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.
Claim Admin-Prgm Analyst DFJ CareersClaim Admin-Prgm AnalystLittle Ferry, New JerseyThis includes reviewing maintenance transactions and invoices, checking incoming claims for completeness and accuracy, identifying missing or inconsistent information, preparing documentation for invoice payment, and maintaining KPIs. PRINCIPAL DUTIES/RESPONSIBILITIES (ESSENTIAL FUNCTIONS) : Review all incoming claims for completeness and accuracy, identify missing or inconsistent information, and coordinate with internal teams or external service providers to obtain required documentation and resolve discrepancies.
Principal Product Manager, Data and Recommendations Vidmob IncPrincipal Product Manager, Data and RecommendationsNew York, NY$210,000–$240,000 / yearAs the leader in creative data, Vidmob's influence lies in its partnerships and integrations across the digital ad ecosystem, its dozens of proprietary models, and in operating the industry's most robustly instrumented human-reinforcement learning model for creativity. Its scoring software and analytics have become an essential ingredient in the creative and media decisions of the world's largest marketers and agencies, as they strive to drive business results through improved creative effectiveness.
Category Manager Extend (US)Category ManagerNY$125,000–$140,000 / yearOur comprehensive platform offers automated customer service handling, seamless returns/exchange management, end-to-end automated fulfillment, and product protection and shipping protection alongside Extend''s best-in-class fraud detection. Today, Extend works with more than 1,000 leading merchant partners across industries, including fashion/apparel, cosmetics, furniture, jewelry, consumer electronics, auto parts, sports and fitness, and much more.
Staff Product Manager, SaaS platform Vidmob IncStaff Product Manager, SaaS platformNew York, NY$195,000–$215,000 / yearAs the leader in creative data, Vidmob's influence lies in its partnerships and integrations across the digital ad ecosystem, its dozens of proprietary models, and in operating the industry's most robustly instrumented human-reinforcement learning model for creativity. Its scoring software and analytics have become an essential ingredient in the creative and media decisions of the world's largest marketers and agencies, as they strive to drive business results through improved creative effectiveness.
Patient Account Representative Catholic HealthPatient Account RepresentativeMelville, New York$24–$30 / hourJob Details: Under the direction of the Hospital RRC Supervisor/ Manager, the Hospital Patient Financial Services (PFS) Representative is responsible to review all assigned third-party and/ or patient accounts, ensure that responsible payers are billed and remit payment in a timely manner, and to document account/ claim status and actions appropriately in the patient accounting system(s). Performs those actions such as initiating phone calls, submitting website inquiries, writing letters of appeal to payers and inquiries to patients, recommend write offs and adjustments, ensures that account balances are valued as per payers’ contracts, all in accordance with department policies and procedures.
NewCase Manager JobotCase ManagerManhasset, NY$80,000–$95,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The firm handles a wide range of complex cases involving negligence, catastrophic injuries, product liability, defective drugs and medical devices, and other consumer-related claims.
Claims Program Manager - Spinnaker Hippo Holdings IncClaims Program Manager - SpinnakerMorristown, NJ$120,000–$150,250 / yearHippo treats its team members with the same level of dedication and care as we do our customers, which is why we're fortunate to provide all of our Hippos with: Healthy Hippos Benefits - Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. Exact compensation may vary based on several job-related factors that are unique to each candidate, including but not limited to: skill set, experience, education/training, location, business needs and market demands.
Manager, Claims Litigation Management - Morristown, NJ or Remote Crum & ForsterManager, Claims Litigation Management - Morristown, NJ or RemoteMORRISTOWN, New JerseyRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
Manager, Claims Litigation Management Morristown, NJ or Remote Crum & Forster Holdings Corp.Manager, Claims Litigation Management Morristown, NJ or RemoteMorristown, NJRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
NewClaims Operations Manager Sirius International Insurance Group, Ltd.Claims Operations ManagerNew York City, NY$120,000–$135,000 / yearThe successful candidate will work closely with Global Head of Claims Operations, Claims leadership, claims handlers, underwriting, finance, actuarial, compliance, legal, IT and external service providers to deliver high-quality operational support across claims management, governance, reporting and transformation activities. Data and systems support: Help maintain data quality across claims platforms, reporting tools and workflow systems, supporting system enhancements, user acceptance testing and operational change delivery.
