• Medical Claims Processor - Remote

    Cognizant (Albany, NY)
    …High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...Now and Inquiry resolution, and any basic questions regarding health coverage as stated in the Plan Document. **Role… more
    Cognizant (08/26/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Albany, NY)
    …and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and ... hospital claims utilizing payer specific policies and procedures. Provide support...Now and Inquiry resolution, and any basic questions regarding health coverage as stated in the employer's plan document.… more
    Cognizant (08/01/25)
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  • Medical Director - Medicare Grievances…

    Humana (Albany, NY)
    …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health more
    Humana (08/26/25)
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  • Leader, Claims Operations

    MVP Health Care (Rochester, NY)
    …+ The availability to work full-time, hybrid. + Minimum 3 years in health insurance or production-related environment. 2 years claims processing experience ... At MVP Health Care, we're on a mission to create...improvement. To achieve this, we're looking for a Leader, Claims Operations, to join #TeamMVP. If you have a… more
    MVP Health Care (08/30/25)
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  • Claims Specialist Temp- FlexStaff

    Northwell Health (New York, NY)
    **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The ... and Friday in the office. JOB DESCRIPTION + Analyzes patient and medical information to identify COB, Worker's Compensation, No-Fault, and Subrogation conditions +… more
    Northwell Health (08/23/25)
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  • Compensation Claims Referee (NY Helps), Wcb…

    New York State Civil Service (Islandia, NY)
    NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #4103 Occupational Category Legal Salary Grade 28 Bargaining ... Code 11749 Duties Description Under the direction of the Senior Workers' Compensation Claims Referee, the duties of the Workers' Compensation Claims Referee will… more
    New York State Civil Service (08/28/25)
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  • Claims Specialist Sr - Commercial Coverage…

    Sedgwick (Albany, NY)
    …Coverage Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
    Sedgwick (07/10/25)
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  • Claim Specialist II - 1st Party No Fault…

    City of New York (New York, NY)
    …involvement on the claim submission and, issuing verification letters to claimants and medical providers; 2) Review and disallow claims for improper service or ... Program. The New York City Comptroller's Office works to promote the financial health , integrity, and effectiveness of New York City government, in order to… more
    City of New York (06/15/25)
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  • Senior Claims Representative - REMOTE

    Ryder System (Albany, NY)
    …salary for this position ranges from $75K to $80K Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision, life ... Information** : **For all Full-time positions only** : Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision,… more
    Ryder System (08/14/25)
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  • Claims Adjuster I Workers Compensation I CA…

    Sedgwick (Albany, NY)
    …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Workers Compensation I CA experience required I Hybrid **PRIMARY… more
    Sedgwick (06/12/25)
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