Claims Examiner | No Fault- PIP | Lit Required | New York Sedgwick Claims Management Services, Inc.Claims Examiner | No Fault- PIP | Lit Required | New YorkNew York, NY$75,000–$85,000 / yearPRIMARY PURPOSE OF THE ROLE: Investigates, negotiates, and resolves personal injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions, best practices, and jurisdictional requirements. Investigates loss details, evaluates, negotiates, and resolves claims within appropriate authority guidelines; maintains a high level of productivity, confidentiality, and customer service.
Senior Technical Claims Specialist Argo Group International Holdings IncSenior Technical Claims SpecialistNew York City, NY$173,706–$208,386 / yearEssential Responsibilities: Working with limited oversight under broad management direction, adjudicate highly complex claims and insurance coverage disputes mostly for our professional liability line of business, at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination in liability and litigated claims, potentially with major impact on departmental results. Qualifications / Experience Required: A deep knowledge of claims adjudication and focus on customer service typically achieved through: At least seven years' experience handling insurance coverage issues and disputes, with exposure of $100,000 or more, for Professional Liability claims.
Surveillance Investigator Allied UniversalSurveillance InvestigatorMelville, New York$25–$28 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Surveillance Investigator - Bronx Allied UniversalSurveillance Investigator - BronxThe Bronx, New York$25–$28 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Surveillance Investigator - Brooklyn Allied UniversalSurveillance Investigator - BrooklynBrooklyn, New York$25–$28 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Surveillance Investigator - Staten Island Allied UniversalSurveillance Investigator - Staten IslandStaten Island, New York$25–$28 / hourFull timeThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Senior Claims Account Manager Argo Group International Holdings Ltd.Senior Claims Account ManagerNew York, NY$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
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.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNY$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Director, Value Engineering - Financial Services CelonisDirector, Value Engineering - Financial ServicesNew York, NY$195,000–$265,000 / yearYou will lead a diverse organization-ranging from strategic Industry Partners to technical execution teams-to translate high-level institutional goals (e.g., Capital Efficiency, Operational Resilience, Combined Ratio optimization) into realized P&L impact. Translate Institutional Strategy: Partner with C-Level executives (COO, CIO, Heads of Lines of Business) to map bank and carrier strategic goals across Banking and Insurance -such as T+1 Settlement Readiness, Regulatory Compliance, or Claims Modernization-to specific Celonis capabilities.
NewService Writer/Parts Specialist Paul's Auto Restorations of NY IncService Writer/Parts SpecialistDeer Park, NYFull timePauls Auto Restoration of NY Inc. is one of the Northeast's premier classic car, muscle car and custom 4x4 restoration facilities, specializing in high-end restorations, resto-mods and specialty vehicle builds. This role supports our technicians, customers, and restoration projects by managing customer service, job documentation, parts sourcing and insurance claim coordination.
Senior Associate, Claims & Risk Management HelloFresh SESenior Associate, Claims & Risk ManagementNew York, NY$79,538–$94,999 / yearYou'll gain broader exposure across multiple areas of risk management while helping identify trends, improve claims outcomes, support risk mitigation, and contribute to the overall risk strategy of a growing organization. Build, maintain, and validate claims dashboards and reports; analyze loss data to identify trends, emerging risks, and recurring root causes, and partner with internal stakeholders on action plans.
NewContracts 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.
AVP Claims, Financial Lines / FI & Public D&O CNA Financial CorpAVP Claims, Financial Lines / FI & Public D&ONew York, NY$152,000–$242,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Leads the Public Company Management Liability and Financial Institutions Claims team with full accountability for implementing strategic objectives to ensure the effective and efficient delivery of claims services and achievement of short-term business results for area(s) of responsibility. Provides leadership and direction and has full management accountability for all members of the team with an emphasis on developing both technical and leadership skills, maximizing employee engagement and succession planning in accordance with the company's talent management programs.
Customer Service Representative - State Farm Agent Team Member Jim Bryan - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberTarrytown, NYFull timeAs a Customer Service Representative - State Farm Agent Team Member with Jim Bryan - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Working here means being part of a supportive, close-knit group that values communication, teamwork, growth, and professional development — all while making a real impact in people’s lives every day.
Senior Claims Representative Bodily Injury Independent Agent Channel Plymouth Rock Management Company of New JerseySenior Claims Representative Bodily Injury Independent Agent ChannelParsippany, NJ$88,000–$112,000 / yearConduct field investigations, interviews with insureds, witnesses and claimants while maintaining a pending of represented and unrepresented claimant cases. Professional designation such as IIA, AEI, Senior Claim Law Associate (SCLA) or Chartered Property Casualty Underwriting (CPCU) or be actively working towards a designation, preferred.
Denials Representative -Full-Time Holy Name Medical CenterDenials Representative -Full-TimeHackensack, NJ$22–$25.30 / hourFull timeHoly Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. This position collaborates with internal departments and insurance payers to resolve claim issues, identify denial trends, and support process improvements that strengthen the hospital's revenue cycle.
Customer Service Representative - State Farm Agent Team Member Nadeem Moustafa - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberQueens Village, NYFull timeAs a Customer Service Representative - State Farm Agent Team Member with Nadeem Moustafa - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
General Adjuster W. R. Berkley CorpGeneral AdjusterNew York, NY$100,000–$180,000 / yearCollaborative, you will coordinate with lead adjusters and managers on pending claim files requiring additional investigation and confirming coverage on our largest claims; you will also actively participate on CAT duty when needed and assist in overseeing the contractor referral program including re-inspections and quality reviews. What makes you stand out: Residency in or near Long Island, Northern NJ, NYC, Westchester County, Fairfield County, Litchfield County or CT is strongly preferred and will support territory success.
Customer Service Representative - State Farm Agent Team Member Frank Petronella - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberHasbrouck Heights, NJFull timeAs a Customer Service Representative - State Farm Agent Team Member with Frank Petronella - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. We also believe in creating a rewarding workplace by offering PTO, health benefits, a Simple IRA, licensing reimbursement, team outings, bonus opportunities, and even the chance to earn early Fridays based on performance.