• Account Executive / Broker II

    AON (New York, NY)
    …policy checking. + Monitor claims activities and assist clients with claims questions. + Coordinate with professional liability account executives on overall ... policy checking. + Monitor claims activities and assist clients with claims questions. + Coordinate with professional liability account executives on overall… more
    AON (08/22/25)
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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 ... urban studies or a closely related field, and two years of satisfactory full-time professional experience in one or a combination of the following: working with the… more
    City of New York (08/29/25)
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  • Claims Investigator - Experienced/Licensed

    Command Investigations (New York, NY)
    …all assignments. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your ... 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… more
    Command Investigations (08/08/25)
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  • Claims Service Representative

    Centers Plan for Healthy Living (Staten Island, NY)
    …caregivers with the guidance and plans they need for healthy living. 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… more
    Centers Plan for Healthy Living (07/15/25)
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  • Encounter Data Management Professional

    Humana (Albany, NY)
    …caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... the appropriate courses of action. The Encounter Data Management Professional develops business processes to ensure successful submission and...Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience… more
    Humana (08/22/25)
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  • Analyst, Performance Suite Analytics

    Evolent (Albany, NY)
    …mining, advanced/ statistical analysis, and data manipulation + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and… more
    Evolent (06/24/25)
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  • General Surgery - St. Lawrence Region

    Rochester Regional Health (Rochester, NY)
    …Relocation Assistance: Up to $15,000 + CME Allowance: $4,000 + Licensing & Professional Dues: $2,000 + Malpractice Coverage: Claims -made policy for ... professional malpractice insurance with $2.3M per occurrence and $6.9M aggregate plus tail coverage + Comprehensive Benefits Package: Health insurance, retirement plans, and more + Eligibility for Performance-Based Incentives Pay Summary: The listed base… more
    Rochester Regional Health (08/20/25)
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  • Investigator Senior

    Elevance Health (Latham, NY)
    …and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
    Elevance Health (08/13/25)
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  • SIU Investigator

    Allied Universal (Batavia, NY)
    …Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property Casualty ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....consulting projects, and other assignments as directed + Produce professional and expert reports, memos, and letters that are… more
    Allied Universal (08/09/25)
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  • Director, Performance Suite Analytics

    Evolent (Albany, NY)
    …administration, epidemiology, public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, ... or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and… more
    Evolent (07/09/25)
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