Complex Claims Specialist - Remote Selective Insurance Group IncComplex Claims Specialist - RemoteNYRemote$124,000–$160,000 / yearReviews policy coverage analyzes claim facts, coordinates with insureds, brokers/agents, consultants, legal counsel, and remediation experts, and supports timely, accurate claim resolution in accordance with policy terms, regulatory requirements, and internal claims practices. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year.
Auto Claims Specialist Revecore TechnologiesAuto Claims SpecialistNYMust reside in the United States within one of the states listed below: Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, and West Virginia. As an Auto Claims Specialist at Revecore, you will make high-volume, outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies, on behalf of our clients (hospitals and medical providers).
Avp, Claims Quality Assurance & Performance Management Argo Group International Holdings Ltd.Avp, Claims Quality Assurance & Performance ManagementNew York, NY$137,496–$189,516 / yearQualifications / Experience Required: A specialized knowledge of managing Quality Assurance programs typically achieved through: Bachelor's degree required; JD, advanced degree, CPCU, AIC, SCLA, Six Sigma/Lean, PMP, Prosci, Guidewire certification, or similar insurance, claims, audit, process improvement, project management, or change management credential preferred. In addition, the role will expand QA output into a broader claims performance management capability by linking QA findings to Guidewire data, KPI trends, process assessment analytics, adjuster and manager performance evaluation, and senior leadership reporting across Argo's claims organization.
AVP, Claims Quality Assurance & Performance Management Argo Group International Holdings IncAVP, Claims Quality Assurance & Performance ManagementNew York City, NY$137,496–$189,516 / yearQualifications / Experience Required: A specialized knowledge of managing Quality Assurance programs typically achieved through: Bachelor's degree required; JD, advanced degree, CPCU, AIC, SCLA, Six Sigma/Lean, PMP, Prosci, Guidewire certification, or similar insurance, claims, audit, process improvement, project management, or change management credential preferred. In addition, the role will expand QA output into a broader claims performance management capability by linking QA findings to Guidewire data, KPI trends, process assessment analytics, adjuster and manager performance evaluation, and senior leadership reporting across Argo's claims organization.
Claims Examiner - Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner - Bodily InjuryNY$80,000–$85,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageNY$50,000–$55,000 / yearProcesses auto and general liability property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryNJEducation & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws. Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
Client Support Specialist-Claims Raphael and AssociatesClient Support Specialist-ClaimsRutherford, NJFull timeWhile the work we do as a claims organization is complex, our mission is clear: to deliver outstanding service, attract and retain top-tier professionals, and leverage industry-leading technology to drive results. We are seeking a motivated and detail-oriented Client Support Specialist who is responsible for the timely and accurate set up of new insurance claims and provides administrative support to the Claims Department.
Implementation Analytics Fall Intern - Claims Monitoring & Automation (Part Time) Capital Rx, Inc.Implementation Analytics Fall Intern - Claims Monitoring & Automation (Part Time)New York, NY$20–$40 / hourBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. This role will work closely with the Implementation team to analyze claims data, identify trends and outliers, and help develop automated processes that improve post-go-live monitoring and reduce manual review efforts.
NewSupervising Claims Fraud Investigator Metropolitan Transportation AuthoritySupervising Claims Fraud InvestigatorBrooklyn, NY$83,036–$103,796 / yearThe Metropolitan Transportation Authority is North America's largest transportation network, serving a population of 15.3 million people across a 5,000-square-mile travel area surrounding New York City, Long Island, southeastern New York State, and Connecticut. Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the "Commission").
Claims Consultant - Advertising / Personal Injury CNA Financial CorpClaims Consultant - Advertising / Personal InjuryMelville, NY$72,000–$141,000 / yearIndividual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.
Claims Representative Subrogation Plymouth Rock Management Company of New JerseyClaims Representative SubrogationParsippany, NJ$52,000–$75,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Responsibilities: Liability Assessments: Analyze investigations to make liability assessments, including reviewing first and third-party statements, witness testimonies, scene photos, and other relevant data.
General Liability Claims Manager CNA Financial CorpGeneral Liability Claims ManagerMelville, NY$72,000–$141,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Oversees the work activities of a team of claims professionals and has full management responsibility by setting and communicating expectations, providing direction and coaching, facilitating training and development, managing employee performance, and contributing to employee engagement. Builds and maintains collaborative relationships with internal and external work partners by participating in round table discussions, working with claims operations and coverage resources, providing insights to underwriters, partnering with SIU and Recovery Services and interacting with external customers, brokers and vendors as appropriate.
Claims Operations Analyst Sompo InternationalClaims Operations AnalystPurchase, NY$55,000–$62,000 / yearWorking closely with Claims Professionals and business partners, the team helps ensure accurate claim administration, operational efficiency, and exceptional service to internal and external stakeholders. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
Claims Operations Analyst Sompo International Holdings LimitedClaims Operations AnalystPurchase, NY$55,000–$62,000 / yearWorking closely with Claims Professionals and business partners, the team helps ensure accurate claim administration, operational efficiency, and exceptional service to internal and external stakeholders. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
Emergency Restoration Outside Sales Specialist A GRADE Property RestorationEmergency Restoration Outside Sales SpecialistNorwalk, CT$800–$1,500 / weekFull timeIf you are someone who thrives in the field, takes initiative, refuses to wait for opportunities to come to you, is self-confident yet approachable and can earn people's trust quickly in a high-stress situation we would like to meet you. At A GRADE Property Restoration , we help homeowners and businesses within Northern/Central NJ and tri-state areas recover after devastating fire, water, storm, and other property losses.
Claims Specialist, Cyber AXA SAClaims Specialist, CyberNew York, NY$83,500–$145,500 / yearCoordinating and managing communication with internal colleagues and key external stakeholders (e.g., clients, brokers, reinsurers, vendors, etc.) ensuring we are providing the highest level of customer service Responsive claims management in direct coordination with a diverse team of specialists: computer forensics, data breach notification and call center services, credit and ID monitoring, public relations and expert legal counsel. Managing assigned complex Cyber and Technology claims across multiple jurisdictions, setting the case strategy for these claims in partnership with the Cyber Practice Leader and Claims Management, and taking all available steps to achieve the optimal outcome.
SIU Investigator - NY Labor Law Allied UniversalSIU Investigator - NY Labor LawManhattan, New York$32–$40 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
SIU Investigator Allied UniversalSIU InvestigatorEdison, New Jersey$27–$32 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Contracts and Claims Specialist Luster NationalContracts and Claims SpecialistWashington, New York$90,000–$155,000 / hourWe’re seeking Contracts and Claims Specialists of various skill levels to support large, complex heavy civil infrastructure programs, including highways, roads, bridges, transit (bus and rail), aviation (international airports), and water/wastewater projects delivered through both traditional and alternative delivery methods. Luster provides the salary range that the company in good faith believes it might offer for this position based on the successful candidate’s level and years of experience, knowledge, skills, abilities, education, certifications, licenses, geographic location, etc.