Data Exchange Manager - Claims Operations Capital Rx LLCData Exchange Manager - Claims OperationsNew York, NY$150,800–$188,500 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. The role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution.
Staff Product Manager, Claims Experience Coalition IncStaff Product Manager, Claims ExperienceNYAs a Staff Product Manager for our Claims Experience, you will own the systems and workflows at the heart of that promise: making our claims handling faster, smarter, and more effective for the internal teams who run it and the brokers and policyholders who depend on it. Develop and maintain a clear product strategy and roadmap for Coalition''s claims experience, with a strong emphasis on operational efficiency spanning workflow tools, automation, ML-powered insights, and customer-facing experiences.
Revenue Operations & Clean Claim Manager Zynex Medical IncRevenue Operations & Clean Claim ManagerNew York, NY$85,000–$95,000 / yearThe Revenue Operations & Clean Claim Manager leads post-delivery claim creation, validation, submission readiness, correction, rejection management, billing quality, and clean-claim performance within the Revenue Integrity & Financial Reconciliation department. The role is accountable for ensuring claims are complete, accurate, compliant, timely, and supported before submission or resubmission.
Senior Claims Adjuster, TPA Oversight Fortegra FinancialSenior Claims Adjuster, TPA OversightIselin, NJ$100,000–$130,000 / yearThe Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.
Senior Claims Adjuster, Specialty Fortegra FinancialSenior Claims Adjuster, SpecialtyIselin, NJ$90,000–$150,000 / yearAs a direct report to the Manager of Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within Commercial Auto and General Liability lines of business. Primary Job Functions: Direct management of general liability claims with potential for significant severity and complexity.
NewA&H Claims Specialist Sirius International Insurance Group, Ltd.A&H Claims SpecialistNew York City, NY$110,000–$125,000 / yearThe Claims Specialist will interact frequently with brokers and clients, evaluate claim notices, and approve authorizations and financial transactions on behalf of SiriusPoint. In this capacity, you will handle claims emanating from the A&H Direct and Reinsurance books, including core MGA's and developing claim strategies to drive the best possible results.
LTD Claims Consultant The Guardian Life Insurance Company of AmericaLTD Claims ConsultantNYRemote$58,620–$96,300 / yearThis preliminary screening may be used to help identify applicant materials and resumes relative to their indication that the applicant meets the requirements for the specific job for which they are applying, as specified in the listing posted on Guardian's jobs website (Careers at Guardian at https://www.guardianlife.com/careers If you would like to request an alternative process that does not utilize AI Tools or would like to request a reasonable accommodation, within ten business days of your position application, you must email your request to MyHR@glic.com, making sure to provide your name and job requisition identification number.
Remote 24-MAGRemoteNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in medical billing, claims submission, payer billing requirements, clearinghouse workflows, billing compliance, claim edits, electronic transactions, and revenue cycle operations. Selected professionals will apply billing and claims expertise to evaluate AI-generated billing outputs, review claim edits and payer requirements, identify compliance or submission issues, and provide structured feedback based on detailed project criteria.
Manager, Commercial Planning (New York, New York) The Athletic Media CompanyManager, Commercial Planning (New York, New York)New York, NY$130,000–$140,000 / yearThe Athletic's newsroom of 500+ full-time staff delivers in-depth coverage of hundreds of professional and college teams across more than 47 North American markets and all 20 football clubs in the English Premier League, as well as many Championship clubs. This is a high-visibility role that sits at the intersection of business development, strategy, deal-making, and operational rigor; it is a hybrid role based in New York City, reporting into a Vice President of Advertising Finance.