- Sedgwick (New York, 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 Workers Compensation Claims Team Lead | Remote | Strong... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Healthfirst (NY)
- …+ Assists in the development of strategic plans to ensure modern and efficient claims processing across the entire lifecycle with a focus on a unified, ... institution + Experience with Healthedge specifically with HRP implementation and claims processing + Prior experience with claims and provider payment… more
- Humana (Albany, NY)
- …customer-focused and ensure the highest operational standards for more than 240M claims processing transactions associated with our 9+ million members. Reporting ... seeking an accomplished executive to join our team and lead our claims horizontal. The VP, ...allow this leader to ensure timely, accurate, and customer-focused claims processing , while driving continuous improvement, regulatory… more
- Axis (New York, NY)
- …Lines market in North America. As a direct report to the Head of Financial Lines Claims , the successful candidate will lead a sophisticated team of claims ... top talent and developing appropriate succession plans + Reviewing, processing , and assigning new D&O claims to...maintaining relationships with internal and external partners as their lead contact within the claims department for… more
- MVP Health Care (Schenectady, NY)
- …**Your key responsibilities:** + Mentor, support, and build a high-performing team within Claims Operations. + Supervise claims processing activities related ... improvement. To achieve this, we're looking for a Leader, Claims Support to join #TeamMVP. If you have a...supervisory experience or 2 years' experience as a team lead /senior. Knowledge of ICD-10, CPT-4, and HCPCS coding preferred.… more
- Elevance Health (Latham, NY)
- **Title: Claims Representative I (Health & Dental) - FEP** **Latham, NY** **Location:** This role enables associates to work virtually full-time, with the exception ... 9/8/2025** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and validating Medicaid… more
- Molina Healthcare (Buffalo, NY)
- …and tests assumptions through data, but leads with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... **Job Description** **Job Summary** Provides lead level support as a highly capable business...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
- Humana (Albany, NY)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... of our caring community and help us put health first** The Medicaid Lead , Technology Solutions builds strategic partnerships and manages relationships between IT and… more
- Citigroup (Getzville, NY)
- …an in-depth analysis and develop solutions to issues related to confirmations, processing , post-settlements, claims , and treasury operations + Capable of prompt ... The Sec & Derivatives Lead Analyst is a senior level position responsible...in at least one area of Securities and Derivatives processing + Advanced knowledge of hedge funds activities including… more