• 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 (11/05/25)
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  • Claims Specialist CONTRACT

    Aston Carter (Bronx, NY)
    …and analytical claims -related tasks, including monitoring, coordinating, and processing claims while maintaining thorough documentation. This is an ... Required Qualifications (Must-Haves) + 1+ years of experience managing and processing claims + Experience in auto and/or workers' compensation claims more
    Aston Carter (01/09/26)
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  • Liability Claims Examiner | Auto BI…

    Sedgwick (Albany, NY)
    …distance to Sedgwick Office **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | Auto BI with Complex BI &... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
    Sedgwick (01/08/26)
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  • Workers Compensation Claims Examiner…

    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 | Dedicated Client | NY Licensing Required | Remote Are you… more
    Sedgwick (12/17/25)
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  • Claims Examiner - Liability | Litigation,…

    Sedgwick (Rochester, NY)
    …distance to office** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | General Liability & Auto with BI... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
    Sedgwick (12/12/25)
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  • (Remote) Claims Examiner - Workers…

    Sedgwick (Albany, NY)
    …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Fortune Best Workplaces in Financial Services & Insurance (Remote) Claims Examiner - Workers Compensation | AZ, CO, UT... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
    Sedgwick (11/21/25)
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  • Workers Compensation Claims Examiner | NY…

    Sedgwick (Syracuse, NY)
    …and specific client service requirements. **ESSENTIAL RESPONSIBILITIES** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required Are you… more
    Sedgwick (10/22/25)
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  • Payment Integrity DRG Coding & Clinical Validation…

    Excellus BlueCross BlueShield (Rochester, NY)
    …. Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules, ... business analysis. . Intermediate knowledge of PC, software, auditing tools and claims processing systems. Level II (in addition to Level I Qualifications) .… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (NY)
    …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
    Molina Healthcare (01/15/26)
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  • Senior Contracting Compliance Analyst…

    Mount Sinai Health System (New York, NY)
    …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. ? Experience in ... contract language to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract terms are being adhered to in… more
    Mount Sinai Health System (01/06/26)
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