• Adjudicator, Provider Claims -Ohio-On…

    Molina Healthcare (Syracuse, NY)
    **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating, ... investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge… more
    Molina Healthcare (12/05/25)
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  • Claims Auditor

    Molina Healthcare (Albany, NY)
    JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste, ... overpayments, and claims processing errors. **Essential Job Duties** + Audits the...Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
    Molina Healthcare (12/04/25)
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  • Adjudicator, Provider Claims

    Molina Healthcare (Rochester, NY)
    JOB DESCRIPTION **Job Summary** Provides support for provider claims adjudication activities including responding to providers to address claim issues, and ... researching, investigating and ensuring appropriate resolution of claims . **Essential Job Duties** * Provides support for resolution of provider claims issues,… more
    Molina Healthcare (12/04/25)
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  • Analyst, Claims Research

    Molina Healthcare (NY)
    JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** * Serves as … more
    Molina Healthcare (12/03/25)
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  • Claims Team Lead - General Liability…

    Sedgwick (Albany, NY)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - General Liability | Remote (Evergreen) **PRIMARY PURPOSE** : To ... operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor… more
    Sedgwick (12/02/25)
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  • Specialist, Claims Recovery (Remote)

    Molina Healthcare (Yonkers, NY)
    JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal ... to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion… more
    Molina Healthcare (11/23/25)
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  • Claims Team Lead | Auto Property Damage…

    Sedgwick (Albany, NY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead | Auto Property Damage | Remote Are you looking for an ... Do you bring experience in auto property damage liability claims , including at least 2 years supervising examiners or...required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions… more
    Sedgwick (11/20/25)
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  • Claims Manager

    MTA (Brooklyn, NY)
    Claims Manager Job ID: 11803 Business Unit: MABSTOA Location: Brooklyn, NY, United States Regular/Temporary: Regular Department: Torts Date Posted: May 21, 2025 ... Description Job Information Title: Claims Manager Last Date of Posting: Open Until Filled Authority: TA/OA Department: Law Division/Unit: Torts Reports to: Assistant… more
    MTA (11/20/25)
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  • Claims Representative | Auto | Remote

    Sedgwick (Albany, NY)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to join ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and low touch...required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions… more
    Sedgwick (11/18/25)
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  • Claims Examiner | Auto BI, UM, LIS | Remote

    Sedgwick (Albany, NY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Auto BI, UM, LIS | Remote Are you looking for an opportunity ... professional needs. **ARE YOU AN IDEAL CANDIDATE?** As a Claims Examiner, you will primarily handle auto-related liability ...required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions… more
    Sedgwick (11/18/25)
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