Thoroughly and efficiently gather claim information, assess and fulfill the caller's needs and...caller's needs and educate the caller where applicable regarding claim submission procedures. + Focus on resolving issues on… more
    Centers Plan for Healthy Living (07/15/25)
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  • Claims Adjudicator

    Independent Health (Buffalo, NY)
    …a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental ... claims against established criteria, and in accordance with specific...to respond to client, member, and/or provider inquiries on claim status, benefit designs, and claim payments… more
    Independent Health (08/29/25)
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  • Director of Claims Financial Lines, Cyber…

    The Hartford (New York, NY)
    …reserve increases. + Active participant on roundtables within the Financial Lines claims discussions, as well as representative to Underwriting and Actuaries. ... + 7+ years of experience in Cyber and Technology claim space required. + 5+ years of Claims... claim space required. + 5+ years of Claims management experience with demonstrated leadership, organizational skills and… more
    The Hartford (07/30/25)
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  • Senior Claims Specialist

    CRC Insurance Services, Inc. (NY)
    …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to… more
    CRC Insurance Services, Inc. (08/22/25)
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  • Claims Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...results to recommend system or procedural changes to increase claim accuracy and/or identify opportunities for workflow enhancements. +… more
    Centers Plan for Healthy Living (07/15/25)
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