• Claims Team Lead, Liability

    Sedgwick (Albany, NY)
    …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
    Sedgwick (09/03/25)
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  • Lead Adjudicator, Provider Claims

    Molina Healthcare (Yonkers, NY)
    …with suggested solutions. + Achieves individual performance goals as it relates to claims adjudication . + Assists with training needs of employees as needed. ... Description** **Job Summary** Responsible for work load assignment to the provider Claims adjudicators and senior provider claims adjudicators. Train and coach… more
    Molina Healthcare (08/28/25)
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  • Workers Compensation Claims Team Lead | NY…

    Sedgwick (Buffalo, NY)
    …for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge We are seeking a highly… more
    Sedgwick (08/27/25)
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  • Claims Adjudicator

    Independent Health (Buffalo, NY)
    …relates to production, accuracy, knowledge of policy and procedure and timeliness of claims adjudication . + Analyze, identify and research, as needed, edits ... a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental… more
    Independent Health (08/29/25)
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  • Claims Specialist Temp- FlexStaff

    Northwell Health (New York, NY)
    …of insurance experience within a healthcare or managed care setting (preferred) + Claims adjudication experience + Knowledge of MLTC/ Medicaid/Medicaid benefit + ... **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/... CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The … more
    Northwell Health (08/23/25)
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  • Customer Service Associate - Claims

    MetLife (Oriskany, NY)
    …Review claims submission for completeness and accuracy. Records data in the Claims system for adjudication and payment to the Beneficiary. May also be ... responsible for setting up new claims , processing incoming mail, and handling expired call-ups. Principal...to handle the original customer inquiry. 3. Use FEGLI claims system to access information required to handle customer… more
    MetLife (08/17/25)
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  • Claims Examiner | General Liability…

    Sedgwick (Albany, NY)
    … claims involving litigation and non-litigated exposures; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability Property Damage | Remote...| General Liability Property Damage | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to… more
    Sedgwick (09/06/25)
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  • Workers Compensation Claims Examiner…

    Sedgwick (Syracuse, NY)
    …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Jurisdiction | NY License required… more
    Sedgwick (09/03/25)
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  • Claims Examiner - Workers Compensation…

    Sedgwick (Albany, NY)
    …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you looking… more
    Sedgwick (08/23/25)
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  • Workers Compensation Claims Examiner…

    Sedgwick (Syracuse, NY)
    …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Claims... Claims Examiner | Dedicated Client | NY Claims experience & NY License required Are you looking… more
    Sedgwick (08/21/25)
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