• Medical Claims Processor - Remote

    Cognizant (Albany, NY)
    …modern technologies to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The ... **Medical** ** Claims Processor** is responsible for the timely and accurate...the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support… more
    Cognizant (08/26/25)
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  • Workers' Compensation Claims Examiner…

    Sedgwick (Buffalo, NY)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Examiner | Remote Are you looking for an opportunity to ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
    Sedgwick (08/27/25)
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  • Workers Compensation Claims Team Lead…

    Sedgwick (New York, NY)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | Remote | Strong NY Experience preferred Are ... Workers Compensation & supervisory knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative… more
    Sedgwick (08/08/25)
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  • Claims Examiner | General Liability BI…

    Sedgwick (Albany, NY)
    …Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...you have experience as a **Bodily Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)**… more
    Sedgwick (08/27/25)
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  • Senior Examiner, Claims ( Remote )

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims ... **KNOWLEDGE/SKILLS/ABILITIES** + Meets and consistently maintains production standards for Claims Adjudication. + Supports all department initiatives in improving… more
    Molina Healthcare (08/27/25)
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  • Examiner, Claims ( Remote )

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims ... cost control standards. **KNOWLEDGE/SKILLS/ABILITIES** + Evaluates the adjudication of claims using standard principles and state specific policies and regulations… more
    Molina Healthcare (08/27/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (Rochester, NY)
    …Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility from ... processed in accordance with local Health Plan requirements * Works with Claims , Configuration, Contracting, Provider Data Management, and other business partners to… more
    Molina Healthcare (07/18/25)
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  • Adjuster, Claims ( Remote )

    Molina Healthcare (Syracuse, NY)
    **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance with… more
    Molina Healthcare (08/27/25)
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  • Senior Claims Representative…

    Ryder System (Albany, NY)
    …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Claims Representative handles complex and mid-to-high exposure bodily ... injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as directs defense… more
    Ryder System (08/14/25)
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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 to claims and client issues related to claims adjudication and adjustments.… more
    Cognizant (08/01/25)
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