The Rizzuto Law FirmNewClaims Attorney The Rizzuto Law FirmClaims AttorneyUniondale, NY$100,000–$150,000 / yearYou should have excellent credentials, a minimum of 3 years of successful personal injury litigation along with trial case experience, and an authentic passion for helping people. A minimum of 3 years of personal injury litigation or trial experience in medical malpractice, wrongful death, personal injury, or civil litigation practice areas is necessary.
Gables Search GroupNewNational Director of Logistics Gables Search GroupNational Director of LogisticsWhitestone, NY$175,000–$200,000Lead the development and implementation of systems and technology that enhance efficiency, improve transparency, and support enterprise-wide supply chain excellence. • Regularly evaluate vendor-delivered lanes to identify supply chain optimization opportunities.
Health and Welfare Council of Long IslandNewSenior Manager Technology and Data Strategy Health and Welfare Council of Long IslandSenior Manager Technology and Data StrategyHuntington Station, NY$110,000–$130,000 / yearThe Health Equity Alliance of Long Island (HEALI) is Long Island’s Social Care Network (SCN) of community-based organizations (CBOs) and healthcare providers building a person centric model that integrates healthcare, social care, and behavioral health care. Working regularly with clinical information systems, Qualified Entities (HIEs), Managed Care Organizations, Health Care Providers, and network partners, the Senior Manager will need to know the New York healthcare market, interoperability practices, and health policies regarding technology.
Beacon Hill Staffing Group, LLCSales Development Representative Beacon Hill Staffing Group, LLCSales Development RepresentativeNew York, NYRemote$20–$30 / hourFull timeLearn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com. Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries.
Progressive Spine and Orthopaedics LLCNewPersonal Injury Billing and Collections Representative Progressive Spine and Orthopaedics LLCPersonal Injury Billing and Collections RepresentativeClifton, NJAttorney & Lien Follow-Up: - Maintain consistent communication with attorney offices regarding open cases, lien status, settlement timelines, and payment updates. - Ensure accurate billing for injury-related services, including orthopedic, neuro spine, pain management, chiropractic, podiatry, and surgical services.
Amalgamated LifeNewExecutive Director, Claims Amalgamated LifeExecutive Director, ClaimsWhite Plains, NYThe Executive Director must directly manage the day-to-day Claims operations with direct oversight of Claims managers and their performance in meeting the needs of the departmental and company goals. Direct the day-to-day activities, tasks, and processes to ensure the efficient operation of the claims processing units and all related tasks to meet the claims payment TAT, accuracy and production goals, and objectives.
American International GroupMass Tort and Complex Casualty - Complex Claims Director American International GroupMass Tort and Complex Casualty - Complex Claims DirectorJersey City, NJ$96,000–$129,000 / yearYou’ll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment. As a seasoned industry professional, in this role you’ll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, as well as environmental and toxic tort claims.
Amalgamated LifeNewDirector, Claims Amalgamated LifeDirector, ClaimsWhite Plains, NYA Disability Claims Director oversees the process of reviewing and managing disability claims, ensuring compliance with applicable company policy, contract language and regulations by evaluating medical records, coordinating with providers, and communicating with claimants to determine eligibility for benefits. The Director reaches out to employers to verify if Claimant is working, appropriate return to work if Claimant is not working, and if possible light duty available.
American International Group Inc (AIG)Complex Claims Director, Excess American International Group Inc (AIG)Complex Claims Director, ExcessNew York, NY$105,000–$135,000 / year5+ years of Commercial/Industry claims experience preferred; Excellent communication ability (verbal/written) and strong negotiation skills; Advanced experience and capabilities in litigation claims management including ADR and mediation process; Experience attending and controlling claims - pre-suit, litigated and post-trial - at mediations, settlement conferences, etc. Our 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.
