• Claims Advocate I

    World Insurance Associates, LLC. (Cedarhurst, NY)
    …work from one of our multiple offices throughout the region. Position Overview The Claims Specialist is responsible for managing claims filed with the insurance ... company, ensuring thorough investigation, and seeing claims through to closure. Primary Responsibilities + Initial contact with injured workers or insured to gather… more
    World Insurance Associates, LLC. (07/12/25)
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  • Director Construction Contract ( Claims )

    MTA (New York, NY)
    Director Construction Contract ( Claims ) Job ID: 12200 Business Unit: MTA Construction & Development Location: New York, NY, United States Regular/Temporary: Regular ... effective date of hire. JOB TITLE: Director, Construction Contracts ( Claims ) AGENCY: Construction & Development DEPT/DIV: Contracts/Construction Contracts REPORTS… more
    MTA (07/03/25)
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  • Lead Analyst, Claims / Regulatory…

    Molina Healthcare (Buffalo, NY)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
    Molina Healthcare (06/18/25)
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  • Senior Business Analyst ( Claims )

    Molina Healthcare (Albany, NY)
    **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements + Communicate… more
    Molina Healthcare (07/30/25)
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  • Manager, Claims Modernization, Reporting…

    Healthfirst (NY)
    …within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). + Experience with database reporting and automation, ... budgeting or internal audit processes. + Experience monitoring quality in a reporting and analysis environment. + Experience conducting root-cause analysis and making recommendations based on your findings. + Experience with Tableau, Alteryx, or similar data… more
    Healthfirst (08/14/25)
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  • Claims Investigator - Experienced/Licensed

    Command Investigations (New York, NY)
    …hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and organize… more
    Command Investigations (08/08/25)
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  • Supervisor IV-Patient Financial Services (Medicare…

    Mount Sinai Health System (New York, NY)
    **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... coordination of administrative and general office activities, consistent with departmental objectives, administrative policies and practices. Provides direct supervision for administrative and office support staff such as secretarial/administrative assistants,… more
    Mount Sinai Health System (07/27/25)
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  • Paralegal, Corporate Auto Claims

    Amazon (New York, NY)
    …Team and Amazon Defense Counsel on litigated complex bodily injury (BI) claims for Amazon's expanding worldwide delivery fleet. Key job responsibilities Essential ... Duties and Responsibilities within the Corporate Auto Team, you will support the team focusing on litigation management, discovery, litigation process improvement, third party administrator (TPA) programs across all logistics programs. Duties may include, but… more
    Amazon (07/19/25)
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  • Claims Configuration, Product Owner

    Healthfirst (NY)
    …contract reimbursement terms, code sets (HCPCS, ICD10, DRGs, CPT, etc.), and claims processing practices WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and ... employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status,… more
    Healthfirst (07/18/25)
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  • Claims Service Representative

    Centers Plan for Healthy Living (Staten Island, NY)
    …Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to ... support the advancement, and with opportunities for cross-training and education, CPHL is the place for a fulfilling long-term career. Position Details: + Professionally handle incoming inquiries via telephone, email or fax from providers (ie physician… more
    Centers Plan for Healthy Living (07/15/25)
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