• Quality Analyst (Regression Tester)

    General Dynamics Information Technology (Menands, NY)
    …Required:** None **Job Family:** Professional Engineering **Skills:** Healthcare Claims , Quality Assurance (QA),Structured Query Language (SQL) **Experience:** ... 2 + years of related experience **Job Description:** Quality Analyst (Regression Tester) Transform technology into opportunity as...TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience… more
    General Dynamics Information Technology (08/13/25)
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  • Claims Team Lead I Workers Comp (Calif Exp)

    Sedgwick (Albany, NY)
    …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp (Calif Exp) **PRIMARY...contract requirements, and quality standards. + Acts as second level of appeal… more
    Sedgwick (08/23/25)
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  • Claims Team Lead, General Liability

    Sedgwick (Albany, NY)
    …reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To...contract requirements and quality standards. + Reviews… more
    Sedgwick (08/22/25)
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  • Workers Compensation Claims Team Lead | New…

    Sedgwick (Rochester, NY)
    …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | New York Jurisdiction Job Description...contract requirements, and quality standards. + Acts as second level of appeal… more
    Sedgwick (06/29/25)
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  • Claim Examiner

    MetLife (Oriskany, NY)
    …to identify claim situations requiring referral to Complex Case Manager Specialist or Claims Quality Specialist. . Maintain good rapport with internal and ... and obtain missing information required to evaluate FEGLI life claims and input information into a Power Builder computer...projecting an attitude of service. . Maintain production and quality standards. . Keep up to date on FEGLI… more
    MetLife (08/17/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Albany, NY)
    …of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. + Excellent ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
    Cognizant (08/01/25)
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  • Claims Processor (with Facets) - Healthcare…

    Cognizant (Albany, NY)
    …1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. + Must be able ... of claim processing is required. **Travel:** None required **About the role:** As Claims Processor (with Facets), you will be responsible for timely and accurate… more
    Cognizant (08/22/25)
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  • Sr. Technical Specialist, GL

    Travelers Insurance Company (Melville, NY)
    …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file quality and timely… more
    Travelers Insurance Company (08/21/25)
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  • Major Case Specialist, Construction

    Travelers Insurance Company (Melville, NY)
    …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life ... claim results of others. + Apply the Company's claim quality management protocols, and metrics to all claims... quality management protocols, and metrics to all claims ; document the rationale for any departure from applicable… more
    Travelers Insurance Company (08/14/25)
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  • Litigation Specialist, GL (Construction)

    Travelers Insurance Company (Melville, NY)
    …and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... not manage staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely coverage… more
    Travelers Insurance Company (07/08/25)
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