• Claims Representative - Workers…

    Sedgwick (Albany, NY)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (08/21/25)
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  • Claims Adjudication Specialist

    Cognizant (Albany, NY)
    …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims ... * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding...of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality… more
    Cognizant (08/20/25)
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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 Claim Benefit Specialist - Stop Loss…

    CVS Health (Amherst, NY)
    …stop loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with the suite ... challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker… more
    CVS Health (08/02/25)
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  • Workers Compensation Claims Team Lead…

    Sedgwick (New York, NY)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
    Sedgwick (08/08/25)
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  • Claims Service Representative 1/Trainee 1/2…

    New York State Civil Service (Endicott, NY)
    …Representative 2, the incumbent will oversee all aspects of workers' compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Service Representative 1/Trainee 1/2 - NY HELPS...with case analysis over the anticipated life of the claim ; recommend cases for appeal to WCB; negotiate and/or… more
    New York State Civil Service (08/08/25)
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  • Claims Examiner, Auto (Commercial Trucking…

    Sedgwick (Albany, NY)
    …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
    Sedgwick (08/01/25)
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  • Workers Compensation Claims Examiner…

    Sedgwick (Syracuse, NY)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
    Sedgwick (08/21/25)
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  • Workers Compensation Claims Examiner | NY…

    Sedgwick (New York, NY)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
    Sedgwick (08/19/25)
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  • Workers Compensation Claims Examiner | NY…

    Sedgwick (Syracuse, NY)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... and specific client service requirements. **ESSENTIAL RESPONSIBLITIES** + Analyzing and processing claims through well-developed action plans to an appropriate… more
    Sedgwick (07/10/25)
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