• Sr. Claims Specialist , Workers…

    Zurich NA (Albany, NY)
    Sr. Claims Specialist , Workers Compensation 121654 Zurich is seeking an experienced Workman's Compensation Claims Specialist to join our team! This will ... or remote in the US The Sr. Workers Compensation Claims Specialist will handle multi-party personal or... claims file by accurately capturing and updating claims data/information in compliance with best practices… more
    Zurich NA (03/04/25)
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  • Complex Liability Claims Specialist

    Zurich NA (Albany, NY)
    Complex Liability Claims Specialist 121370 Zurich is currently looking for an experienced claims adjuster to join our Complex Liability Claims team. If ... involving bodily injury, property damage, personal injury and advertising injury. The Claims Specialist is responsible for proactively managing claims more
    Zurich NA (03/05/25)
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  • Sr. Claims Specialist , Medical…

    Sedgwick (Rochester, NY)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Medical Malpractice (Professional Liability) **PRIMARY PURPOSE** : ... To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
    Sedgwick (03/13/25)
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  • Environmental Claims Specialist

    Sedgwick (Rochester, NY)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. + Uses appropriate cost containment… more
    Sedgwick (01/28/25)
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  • Sr. Claims Specialist , Professional…

    Sedgwick (Albany, NY)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… more
    Sedgwick (01/01/25)
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  • Claims Specialist Hybrid- FlexStaff

    FlexStaff (New York, NY)
    **Req Number** 150868 One of our high profile clients is seeking a Claims Specialist to support department operations related to provider communication, pending ... review, reporting, auditing, and oversight activities. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA, including the application of… more
    FlexStaff (03/07/25)
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  • Worker's Compensation Claims

    Kelly Services (Troy, NY)
    **Workers' Compensation Claims Adjuster** Kelly Services is partnering with a local insurance agency to join their dynamic and supportive team as a Workers' ... Compensation Claims Adjuster! This remote, full-time role offers the flexibility...parties + Create and implement action plans + Ensure compliance with statutory, regulatory, and ethical standards Qualifications &… more
    Kelly Services (03/04/25)
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  • Claims Investigator

    Allied Universal (Queens, NY)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ... employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance … more
    Allied Universal (03/13/25)
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  • Claims Processor

    Stony Brook University (Commack, NY)
    Claims Processor **Required Qualifications (as evidenced on attached resume):** Associates degree (foreign equivalent or higher). In lieu of degree, two (2) years of ... working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding certification. Knowledge of… more
    Stony Brook University (03/11/25)
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  • Assistant Manager, SNAP Claims

    City of New York (New York, NY)
    …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...issuance of inaccurate SNAP benefits. It is responsible for compliance with USDA and OTDA mandated review of actions… more
    City of New York (02/12/25)
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  • Health System Specialist 1 (EMC) - EMS…

    New York State Civil Service (NY)
    …Title Health System Specialist 1 (EMC) - EMS Instructional Standards and Compliance Unit Specialist - (BEMS) (NY HELPS) - 52102 Occupational Category Other ... System Specialist 1 serves as a Unit Specialist in the Instructional Standards and Compliance ...public forums as needed; Assist in the processing of claims for payment from course sponsors and proctors; Ensure… more
    New York State Civil Service (03/12/25)
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  • Compliance Specialist

    Shinda Management Corporation (Queens Village, NY)
    Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in ... growth within the community by redefining affordable housing. Description SMC is seeking a Compliance Specialist to join our compliance department. Under the… more
    Shinda Management Corporation (01/23/25)
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  • Senior Corporate Compliance

    Fujifilm (Albany, NY)
    **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure ... high ethical standards are observed and the compliance program is effective and efficient. The successful candidate...Claims Statute, and OIG's guidance of an effective compliance program) as well as applicable industry codes (eg,… more
    Fujifilm (02/19/25)
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  • Senior Billing Specialist

    Access: Supports For Living (Middletown, NY)
    Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Feb 25, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in the financial management of the company. The… more
    Access: Supports For Living (03/04/25)
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  • Coding Specialist

    VNS Health (Manhattan, NY)
    OverviewReviews and audits claims for billing, coding, services and other compliance or reimbursement issues. Assists with non-clinical aspects of the claims ... claims coding. Applies coding skills to various initiatives to ensure compliance in claims submissions. Works under moderate supervision. Compensation… more
    VNS Health (02/11/25)
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  • Billing/Insurance Collections Specialist

    CAIPA MSO LLC (New York, NY)
    Billing/Insurance Collections Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description We are looking for an ... experienced Billing/Insurance Collections Specialist to join our team. The ideal candidate will...including, but not limited to generating and billing out claims and benefits eligibility verification. Follow-up on claims more
    CAIPA MSO LLC (01/10/25)
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  • Program Operations Specialist 1

    New York State Civil Service (Schenectady, NY)
    …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade ... is required by law to have an effective Medicaid Compliance Program in place. Proactive efforts and resources are...trends that may indicate incorrect billing. - Ensure incorrect claims are voided and reported as required to oversight… more
    New York State Civil Service (03/04/25)
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  • Food Programs Evaluation Specialist 1, Food…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Education Department, State Title Food Programs Evaluation Specialist 1, Food Programs Evaluation Specialist Trainee 1 (NY HELPS), Box ... Policy is seeking candidates for a Food Programs Evaluation Specialist 1 positions in the Office of Child Nutrition....and the Summer Food Service Program (SFSP) to ensure compliance with State and federal regulations, including the Healthy,… more
    New York State Civil Service (03/11/25)
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  • Sr. Litigation Specialist , General…

    Travelers Insurance Company (Melville, NY)
    …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
    Travelers Insurance Company (03/06/25)
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  • Sr Technical Specialist , Equipment…

    Travelers Insurance Company (Albany, NY)
    …evaluating, reserving, negotiating and resolving assigned Specialty Property Damage claims . Provides quality claim handling throughout the claim life cycle ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
    Travelers Insurance Company (03/04/25)
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