• Claims Analyst

    CenterLight Health System (NY)
    …contractual guidelines. This position requires a working knowledge of Government Programs medical claims payment system and configuration with strong focus on ... a pivotal role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining processes, conducting comprehensive data analysis,… more
    CenterLight Health System (04/26/25)
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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 (05/14/25)
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  • Claims Specialist II

    AON (Garden City, NY)
    Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... by a remote work schedule. How this role is different: Aon prioritizes the health and well-being of current and potential employees. Our leaders pride themselves in… more
    AON (04/24/25)
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  • Claims Investigator

    WMCHealth (Valhalla, NY)
    …knowledge of claims management functions related to a hospital or health care delivery setting; thorough knowledge of the principles, practices, procedures and ... utilized in planning and conducting confidential investigations; thorough knowledge of medical malpractice and general liability claims management; good… more
    WMCHealth (03/14/25)
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  • Claims Processor

    Stony Brook University (Commack, NY)
    …experience working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding ... Claims Processor **Required Qualifications (as evidenced on attached...degree, two (2) years of full-time experience in a medical setting may be considered. Four (4) years of… more
    Stony Brook University (05/21/25)
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  • Property Claims Advocate

    AON (New York, NY)
    Aon is looking for a Property Claims Advocate. Are you ready to take on a new challenge and work with the best Risk Management Professionals in the business? Then ... our Aon Global Risk Solutions Property Risk Control and Claims Practice Group. Aon is in the business of...plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves… more
    AON (05/13/25)
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  • Accounting Clerk (Commercial Claims

    Mount Sinai Health System (New York, NY)
    … System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across ... **Job Description** **Accounting Clerk (Commercial Claims Follow-up) Full-Time M-F 9AM to 5PM East 42nd Street** Under the supervision of the Patient Financial… more
    Mount Sinai Health System (03/31/25)
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  • Claim Specialist III - 1st Party No Fault…

    City of New York (New York, NY)
    …and settle claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities are in Financial Management ... letter. 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 (03/23/25)
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  • Claims Implementation Analyst

    Healthfirst (NY)
    …terms, prepare fee schedules and accurately document file changes into the claims processing system + Research and identify published updates to payment ... methodologies, fee schedules and claims editing policies from Medicare, Medicaid, and third-party sources....duties as assigned. **Minimum Qualifications:** + Managed care, commercial health plan (or other healthcare related) experience where you… more
    Healthfirst (05/29/25)
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  • Global Head of Claims Strategy & Execution

    WTW (New York, NY)
    …benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage), ... **Description** The role of Global Head of Claims Strategy & Execution is a senior position,...Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group… more
    WTW (05/23/25)
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