• Health Claims Specialists

    Sutherland Global Services (Albany, NY)
    Health and Wellness programs including a personal trainer dedicated to Sutherland + Health or health insurance claims experience + Knowledge of medical ... performance. Delivering measurable results._ This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much… more
    Sutherland Global Services (01/21/25)
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  • Claims Representative I ( Health

    Elevance Health (Latham, NY)
    **Title: Claims Representative I ( Health & Dental) - FEP** **Location:** This position will work a **hybrid model ( remote and office)** . The ideal candidate ... will live within 50 miles of our Elevance Health PulsePoint location at **15 Plaza Dr, Latham, NY...first 12 weeks of training. Start date: 3/10/2025.** The ** Claims Representative I** will be responsible for successfully completing… more
    Elevance Health (01/11/25)
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  • RN Clinical Consultant, Claims Shared…

    Guardian Life (Albany, NY)
    …by providing comprehensive medical reviews and analysis of long-term disability claims . The RN Clinical Consultant identifies restrictions, limitations and duration ... experience. **Candidate Responsibilities** The RN Clinical Consultant reviews long-term disability claims to determine the impact of claimants' medical condition on… more
    Guardian Life (12/20/24)
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  • Stat / PFL Claims Specialist

    Lincoln Financial Group (Albany, NY)
    …**The Role at a Glance** We are excited to bring on highly motivated STAT / PFL Claims Specialists to staff our ever-growing claims organization. As a STAT / ... diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and...assistance program + A leadership team that prioritizes your health and well-being; offering a remote work… more
    Lincoln Financial Group (01/22/25)
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  • Coder III, Complex Outpatient ( Remote )

    Trinity Health (Albany, NY)
    …If applicable, telecommuting (working remotely), must be able to comply with Trinity Health 's and the Region/HM Working Remote Policy. Hourly Pay Range: $27.42 ... analyzing physician/provider documentation contained in Complex Outpatient (CO)/Ambulatory Surgery health records to determine the principal diagnosis, secondary diagnoses,… more
    Trinity Health (01/16/25)
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  • Pharmacy Services Technician

    VNS Health (Manhattan, NY)
    OverviewSupports Pharmacy Services Specialists and Director of Pharmacy Services to perform Quality Improvement interventions, including maintenance of data ... of paid time off and 9 company holidays + Health insurance plan for you and your loved ones,...provided on job-required roles. + Flexible work schedule - Hybrid/ Remote opportunities available. What Will You Do + Assists… more
    VNS Health (11/26/24)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Albany, NY)
    …program + Tuition assistance program + A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a… more
    Lincoln Financial Group (01/03/25)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Albany, NY)
    … first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse ... teams focusing on quality management, utilization management, discharge planning and/or home health or rehab + Must be passionate about contributing to an… more
    Humana (01/07/25)
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  • Job Coach

    OLV Human Services (Lackawanna, NY)
    …Assessment 2. Career Counseling 3. Job Training 4. Collaboration Overall, Vocational Specialists play a crucial role in helping individuals overcome obstacles to ... + Paid Time Off (PTO) + Flexible Schedule + Health , dental & vision insurance options + Paid Employer...state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies, and all others. - Any other… more
    OLV Human Services (01/17/25)
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