• Analyst, Configuration Oversight ( Claims

    Molina Healthcare (Buffalo, NY)
    …of these updates/changes as applied to the appropriate modules within the core claims processing system (QNXT). * Clearly documents the audit results and ... of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + Comprehensive claims processing experience (QNXT) as Examiner or Adjuster +… more
    Molina Healthcare (09/17/25)
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  • Claims Services Representative 1/Trainee…

    New York State Civil Service (New York, NY)
    …Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90 Lost...OR* A bachelor's degree AND two years of experience processing Workers' Compensation or Disability Benefits including Paid Family… more
    New York State Civil Service (09/25/25)
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  • Complex Claims Advisor | Commercial GL…

    Sedgwick (Albany, NY)
    …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an… more
    Sedgwick (09/25/25)
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  • Adjudicator, Provider Claims (LTSS Call…

    Molina Healthcare (Rochester, NY)
    …is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Responds to incoming calls from providers ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
    Molina Healthcare (08/27/25)
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  • Administrative Support Associate VI - Hospital…

    Albany Medical Center (Albany, NY)
    …Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, ... + Knowledge in billing codes and EDI requirements. + Knowledge of electronic claims processing and edits. + Excellent decision-making skills, detail oriented,… more
    Albany Medical Center (09/01/25)
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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 DFRP, ICP and SNAP-CR Directors as they administer their specific program areas which are responsible for initiating adverse actions on cash assistance cases due to information obtained via computer matches, sanctioning individuals who fail to cooperate… more
    City of New York (09/25/25)
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  • Workers Compensation Claims Examiner | NY…

    Sedgwick (Albany, NY)
    …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY License required Job Description Are… more
    Sedgwick (09/26/25)
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  • Workers Compensation Claims Adjuster | OH…

    Sedgwick (Albany, NY)
    …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | OH Jurisdictional Knowledge Are you looking for an… more
    Sedgwick (09/26/25)
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  • Workers Compensation Claims Examiner…

    Sedgwick (New York, NY)
    …and specific client service requirements. **ESSENTIAL RESPONSIBILITIES** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Jurisdiction | NY License required… more
    Sedgwick (09/16/25)
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  • Claims Examiner - Workers Compensation…

    Sedgwick (Albany, NY)
    …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... 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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