35 Results for

Claims Processor Jobs in Delmar, NY

Jobs

Albany, NY30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Delmar, NY30+ days ago

Full-time

How We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

Hudson, NY30+ days ago

Full-time

Gloversville, NY30+ days ago

Full-time

Amsterdam, NY30+ days ago

Full-time

Pittsfield, MA30+ days ago

Full-time

Clifton Park, NY30+ days ago

Full-time

Latham, NY30+ days ago

Full-time

Albany, NY30+ days ago

Full-time

Rensselaer, NY30+ days ago

Full-time

Schenectady, NY30+ days ago

Full-time

Saratoga Springs, NY30+ days ago

Full-time

Mechanicville, NY30+ days ago

Full-time

Cohoes, NY30+ days ago

Full-time

Ballston Spa, NY30+ days ago

Full-time

Chatham, NY9 days ago

Collaborate with cross-functional teams, including underwriters, claims processors, and customer support, to provide a seamless customer experience and expediate policy issuance and claims processes . Generate and follow up on leads to meet consistently meet or exceed sales targets, as well as other performance metrics such as sales revenue, conversion rates, and policy renewals.

Albany, NY30+ days ago

$42,000–$42,000 Per Hour

ResponsibilitiesSupport the New York State Department of Health Medicaid Management Information System (MMIS) program by providing customer service via telephone and internet. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.

Albany, NY8 days ago

Experience serving as a Test/QA Lead, including leading QA teams, collaborating with business analysts and technical/business subject matter experts, and applying QA best practices throughout the testing lifecycle. Experience with automated functional testing, including the use of automation tools and processes for transitioning manual test cases into automated test scenarios.

Albany, NY8 days ago

Experience facilitating communication throughout the Software Development Life Cycle (SDLC), including coordination between vendors, stakeholders, and internal staff. Experience planning and managing web-based applications, service-oriented architecture (SOA) systems, and infrastructure upgrade initiatives.

Albany, NY30+ days ago

$17.59–$21.80 Per Hour

This is a phone based position to register patients, schedule appointments and surgeries, verifies demographic, clinical, financial, and insurance information during the (pre)-registration process, accepts point of service payments or provides guidance for payment options, and clears the patient for service delivery. + Knowledge of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid, Social Security Disability, Champus, and Supplemental Security Income Disability), managed care contracts and coordination of benefits is preferred.

Coxsackie, NY30+ days ago

Remote

With more than 500 dedicated employees and state-of-the-art facilities, Empire Merchants North has become synonymous with both service and quality and has earned the loyalty of more than 9,000 area restaurants, bars, hotels, nightclubs, and retail outlets. Responsible for analyzing purchasing data, reviewing forecasting, order planning, purchasing, recordkeeping, item and cost maintenance, and order tracking for all brands and items of their assigned vendors.

Troy, NY17 days ago

Remote

$65,000–$70,000 Per Year

Our representatives meet remotely with individuals who have signed up to receive supplemental benefits that help protect their families beyond what their employer covers. Flexible work schedule with the ability to work from home (Our offices are open if you work more efficiently in an office setting).

Albany, NY30+ days ago

Remote

$117,600–$161,700 Per Year

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Works with the Test Lead to develop plans of action for testing new technology products, including identifying areas to be tested and designing targeted test strategies.

Clifton Park, New York30+ days ago

$52,000–$80,000

Skinkle Construction Group is a trusted leader in property restoration across the Capitol Region, specializing in residential and commercial recovery from water, fire, and storm damage. As we continue to grow, we’re seeking a seasoned Project Manager to lead restoration projects with precision, integrity, and a customer-first mindset.

Clifton Park, New York30+ days ago

$52,000–$80,000

Albany17 days ago

Employee

We perform at the highest level for our customers every day, and strive to be an exceptional leader in our industry with our teams of cargo, passenger, ramp handling, and technical service experts in 164 airport locations, 18 countries, and on 5 continents. About WFSJoin our Worldwide Flight Services family and contribute to the timely delivery of cargo shipment, luggage, business to customer delivery, and on-time flights while operating safely and securely.

Albany, NY30+ days ago

Remote

$65,000–$88,600 Per Year

Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Albany, NY30+ days ago

Remote

$78,400–$107,800 Per Year

The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Albany, NY30+ days ago

Pursues, researches, tracks and follows up on information regarding claim benefits, eligibility and all other aspects of business: •Acts as frontline contact for company, identifies potential problems and inconsistencies and corrects to prevent ongoing or future problems; recommends and forwards to Sr Service Representative and/or Management for review. Provides quality customer service in a high volume contact center to include providing complete, accurate and timely responses to inquires from subscribers, members, providers, internal and external customers; Adjusts claims.

Albany, NY30+ days ago

Communicate effectively with physicians and pharmacy network providers to ensure that the needs of the provider and plan member are addressed in a courteous, helpful and timely manner. This role involves a high volume of daily contacts with members, physicians, and pharmacies to address medication-related issues, promote adherence, and ensure appropriate medication utilization.

Lexington, NY30+ days ago

$85,000–$200,000 Per Year

Ankura Consulting Group, LLC is an independent global expert services and advisory firm that delivers services and end-to-end solutions to help clients at critical inflection points related to conflict, crisis, performance, risk, strategy, and transformation. Associates use their experience and knowledge related in coding, revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others.

Coxsackie, NY30+ days ago

Remote

New!

Troy, NYToday

Remote

Full-time

Clifton Park, NY30+ days ago

Remote

Full-time

Take the next step in your career and make a meaningful impact on families while enjoying personal and financial growth. We seek effective communicators who are ambitious, organized, and thrive in a collaborative environment.

Albany, NY30+ days ago

$165,000–$180,000 Per Year

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

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Claims Processor Jobs in Delmar, NY

Jobs

Medical Director - Claims ManagementHumana

Independent Insurance Claims Adjuster in Delmar, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Hudson, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Gloversville, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Amsterdam, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Pittsfield, MassachusettsMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Clifton Park, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Latham, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Albany, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Rensselaer, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Schenectady, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Saratoga Springs, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Mechanicville, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Cohoes, New YorkMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Ballston Spa, New YorkMileHigh Adjusters Houston Inc

Commercial Sales RepresentativeMetzWood Insurance

Customer Support RepsSystem One

QA Tester 8+ years EXPACS Consultancy Services

Business Systems Analyst & Project Coordinator –13+ YearsACS Consultancy Services

Patient Access - Surgical Office - AlbanyMasco Corporation

Purchasing Agent / AnalystEmpire Merchants North

Remote Customer Service/Sales RepresentativeAgent Alliance

Medicaid State Technology LeadHumana

Construction Project ManagerSkinkle Construction Group, Inc.

Restoration Project ManagerSkinkle Construction Group, Inc.

Agent Passenger ServicesWorldwide Flight Services

Encounter Data Management ProfessionalHumana

Manager, Fraud and WasteHumana

Service Rep Member / OPEIUHighmark Health

Pharmacy Coordinator SeniorHighmark Health

Certified Risk Adjustment Coder (CRC), Senior AssociateAnkura

Purchasing Agent / Analyst - Coxsackie, NYEmpire Merchants North

Remote Customer Service/Sales RepresentativeAgent Alliance Inc.

Sales Representative (remote work)Agent Alliance Inc.

Managing Director, , Actuarial ServicesEvolent

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