• Sr Claims Systems Data Analyst - QNXT

    Molina Healthcare (Buffalo, NY)
    …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... claims to identify billing issues that will impact claims processing and payment. Monitor new solutions...in the implementation and conversion of new and existing health plans. + Manage projects from requirements to deployment,… more
    Molina Healthcare (05/18/25)
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  • Bodily Injury Claims Examiner | Remote…

    Sedgwick (Albany, NY)
    …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
    Sedgwick (05/21/25)
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  • Claims Data Reporting Specialist Senior

    Elevance Health (Middletown, NY)
    … testing, systems, and processes) preferred. + Working knowledge of WGS claims processing , reimbursement policies, and procedures highly preferred. + CI&W ... ** Claims Data Reporting Specialist Senior** **Location:** Middletown, NY;...**Locations: Middletown, NY** **In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
    Elevance Health (05/16/25)
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  • Claims Investigator

    WMCHealth (Valhalla, NY)
    …knowledge of claims management functions related to a hospital or health care delivery setting; thorough knowledge of the principles, practices, procedures and ... to effectively use computer applications such as spreadsheets, word processing , calendar, email and database software in performing work...the position was the investigation and/ or analysis of health care related liability claims Licenses /… more
    WMCHealth (03/14/25)
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  • Workers Compensation Claims Examiner| NY…

    Sedgwick (Buffalo, NY)
    …regulations and processes. This position is responsible for managing and processing workers' compensation claims , ensuring timely and accurate decisions ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner| NY Jurisdiction | Dedicated Client We are seeking a highly… more
    Sedgwick (05/23/25)
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  • Claims Processor

    Stony Brook University (Commack, NY)
    …experience working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding certification. ... Claims Processor **Required Qualifications (as evidenced on attached...of IDX (scheduling system). Familiarity with World Trade Center Health Program (WTCHP). Familiarity with HIPAA. Proficiency with Word… more
    Stony Brook University (05/21/25)
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  • Workers Compensation Claims Examiner I NY…

    Sedgwick (Albany, NY)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner I NY license required I Remote **PRIMARY PURPOSE** : To ... analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
    Sedgwick (05/01/25)
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  • Environmental Claims Specialist

    Sedgwick (Buffalo, NY)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Environmental Claims Specialist **Job Description Summary** To analyze complex or technically ... difficult environmental claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
    Sedgwick (04/29/25)
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  • Claim Specialist III - 1st Party No Fault…

    City of New York (New York, NY)
    …letter. The New York City Comptroller's Office works to promote the financial health , integrity, and effectiveness of New York City government, in order to ... 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 (03/23/25)
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  • Reinsurance Senior Claims Specialist

    Axis (New York, NY)
    …environment * Ability to collaborate with team members to ensure timely and efficient processing of claims * Evidence based problem solving mindset * Continuous ... Claim Specialist - Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims Location: New York...which includes medical plans for you and your family, health and wellness programs, retirement plans, paid vacation, and… more
    Axis (03/21/25)
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