- MVP Health Care (Schenectady, NY)
- Commercial Claims Processing Associate, Claims Examiner Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Rochester ... thinking and continuous improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is the opportunity for you if you have… more
- Sedgwick (Albany, NY)
- …Fortune Best Workplaces in Financial Services & Insurance California Workers Compensation Claims Examiner I Remote **PRIMARY PURPOSE** : To analyze complex ... or technically difficult workers' compensation claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication… more
- Sedgwick (New York, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | Remote Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...YOU AN IDEAL CANDIDATE?** To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine… more
- Sedgwick (Syracuse, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | New York Jurisdiction | Dedicated Client We are ... seeking a highly motivated and experienced Workers' Compensation Claims Examiners to join our team. The ideal candidate...ideal candidate will have at least 2 years of claims handling experience, with a strong background in New… more
- Sedgwick (Buffalo, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | Capped Caseloads | NY License ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze Workers Compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and ... process complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- CRST (Amherst, NY)
- …analysis, and processing of-and reporting on-insurance and self-insurance programs and claims . Risk management personnel manage the company's risk by analyzing and ... purchasing risk transfer products; assessing, investigating, and settling claims to limit. ultimate liability; monitoring and assisting the work of outside legal… more
- Lincoln Financial (Albany, NY)
- …environment. You will act as a liaison between the employee (member) and the claims examiner to provide a positive customer experience during their specific ... a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence...development to perform in this fast-paced environment. As a Claims Customer Care Associate, you will be responsible for… more
- Whitney Young Health Center (Albany, NY)
- …in a medical billing office setting. Two years experience as a Medical Biller/ Claims Examiner / Claims Analyst demonstrating the ability to bill using ... the billing and collection of medical services. This includes: creating claims according to regulations and compliance guidelines, patient account research and… more
- Sedgwick (Albany, NY)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Rochester, NY)
- …with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and ... Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner . + Monitors third party claims ; maintains periodical… more
- New York State Civil Service (Schenectady, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Workers' Compensation Examiner (NY HELPS), WCB Items #4142 Occupational Category No Preference Salary Grade 14 ... Code 12305 Duties Description Under the direction of the Senior Workers Compensation Examiner , Examiner 's duties will include but not be limited to: preparing… more
- The Arc Mid-Hudson (Lake Katrine, NY)
- Transportation Safety Officer/19A Examiner Overview Requisition Number: 6950 Date Posted: 6/17/2025 City: Lake Katrine Category: Transportation Description The ... primary liaison with the agency's insurance provider, coordinating accident claims and communications with adjusters, repair shops, and body...Must hold current DMV certification as a 19A Certified Examiner or be willing to obtain it within 18… more
- Sedgwick (Albany, NY)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles, reviews, and… more
- City of New York (New York, NY)
- …advocacy through interactions with law enforcement, the criminal justice system, the medical examiner 's office, and others as necessary. The goal of this program is ... Detectives. - Assist homicide survivors in navigating the medical Examiner 's office. - Provide immediate emotional support and offering...with the completion of and filing of victim compensation claims with NYS OVS. - Prepare letters and forms… more
- City of New York (New York, NY)
- …through interactions with law enforcement, the criminal justice system, the medical examiner 's office, and others as necessary. This position will report directly to ... families to determine their needs. Help homicide survivors navigate the Medical Examiner 's Office, liaise with Bronx Homicide Detectives, and explain the Criminal… more
- Molina Healthcare (Rochester, NY)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- New York State Civil Service (Brooklyn, NY)
- …function of the Crime Victims Specialist (CVS) 1 is to process compensation claims filed by people who experience crime to help pay their crime-related expenses. ... Specific duties include but are not limited to:* Review claims from initial investigation through the final claim eligibility...CVS 1, SG-14 are Investigator 1 and Workers' Compensation Examiner . Additional Comments There is the potential of 10%… more
- New York State Civil Service (New York, NY)
- …defrauding New York State out of more than $4 Million in false Medicaid claims ; and the extradition, arrest, and arraignment of a Medicaid fraud ringleader. Minimum ... investigation of alleged fraud.* Designation as a Certified Fraud Examiner .* Experience with statistical sampling and/or advanced statistical training.* Knowledge… more
- Travelers Insurance Company (New York, NY)
- …on all accounts. Under close supervision, performs risk evaluations and claims investigations on less complex accounts as assigned. Participates in individual ... equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements of the… more