• Claims Representative

    CDPHP (Latham, NY)
    …these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding ... and Billing to resolve provider inquiries as defined within Claims Operations procedures. The Claims Representative is required to handle multiple product… more
    CDPHP (11/12/25)
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  • Workers' Compensation Claims

    Sedgwick (Rochester, NY)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing **Are ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...YOU AN IDEAL CANDIDATE?** To analyze **New York Lost-Time** claims on behalf of our valued clients to determine… more
    Sedgwick (11/14/25)
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  • Auto Claims Representative | PIP…

    Sedgwick (Albany, NY)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative | PIP | Remote **PRIMARY PURPOSE** : To analyze and ... process low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage regarding PIP and lower level… more
    Sedgwick (10/24/25)
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  • Claims Representative I

    Elevance Health (Latham, NY)
    ** Claims Representative I** **Location** - **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Claims Representative I** is responsible for successfully completing the required basic training.… more
    Elevance Health (11/11/25)
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  • HCPR Reimbursement Claims Processing…

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Claims Processing Representative 2 adjudicates pharmacy claims and processes pharmacy ... support assignments. Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to return,… more
    Humana (11/12/25)
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  • Claims Service Representative

    Centers Plan for Healthy Living (Staten Island, NY)
    …Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to ... support the advancement, and with opportunities for cross-training and education, CPHL is the place for a fulfilling long-term career. Position Details: + Professionally handle incoming inquiries via telephone, email or fax from providers (ie physician… more
    Centers Plan for Healthy Living (10/14/25)
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  • Clm Resltion Rep II, Hosp/Prv

    University of Rochester (Rochester, NY)
    …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working ... appeals and taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative II reports to Accounts Receivable Management.… more
    University of Rochester (09/24/25)
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  • Business Systems Analyst Trainee 1/Trainee 2…

    New York State Civil Service (New York, NY)
    …titles include, but are not limited to: Administrative Analyst Trainee 1, Claims Services Representative Trainee 1, Contract Management Specialist Trainee 1, ... Service Law. Eligible titles include, but are not limited to: Claims Services Representative 1, Policyholder Services Representative 1, Underwriter 1; OR… more
    New York State Civil Service (11/13/25)
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  • Senior Claims Specialist

    CRC Insurance Services, Inc. (NY)
    …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential… more
    CRC Insurance Services, Inc. (10/04/25)
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  • Claims Specialist

    Kelly Services (Menands, NY)
    Claims Specialist Location: Menands, NY (Onsite) Company: Local non-profit organization Schedule: Mon-Fri, 9am-5pm Pay Rate: $24/hour to start A local nonprofit is ... seeking a skilled and detail-oriented Insurance and Claims Specialist to support a public health assistance program. This role is responsible for ensuring accurate … more
    Kelly Services (10/22/25)
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