• BILINGUAL Claims Research & Resolution Rep…

    Humana (Albany, NY)
    …part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve ... customer contact, investigation, and resolution of claims or claims -related financial issues. The position...skills with the ability to work across multiple software systems + Self-reliance with the ability to resolve issues… more
    Humana (11/21/25)
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  • Business Manager, NA Claims

    AIG (New York, NY)
    …way we help customers to manage risk. Join us as Business Manager, North America Claims to play your part in that transformation. It's an opportunity to grow your ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...skills including Microsoft Office Suite and other business-related software systems . Ready to take your career to the next… more
    AIG (10/16/25)
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  • Complex Claims Director, Cyber Media…

    AIG (New York, NY)
    Join us as a Complex Claims Director- Cyber, Media, & Technology to grow your experience in Claims . Make your mark in Claims Our Claims teams are the ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
    AIG (10/10/25)
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  • Risk Claims Manager

    Albany Medical Center (Albany, NY)
    …Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Claims Management: Develop litigation strategies for management of claims , work ... experts, life care planners, structure brokers and settlement strategies. * Establish claims files immediately * Conduct all interviews within specified timeframes *… more
    Albany Medical Center (11/21/25)
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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...on the first call; navigate through the appropriate computer system (s) to identify the current status of the issue.… more
    Centers Plan for Healthy Living (10/14/25)
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  • Hospital Claims Relationship Specialist

    Healthfirst (NY)
    …+ Direct experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, etc + Strong ... hospital partners_** including but not limited to roster maintenance and claim issue root cause analysis + **_Managing education/training regarding company-wide… more
    Healthfirst (09/12/25)
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  • Facets Claims & Payer Domain Consultant

    Cognizant (Albany, NY)
    **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a Product ... impact by leading the implementation and optimization of Facets Claims solutions for healthcare clients. You will be a...ensure seamless integration, configuration, and performance of payer domain systems . **In this role, you will:** + Lead the… more
    Cognizant (11/01/25)
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  • Executive Director, Financial Review…

    City of New York (New York, NY)
    …Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop the operational activities of ... such as DART, MAP, OCSS, OLA, OTDA, NYS Dept. of Health, DARB, MIS, AO- Systems , BFI, ACS, Dept. of Correction, Fair Hearing, Food and Nutrition Services (FNS) and… more
    City of New York (11/05/25)
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  • Administrative Support Associate VI - Hospital…

    Albany Medical Center (Albany, NY)
    …for securing revenue for services provided by hospital of Albany Med Health System by competing appeals, phone calls, and account review. Qualifications: High school ... preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, and… more
    Albany Medical Center (11/12/25)
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  • Engineer, Big Data - Claims Data/Databricks…

    Molina Healthcare (Syracuse, NY)
    …processes through ETL, Streaming, API, etc., between diverse source and target systems with structured and unstructured datasets * Design and build data solutions ... * Code, test, and document new or modified data systems to create robust and scalable applications for data...Python, Ruby or Perl. * Experience in building stream-processing systems , using solutions such as Kafka, Storm or Spark-Streaming… more
    Molina Healthcare (10/31/25)
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