• Premium Waiver Claims Examiner

    MetLife (Oriskany, NY)
    …to work periodic overtime Knowledge/Skills/Competencies Preferred: . Life and/or Disability insurance experience . Knowledge of medical terminology . College ... new and ongoing Total and Permanent and Premium Waiver claims to determine if claim is payable in accordance...in accordance with policy provisions. Initiate investigations to obtain medical and vocational evidence required for approval of claim.… more
    MetLife (11/28/25)
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  • Claims Mgr Court Prep Torts

    MTA (Brooklyn, NY)
    claims handling experience. * Extensive knowledge of torts negligence law and medical claim evaluation and insurance adjusting industry. * Excellent oral and ... Claims Mgr Court Prep Torts Job ID: 11684...damages exposures based on review of relevant factual and medical records and varied technical information; making appropriate staff… more
    MTA (10/16/25)
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  • Process Risk & Claims Audit Manager

    Grant Thornton (New York, NY)
    …CIA or CISM preferred + Proven track record managing and resolving complex insurance claims , including property, casualty, and liability. + Experience working ... As a Process Risk & Claims Audit Manager, you will get the opportunity...Thornton interns are eligible to participate in the firm's medical , dental and vision insurance programs and… more
    Grant Thornton (10/10/25)
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  • Work Comp Claims Negotiator

    Sedgwick (Albany, NY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of ... university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner. Familiar with CPT, DRG and...a diverse and comprehensive benefits package including: + Three Medical , and two dental plans to choose from. +… more
    Sedgwick (11/12/25)
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  • Waiver Grants/ Claims Manager

    Catholic Charities of the Dioscese of Albany (Albany, NY)
    …you Ready to Launch Your Career? Be the Change: Become the 1115 Waiver Grants/ Claims Manager at Catholic Charities! Are you ready to lead with purpose and passion? ... your chance to step into a meaningful leadership role as our 1115 Waiver Grants/ Claims Manager , where you'll have a direct hand in shaping lives and strengthening… more
    Catholic Charities of the Dioscese of Albany (11/25/25)
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  • Facets Claims & Payer Domain Consultant

    Cognizant (Albany, NY)
    …following benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + ... **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment...impact by leading the implementation and optimization of Facets Claims solutions for healthcare clients. You will be a… more
    Cognizant (11/01/25)
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  • Long Term Disability Claims Specialist I

    MetLife (Oriskany, NY)
    …meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... fast-paced environment and in accordance with state and department of insurance regulations. * Develop actions plans and identify return to work potential * Provides… more
    MetLife (11/26/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Albany, NY)
    Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... caring community and help us put health first** The Medical Director actively uses their medical background,...such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R)… more
    Humana (11/24/25)
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  • Claims Investigator - Experienced

    Command Investigations (New York, NY)
    …to include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Extensive performance bonus ... hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
    Command Investigations (11/07/25)
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  • Adjunct Faculty/ Medical Billing and Coding…

    SUNY Westchester Community College (Yonkers, NY)
    …such as medical coder/biller, medical biller/customer service representative, medical records clerk/assistant, and insurance claims clerk. The ... the workforce. RESPONSIBILITIES: Seeking energetic and engaging Adjunct Faculty to teach Medical Billing and Coding classes. The incumbent will deliver a curriculum… more
    SUNY Westchester Community College (10/13/25)
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