• Marine Claims Senior Claims

    Zurich NA (Albany, NY)
    Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...and 2 or more years of experience in the Claims and/ or Litigation Management area.OR + Zurich Certified… more
    Zurich NA (10/28/25)
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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… more
    Kelly Services (10/22/25)
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  • Claims Recovery Specialist

    Zurich NA (Albany, NY)
    Claims Recovery Specialist - Property 128614 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... Designed with our employees' needs in mind, the ZNA Claims Remote work model emphasizes flexibility, allowing claims... Claims Remote work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred… more
    Zurich NA (11/05/25)
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  • Information Technology Specialist 2…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) ( Claims Medpay DBL-PHS) (NYHELPS) Occupational Category IT ... but are not limited to: * Policy Management System Modernization * Claims Management System Modernization* Robotic Process Automation (RPA) * Mass Mailing processes… more
    New York State Civil Service (10/31/25)
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  • Specialist , Claims Recovery…

    Molina Healthcare (Albany, NY)
    …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... overpayment notification and supporting documentation such as explanation of benefits, claims and attachments. + Maintains and reconciles department reports for… more
    Molina Healthcare (10/30/25)
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  • Customer Service Specialist II

    General Dynamics Information Technology (Menands, NY)
    …is knowledge to be learned to understand and help the providers with their Medicaid claims . **HOW A CUSTOMER SERVICE SPECIALIST II WILL MAKE AN IMPACT** + Takes ... + years of related experience **Job Description:** **CUSTOMER SERVICE SPECIALIST II** Seize your opportunity to make a personal...to make a personal impact as a Customer Service Specialist II supporting the New York State Department of… more
    General Dynamics Information Technology (11/05/25)
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  • Claims Investigator - Part-Time

    Allied Universal (Saratoga Springs, NY)
    Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate… more
    Allied Universal (10/31/25)
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  • Disability Clinical Specialist

    Sedgwick (Albany, NY)
    …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
    Sedgwick (10/24/25)
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  • Education Finance Specialist 1, Education…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS) (Multiple Positions), Box ... Department (NYSED) is seeking candidates for multiple Education Finance Specialist 1 positions in the Office of State Aid...projects;* Process revisions to school districts' prior year aid claims to ensure correct aid is paid and overpayments… more
    New York State Civil Service (08/13/25)
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  • Underwriting Specialist OR Executive…

    Zurich NA (Albany, NY)
    Underwriting Specialist OR Executive Underwriter- MM Life Science 118829 Zurich is currently hiring an experiencedUnderwriting Specialist OR Executive ... Zurich! This role will be filled at either theUnderwriting Specialist OR Executive Underwriter- MM Life ScienceLevel.The hiring manager...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
    Zurich NA (08/20/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Albany, NY)
    JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
    Molina Healthcare (10/24/25)
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  • Accounts Receivable Billing Specialist

    The Wesley Community (Saratoga Springs, NY)
    …hour | Full Time Day | Robust and comprehensive benefits package! A/R Medical Billing Specialist Full Time | Days | 8am - 4:30pm We are seeking an experienced ... Billing Specialist professional who loves what they do! Everything we...types. + Monitor and maintain aging reports for outstanding claims . Respond to and resolve insurance claims more
    The Wesley Community (11/06/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Albany, NY)
    JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
    Molina Healthcare (11/02/25)
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  • Administrative Specialist 2

    New York State Civil Service (Albany, NY)
    …Agency Parks, Recreation & Historic Preservation, Office of Title Administrative Specialist 2 Occupational Category Administrative or General Management Salary Grade ... State NY Zip Code 12238 Duties Description The Administrative Specialist 2, SG-23, is assigned to the Division of...Committee (GTSC) grant programs. * Tracks and processes OGS claims for vehicle accident reimbursement. Verifies that the vehicle… more
    New York State Civil Service (11/03/25)
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  • RWE Specialist

    Parexel (Albany, NY)
    …and improve patient outcomes. We are seeking a passionate and experienced **RWE** Specialist join our team and support the design and execution of clinical trials ... environment and is driven by innovation and scientific rigor. **Title:** RWE Specialist **Location:** Remote - US **Key Responsibilities** + Understand and be… more
    Parexel (11/04/25)
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  • (Remote) EDI Support Specialist - Casualty

    Sedgwick (Albany, NY)
    …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including… more
    Sedgwick (11/06/25)
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  • Nursing Home Billing Specialist

    Teresian House (Albany, NY)
    …Teresian House in your choice for employment! The Nursing Home Billing Specialist is responsible for: + Timely insurance verification of all referrals for ... Care Organizations (MCO's) and private insurance. + Preparing and submitting claims , resolving billing issues, managing accounts receivable, and working with… more
    Teresian House (10/28/25)
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  • Sr Supplier Medical Process Specialist

    Zurich NA (Albany, NY)
    Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist , you will manage supplier performance and work product in area(s) of… more
    Zurich NA (11/07/25)
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  • Specialist , Config Oversight (healthcare…

    Molina Healthcare (Albany, NY)
    …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and...fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions… more
    Molina Healthcare (09/24/25)
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  • Temporary Assistance Specialist 1 RIS…

    New York State Civil Service (Albany, NY)
    …HELP Yes Agency Temporary and Disability Assistance, Office of Title Temporary Assistance Specialist 1 RIS or Trainee 1 or 2 (NY HELPS) Occupational Category Other ... Albany State NY Zip Code 12243 Duties Description Reporting to a Temporary Assistance Specialist 2 (RIS), the Temporary Assistance Specialist 1 (RIS) will assist… more
    New York State Civil Service (10/31/25)
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