Prior Authorization Specialist Actalent IncPrior Authorization SpecialistHamburg, NJ$18–$21 / hourThe Prior Authorization Specialist supports both front-office and clinical workflows, ensuring patients feel welcomed, informed, and efficiently guided through their visits. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Claims Examiner Workers Compensation I NY experience required Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I NY experience requiredNY$60,234–$90,000 / yearTo analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
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.
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 DamageNJ$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.
Customs Specialist C.H. Robinson Worldwide, Inc.Customs SpecialistIselin, NJ$21.76–$45.96 / hourIn this role, you will serve as a trusted customs expert, managing complex exceptions, government agency examinations, and high-impact shipment issues while delivering exceptional service and operational excellence. Your individual base pay within this range is determined by work location, which takes into account geographic cost of labor, and additional factors, including job-related skills, experience, and relevant education or training.
Client Support Specialist-Claims Raphael and AssociatesClient Support Specialist-ClaimsRutherford, NJThe Opportunity 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. While 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.
Sales Support Representative ( Hme) AdaptHealthSales Support Representative ( Hme)Bronx, NY$18–$21 / hourIncreases referral volume from facility by promotion within business lines and cross selling among business lines through solicitation/facilitation of referral orders from referral sources. Acts as a resource for referral source staff regarding Medicare, Medicaid and private insurance documentation and reimbursement guidelines related to equipment and services.
NewClaims Adjuster Sompo International Holdings LimitedClaims AdjusterNew York City, NY$75,000–$115,000 / yearBelow 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. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents.
Claims Adjuster Sompo InternationalClaims AdjusterMorristown, NJ$75,000–$115,000 / yearBelow 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. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents.
Complex Claims Manager Airbnb IncComplex Claims ManagerNYRemote$100,000–$115,000 / yearPhilosophy will be to identify intelligence / risk gaps and work with other internal risk management teams (such as Trust team, and Safety team), third party adjusters, our partners, Platform Product Management, Global Crisis Management, Community support, Policy, Privacy Legal teams to strengthen Airbnb's platform. The Difference You Will Make: As a Complex Claims Manager in the Complex Claims, you will play a vital role in safeguarding the integrity of our Aircover platform by effectively identifying, investigating, and managing the risk and mitigation strategies in resolution of Complex and Large Loss claims.
Complex Claim Director, Employment Practices Liability American International Group Inc (AIG)Complex Claim Director, Employment Practices LiabilityNew York, NY$120,000–$132,000 / 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. You will be responsible for handling all aspects of complex Employment Practice Liability claims, with opportunity to handle Directors & Officers Lability, from inception through conclusion brought against privately held and not-for-profit insureds.
Complex Claim Director - Employment Practices Liability American International GroupComplex Claim Director - Employment Practices LiabilityNew York, NY$120,000–$150,000 / 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. You will be responsible for handling all aspects of complex Employment Practice Liability claims, with opportunity to handle Directors & Officers Lability, from inception through conclusion brought against privately held and not-for-profit insureds.
Head of Insights & Analytics – Claims Axis Capital HoldingsHead of Insights & Analytics – ClaimsNew York, NY$175,000–$200,000 / yearThis role is accountable for translating Claims priorities into impactful data products, analytics solutions and AI-enabled capabilities that improve claims outcomes, operational efficiency, customer service, leakage management, reserving effectiveness and operational performance. The role combines business partnership, people leadership and delivery accountability, ensuring that AXIS continues to evolve its use of analytics and AI to drive better claims outcomes and operational excellence.
Head Of Insights & Analytics - Claims Axis Capital Holdings LTDHead Of Insights & Analytics - ClaimsRed Bank, NJ$175,000–$200,000 / yearThis role is accountable for translating Claims priorities into impactful data products, analytics solutions and AI-enabled capabilities that improve claims outcomes, operational efficiency, customer service, leakage management, reserving effectiveness and operational performance. The role combines business partnership, people leadership and delivery accountability, ensuring that AXIS continues to evolve its use of analytics and AI to drive better claims outcomes and operational excellence.
Head of Insights & Analytics - Claims AXIS Capital Holdings LtdHead of Insights & Analytics - ClaimsNew York, NY$175,000–$200,000 / yearThis role is accountable for translating Claims priorities into impactful data products, analytics solutions and AI-enabled capabilities that improve claims outcomes, operational efficiency, customer service, leakage management, reserving effectiveness and operational performance. The role combines business partnership, people leadership and delivery accountability, ensuring that AXIS continues to evolve its use of analytics and AI to drive better claims outcomes and operational excellence.
Actuarial Analyst, P&C Pricing Skyward Specialty Insurance Group IncActuarial Analyst, P&C PricingNYRemote$85,000–$125,000 / yearThe Actuarial Analyst works closely with underwriting, claims, and other business partners while building familiarity with company operations, systems, and actuarial methodologies. Compile rate, retention, and other performance metrics; summarize results and support the communication of data-driven insights to business partners and management.
NewSenior Subrogation Specialist ExlService Holdings IncSenior Subrogation SpecialistNY$50,000–$52,000 / yearFinal offers are based on several factors, including: the candidate''s skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. Collaborate with internal and external stakeholders, including policyholders, legal professionals, and other insurance carriers, to gather essential information and documentation.
Contracts and Claims Specialist Luster NationalContracts and Claims SpecialistNew York, NY$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.
Remote Claims Representative - 609986 Metro Public AdjustmentRemote Claims Representative - 609986New Brunswick, NJRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.