• Med Only Claims Associate

    Sedgwick (Albany, NY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Med Only Claims Associate **PRIMARY PURPOSE** : To analyze reported ... accuracy, and files necessary documentation with state agency. + Communicates claim action/ processing with claimant, client and appropriate medical contact.… more
    Sedgwick (08/16/25)
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  • Claims Associate - Workers Compensation (NY…

    Sedgwick (Syracuse, NY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Workers Compensation (NY Claims ) - Syracuse, ... accuracy, and files necessary documentation with state agency. + Communicates claim action/ processing with claimant, client and appropriate medical contact.… more
    Sedgwick (08/09/25)
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  • Workers Compensation Claims Adjuster | New…

    Sedgwick (Syracuse, NY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | New York Jurisdiction | Dedicated ... regulations and processes. This position is responsible for managing and processing workers' compensation claims , ensuring timely and accurate decisions… more
    Sedgwick (07/15/25)
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  • Commercial Auto Claims Rep

    Sedgwick (Albany, NY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Rep **PRIMARY PURPOSE** : To analyze and process ... FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are… more
    Sedgwick (08/13/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Albany, NY)
    …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA...of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality… more
    Cognizant (08/01/25)
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  • Senior Claims Representative - Treasury…

    Port Authority of New York and New Jersey (New York, NY)
    …NJ - Experience with handling Workers' Compensation (WC) within an Owners Controlled Insurance Program (OCIP) - Strong technical claims and coverage knowledge. - ... the Workers' Compensation Principal Program Coordinator, oversee Third-party Administrator (TPA) claim adjusters in accordance with best practices on all major… more
    Port Authority of New York and New Jersey (08/08/25)
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  • Claims Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …equivalent healthcare experience Preferred: Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred: ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
    Centers Plan for Healthy Living (07/15/25)
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  • Leader, Claims Support

    MVP Health Care (Rochester, NY)
    …equivalent experience may be substituted. + Requires at least 3 years of health insurance claims experience. 1 year of supervisory experience or 2 years' ... **Your key responsibilities:** + Mentor, support, and build a high-performing team within Claims Operations. + Supervise claims processing activities related… more
    MVP Health Care (08/15/25)
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  • Insurance Clerk

    WMCHealth (Valhalla, NY)
    …diploma and four years of clerical experience, one year of which included the processing of patients' medical insurance claims as the primary function ... is no substitution for the one year of specialized experience processing patients' medical insurance claims . *Special Note: Education beyond the secondary… more
    WMCHealth (07/01/25)
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  • CPC Processor Customer Support

    Datavant (Albany, NY)
    …in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + ... This role will be performed Remote - WFH + Processing medical records along with by taking calls from...medical records along with by taking calls from patients, insurance companies, and attorneys to provide medical records status… more
    Datavant (08/16/25)
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