• Claim Specialist II - 1st Party No Fault…

    City of New York (New York, NY)
    …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....Set up No-fault claim files which includes issuing and processing NF2 application, confirming the City's involvement on the… more
    City of New York (06/15/25)
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  • Claims Specialist Sr - Commercial…

    Sedgwick (Albany, NY)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
    Sedgwick (07/10/25)
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  • Senior Claims Specialist , E&S…

    Axis (New York, NY)
    …part in the selection process. **About the Team** AXIS is hiring a Senior Claims Specialist , E&S Property, to support its expanding presence in North America's ... coverage, liability, and settlement value. + Leading initiatives to enhance claims processing efficiency and accuracy within the team. + Collaborating with legal… more
    Axis (08/16/25)
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  • Claims Specialist Temp- FlexStaff

    Northwell Health (New York, NY)
    **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The ... Claims Specialist will support department operations related to provider communication,...Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Attends JOC meetings with… more
    Northwell Health (08/23/25)
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  • Specialist , Configuration Oversight…

    Molina Healthcare (Albany, NY)
    …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ )… more
    Molina Healthcare (08/16/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Albany, NY)
    …Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act ... service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist... claims or claims that exceed specialist adjudication authority or processing expertise. +… more
    CVS Health (08/15/25)
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  • Claims Specialist Hybrid- FlexStaff…

    FlexStaff (Bronx, NY)
    **Req Number** 154447 FlexStaff is seeking a Claims Specialist to support department operations related to provider communication, pending claim review, ... conditions + Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor + Attends JOC meetings with providers as appropriate to… more
    FlexStaff (08/23/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Albany, NY)
    …Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
    CVS Health (08/01/25)
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  • Claims Services Representative 1/ Trainee…

    New York State Civil Service (Melville, NY)
    …include, but are not limited to:*Oversee all aspects of workers' compensation claims processing from inception to closing.*Initially determine the compensability ... Law. Examples of eligible titles include but are not limited to: Administrative Specialist Trainee 2, Claims Services Representative DB Trainee 2, Underwriter… more
    New York State Civil Service (08/22/25)
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  • Assistant Manager, SNAP Claims

    City of New York (New York, NY)
    …Assistant Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing . - Monitor and ... Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate… more
    City of New York (08/13/25)
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