• Senior Contracting Compliance Analyst - Hospital…

    Mount Sinai Health System (New York, NY)
    …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... with a strong understanding of both hospital and professional claims processes. * Previous experience in a role that...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
    Mount Sinai Health System (08/12/25)
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  • Medical Biller

    FLACRA (Newark, NY)
    Medical Biller FLACRA Newark, NY (Onsite) Full-Time $20.00 - $21.00/Hour Apply Now ... (https://flacra.jobs.net/apply/jr00jr6vc8zngcq0f47?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title: Medical Biller Location: Finger Lakes Region, NY Employment Type:… more
    FLACRA (08/08/25)
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  • Revenue Cycle Coordinator IV

    University of Rochester (Rochester, NY)
    …independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues that affect ... reimbursement of claims and advising the management team of those trends...obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records… more
    University of Rochester (08/07/25)
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  • Major Case Specialist, Construction

    Travelers Insurance Company (Melville, NY)
    …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage or liability… more
    Travelers Insurance Company (08/14/25)
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  • General & Product Liability Complex Claim Examiner…

    Sedgwick (Rochester, NY)
    …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
    Sedgwick (08/08/25)
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  • Litigation Specialist, GL (Construction)

    Travelers Insurance Company (Melville, NY)
    …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... job does not manage staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely coverage… more
    Travelers Insurance Company (07/08/25)
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  • Medical Director, Global Medical

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Associate Director, Medical Affairs…

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for Global ... Medical Affairs across all therapeutic areas and brands. This...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/15/25)
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  • Executive Director, CNS Strategy, Global…

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (07/03/25)
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  • Claim Examiner

    MetLife (Oriskany, NY)
    …. Identify and obtain missing information required to evaluate FEGLI life claims and input information into a Power Builder computer claim system computer ... system . Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. . Work with our customer administrative staff to clarify… more
    MetLife (08/17/25)
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