American International GroupComplex Claims Director, International Casualty American International GroupComplex Claims Director, International CasualtyNew York, NY$93,000–$130,000 / yearWe need Claims Adjusters to handle wrongful death auto claims in Europe, premises liability claims in Asia, oil fields losses in Latin America, and large product claims in the United States for our insured’s in Asia Pac. Our 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.
bdo consultingDirector, Forensics - Building Property Claims Recovery bdo consultingDirector, Forensics - Building Property Claims RecoveryNew York, NY$190,000–$269,000 / yearDocuments, reviews, and analyzes schedules, contracts, change orders, correspondence, daily reports, meeting minutes, monthly reports, and any additional documents related to the project/file . The annual allocation to the ESOP is fully funded by BDO through investments in company stock and grants employees the chance to grow their wealth over time as their shares vest and grow in value with the firm’s success, with no employee contributions.
Oscar HealthDirector, Claims Operations, Process Improvement Oscar HealthDirector, Claims Operations, Process ImprovementNew York City, NY$180,504–$236,911.50 / yearLead team to surface data, process, and technology issues through proactive identification, measurement, and monitoring of operations; partner cross functionally to develop end-to-end strategy that leverages these insights to scale. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week.
Turner Construction CoNewSenior Corporate Counsel - Director Complex Claims Turner Construction CoSenior Corporate Counsel - Director Complex ClaimsSaddle Brook, NJPosition Description: Lead, manage, and provide insurance coverage advice on high exposure complexconstruction claims, includingbut not limited to professional liability, construction defect, general liability, builders' risk, pollution liability, subcontractor default, payment and performance bonds, employment, wage and hour, and pollution claims from initial notice through claim closure, including subrogation and litigation domestically and globally. Essential Duties & Key Responsibilities: Manage specialty, complex, and high exposure insurable claims including but not limited to professional liability, construction defect, general liability, builders' risk, pollution liability, subcontractor default, payment and performance bonds, employment, wage and hour, and pollution claims.
Crum & ForsterDirector, Large Fleet and Sharing Economy Claims - Remote Crum & ForsterDirector, Large Fleet and Sharing Economy Claims - RemoteMORRISTOWN, New JerseyRemoteExperience handling or overseeing rideshare programs, large fleet, commercial transportation, and sharing economy insurance programs, with preferred experience in Third Party Administrator (TPA) oversight and management; may also be responsible for adding additional oversight to other TPA accounts as required. 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.
VNS HealthDirector, Claims System Configuration and Processing (Onsite 4 Days/Week) VNS HealthDirector, Claims System Configuration and Processing (Onsite 4 Days/Week)New York, New York$137,800–$183,800 / yearArchitects and validates claims system configurations to ensure full alignment with provider contracts, reimbursement methodologies, and benefit structures, minimizing financial leakage and ensuring contractual integrity. Provides executive oversight for system configuration, provider contract integrity, regulatory translation into system logic, claims dispute resolution, audit governance, cost avoidance initiatives, and operational service excellence.
RelatedNewConstruction Claims Manager, Risk Management RelatedConstruction Claims Manager, Risk ManagementNew York, New York$140,000–$150,000 / yearResponsibilities include but not limited to: As a member of the Risk Management Department, assist the Director, Construction Claims in the documentation and administration of internal and external claim related matters, includingCoordination with internal stakeholders on appropriate and timely reporting of incidents/claims; ensure all claims are reported to the appropriate insurer(s) and notice is provided to internal constituents as necessary; and verify timely TPA/insurer responses. Strong sense of integrity and ethics, values entrepreneurialism, demonstrates strong intellectual curiosity; always seeking new approaches and challenging the organization to new levels of success.
Diedre Moire Corp.Vice President Surety Diedre Moire Corp.Vice President SuretyHempstead, NY$200,000–$300,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: VP Vice President Executive Director Program Manager Product Manager Underwriter Underwriting Manager Team Leader Commercial Contract Surety #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. VP Vice President Executive Director Program Manager Product Manager Underwriter Underwriting Manager Team Leader Commercial Contract Surety _ .
Berkshire Hathaway GUARD Insurance CompaniesTrucking Claims Specialist Berkshire Hathaway GUARD Insurance CompaniesTrucking Claims SpecialistParsippany, NJ$105,000–$160,000 / yearOur companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! High-Cost Markets (e.g., New York City, Northern New Jersey, parts of California, Chicago) Estimated Base Salary Range: $105,000 - $160,000.
