Senior Manager - Data Analyst for Medical Health Claims ExlService Holdings IncSenior Manager - Data Analyst for Medical Health ClaimsNY$120,000–$125,000 / yearThe ideal candidate retrieves, organizes and performs research/analysis on Medical Health Claim data primarily to identify root cause and is a proactive thinker, self-starter, who enjoys working in a fast-paced and challenging environment with the ability to work independently. The Senior Data Analyst will support the business team in evaluating trends on utilization of products / services based on historical data - such as care management trends, claim utilization, member attributes, to develop cost effective quality product / services.
Claims Consultant - Surety (Hybrid) Onebeacon Professional Insurance IncClaims Consultant - Surety (Hybrid)Morristown, NJ$143,000–$167,000 / yearFor candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $143,000 - $167,000. Some of the Claim Consultant responsibilities include but are not limited to: Makes timely and appropriate contacts and completes appropriate level of investigation to make determination of coverage, liability and damages for very complex and specialized claims.
NewClaims Consultant - Surety (Hybrid) Intact InsuranceClaims Consultant - Surety (Hybrid)Morristown, NJ$143,000–$167,000 / yearFor candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $143,000 - $167,000. Some of the Claim Consultant responsibilities include but are not limited to: Makes timely and appropriate contacts and completes appropriate level of investigation to make determination of coverage, liability and damages for very complex and specialized claims.
Claims Specialist III, Auto & General Liability American International Group Inc (AIG)Claims Specialist III, Auto & General LiabilityJersey City, NJ$84,000–$101,000 / yearMaintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Analyze and process general liability property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans.
Claims Analyst Iv-Auto And GL American International GroupClaims Analyst Iv-Auto And GLJersey City, NJ$72,500–$96,700 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.
Claims Specialist Iii, Auto & General Liability American International GroupClaims Specialist Iii, Auto & General LiabilityJersey City, NJ$84,000–$101,000 / yearMaintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Analyze and process general liability property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans.
NewSenior Project Manager - Industrial Hygiene J.S. Held LLCSenior Project Manager - Industrial HygieneSummit, NJThis is a high-impact, entrepreneurial opportunity for an experienced consultant with deep technical expertise in industrial hygiene, occupational health, indoor environmental quality, and building sciences, combined with a proven ability to develop client relationships, drive business growth, and lead complex projects. Professional certifications such as CIH (Certified Industrial Hygienist), CSP (Certified Safety Professional), CHMM (Certified Hazardous Materials Manager), CAC (Certified Asbestos Consultant), LSRP (Licensed Site Remediation Professional - New Jersey), PG (Professional Geologist), or PE (Professional Engineer).
NewClaims Specialist AXIS Capital Holdings LtdClaims SpecialistRed Bank, NJ$85,000–$145,000 / yearWe encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in: Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed.
["Revenue Cycle Specialist","Revenue Cycle Specialist"] Henry J. Austin Health Center["Revenue Cycle Specialist","Revenue Cycle Specialist"]Trenton$48,500–$85,400 / yearProvider billing experience, preferably in an FQHC or similar setting (3-5 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. Responsibilities include organizingand prioritizing workflows, setting deadlines for finance department staff and external billing vendors, and providing analytical support to other departments on revenue cycle matters.
AI Model Engineer - Remote/Nationwide Signature Performance, Inc.AI Model Engineer - Remote/NationwideNewark, NJRemoteDocument architectural approaches, model behaviors, and best practices for internal knowledge growthMinimum Requirements:Education & Experience- Bachelor's or Master's degree in Computer Science, AI/ML, Engineering, Applied Mathematics, or related field (or equivalent experience).- 3--7+ years of hands-on experience designing, training, or deploying machine learning or deep learning models.- 2+ years of direct experience with large language models, transformer architectures, or agentic AI systems. In the role of AI Model Engineer, you will design, fine-tune, evaluate, and deploy large language models (LLMs), multimodal models, retrieval systems, and agentic frameworks that support high-volume medical coding, billing, claims processing, health insurance discovery, eligibility verification, customer service support, EDI ingestion, and enterprise automation.-
NewLong Term Disability Claims Specialist II MetLife IncLong Term Disability Claims Specialist IINY$41,600–$62,500 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. The Long-Term Disability Claims Specialist II is responsible for evaluating and managing long term disability claims, making timely and accurate claim decisions, and delivering a responsive and supportive customer experience that helps MetLife serve customers with care and confidence across the United States.
AMS Claims Support Specialist MetLife IncAMS Claims Support SpecialistNY$41,600–$80,169 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Sr. Claims Examiner Brown & Brown IncSr. Claims ExaminerNY$80,000–$100,000 / yearThe pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role. Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role.
Loss Mitigation Specialist PSFCU CareersLoss Mitigation SpecialistFairfield, New JerseyFacilitates sale of REO with real estate agents or direct buyers by arranging property viewings, negotiating purchase offers and assigning an authorized PSFCU attorney to arrange for the closing. Arranges for the payment of real estate taxes; hazard, liability or flood insurance; water/sewer charges; necessary utilities; homeowner association dues, required.
Director of Management & Professional Liability Claims Sirius International Insurance Group Ltd (Inactive)Director of Management & Professional Liability ClaimsNY$175,000–$185,000 / yearIn this capacity you will be responsible for all matters regarding the execution of Management and Professional Liability claims activities, settlement processing and investigation of reported claims in compliance with the terms of each individual insurance/reinsurance contract, business best practice, regulatory requirements and Company rules for SiriusPoint's North American MGA and Programs group. This role will contribute to our growing claims team by bringing technical acumen and experience to handling a wide variety of MGA and Programs who underwrite Management and Professional Liability portfolios.
Director - MGA & Program Claims Sirius International Insurance Group Ltd (Inactive)Director - MGA & Program ClaimsNY$150,000–$175,000 / yearYour responsibilities will include: Oversight of claim handling entities associated with Programs/MGAs to ensure authority is not breached, claims reporting is accurate and timely, coverage is appropriate, consumer and customer service is compliant, quality auditing program is in place and up to date, and general monitoring of reserving and loss exposures. Monitor risk arising from claims programs against agreed SiriusPoint risk appetite/tolerances; promptly escalating risk events/control failures and taking appropriate actions to report and assist claims leadership to address matters arising from these events.
Complex Claims Consultant - Epl, Private & NFP D&O CNA Financial Corp.Complex Claims Consultant - Epl, Private & NFP D&OWarren, NJ$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Major Litigation Unit Complex Claims Consultant CNA Financial Corp.Major Litigation Unit Complex Claims ConsultantWarren, NJ$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Complex Claims Consultant , Medical Malpractice And Dental CNA Financial Corp.Complex Claims Consultant , Medical Malpractice And DentalPrinceton, NJ$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Medical Malpractice CNA Financial Corp.Complex Claims Consultant - Medical MalpracticePrinceton, NJ$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.