Senior Claims Representative - 11717 Metro Public AdjustmentSenior Claims Representative - 11717Edison, NJIf 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.
Programs Claims Associate North America Axis Capital Holdings LTDPrograms Claims Associate North AmericaRed Bank, NJ$65,000–$95,000 / yearKEY SKILLS & ABILITIES: Bachelor's degree or 3+ years of equivalent claims handling/underwriting experience in lieu of degreeClaims adjuster license highly preferredExperience or exposure to handling commercial Programs claims on behalf of a syndicate, insurance company, broker, loss adjuster or solicitor preferredExcellent multi-tasking and time management skills are requiredExcellent written and verbal communication skills, to liaise with numerous customers, both internal and externalIntermediate to Advanced experience with Excel, Word and PowerPoint preferableExperience with OneNote and Office Products including Outlook highly desiredAbility to successfully work in hybrid and self-directed work environment. Additional responsibilities for this role include validation of indemnity and fee payments, ensuring these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting, Axis Culture and Values - everyday demonstrate the Axis behaviors that support and align with AXIS values: People, Decisiveness, Excellence and Stronger Together.
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.
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 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.
NewClaims Representative, Auto | PIP Sedgwick Claims Management Services, Inc.Claims Representative, Auto | PIPNY$55,000–$60,000 / yearSkills: knowledge of medical terminology and appropriate application of deductibles and limits, familiarity with Bodily Injury (BI)/Casualty adjusting, oral and written communication skills, PC literate, including Microsoft Office products, and organizational skills required. PRIMARY PURPOSE OF THE ROLE: To evaluate auto claims involving injured parties and manage first party medical treatment to determine eligibility under a personal injury protection and/or medical payment benefits.
Claims Manager, SDI AXA SAClaims Manager, SDINew York, NY$139,300–$219,300 / yearClaims Manager - SDI Chicago, IL | Hartford, CT | Exton, PA | New York, NY | Morristown, NJ| Boston, MA | USA As the SDI Claims Manager, you will play a pivotal role in leading a team that handles high-exposure Subcontractor Default Insurance (SDI) claims for some of the largest construction contractors in the industry. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
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.
Claims Specialist - Life Global Claims General Re CorporationClaims Specialist - Life Global ClaimsStamford, CTMay participate in client / TPA due diligence activities such as supporting audit activity, identifying emerging trends and themes not only in the client's inventory but within the industry; supporting manager with industry gleaned best practices via building and delivering customer specific training programs and seminars; emphasizing and implementing technical solutions to business needs to achieve desired improvements when asked. Incumbent contributes to the accurate and efficient adjudication of claims by supporting the department and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, state/federal regulations and reinsurance treaties in effect.
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.
Surveillance Investigator Allied UniversalSurveillance InvestigatorEdison, New Jersey$20–$23 / 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 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.
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.
Senior Claims Account Manager Argo Group International Holdings IncSenior Claims Account ManagerNew York City, 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.
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.
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.
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.