Aon CorporationSenior Claims Advocate, Financial Services Group Aon CorporationSenior Claims Advocate, Financial Services GroupNew York, New York$91,800–$114,800 / yearAs part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of our Financial Services Group Legal and Claims Practice Group. We are proud of the investment our firm has made in this valuable client resource and firmly believe Aon’s Legal and Claims Practice Group is a significant competitive advantage for our clients.
Spring HealthLead Product Manager, Claims and Eligibility Spring HealthLead Product Manager, Claims and EligibilityNew York City, NY$182,000–$242,880 / yearWe proudly partner with over 450 companies, from startups to multinational Fortune 500 corporations, as a leading provider of mental health service, providing care for 10 million people. We review all employee pay and compensation programs annually using Radford Global Compensation Databaseat minimum to ensure competitive and fair pay.
RLI Insurance CompanyComplex Claim Director-Personal Umbrella (Bodily Injury Liability/Auto/Premises, hybrid) RLI Insurance CompanyComplex Claim Director-Personal Umbrella (Bodily Injury Liability/Auto/Premises, hybrid)New York, NY$142,828–$208,171 / yearThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.
AXIS Capital Holdings LtdClaims Specialist - Management Liability AXIS Capital Holdings LtdClaims Specialist - Management Liabilitynew york, NY$73,000–$146,000 / 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.
CNA Financial CorpComplex Claims Consultant - Financial Lines/Public D&O CNA Financial CorpComplex Claims Consultant - Financial Lines/Public D&Otarrytown, NY$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex litigated 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.
Normann StaffingClaims Manager Normann StaffingClaims ManagerRye Brook, NY$70,000–$110,000 / yearManage auto estimating processes, auto service management, auto body repair coordination, water damage restoration assessments, mold remediation evaluations, construction inspection reports, and automotive repair claims. This position offers an engaging opportunity for professionals experienced in insurance claim management who are committed to excellence in customer service while ensuring regulatory compliance across diverse claim types including workers' compensation, automotive repairs, medical billing, and property restoration projects.
BerkleyAVP, Claims Manager BerkleyAVP, Claims ManagerJersey City, New Jersey$180,000–$220,000 / yearWe provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $180,000-$220,000 • Eligible to participate in annual discretionary bonus.
Arch Capital Group LtdClaim Director Arch Capital Group LtdClaim DirectorMorristown, NJ$145,700–$196,700 / yearCoordinate with Underwriters, business partners and outside vendors to schedule audits, determine file selections, conduct audits and prepare audit reports/summaries, oversee audits performed by vendors and communicate findings to internal stakeholders. The ideal candidate will have a strong coverage background and a high level of technical claim handling ability with experience in property, general casualty, excess casualty, specialty and professional lines, as well as an in-depth knowledge of reinsurance terms and concepts.
W. R. Berkley CorpVice President Claims Manager W. R. Berkley CorpVice President Claims ManagerStamford, CTResponsibilities The Vice President, Claims Manager plays a key leadership role within the reinsurance claims organization, overseeing a diverse portfolio of complex claims while guiding a small team of claims professionals. The role partners closely with underwriting, actuarial, legal, finance, and senior leadership to integrate claims insights into broader business strategies and strengthen cross‑functional decision‑making.
American International GroupHead of D&O, EPL and Fiduciary Claims American International GroupHead of D&O, EPL and Fiduciary ClaimsNew York, NY$240,000–$310,000 / yearDevelop, position, market, and deliver superior claims services and capabilities in a manner that effectively leverages AIG’s strengths as a competitive differential in the marketplace; Use expertise to enhance the client experience, resolve claim issues for clients, and provide support to underwriting and distribution to drive and retain business; Drive strategic support and value by managing the cost of claims through improved claims handling processes, data usage, innovation, and technology solutions. This Head of Financial Lines Claims for D&O, EPL and Fiduciary Liability, North America will lead multiple teams of adjusters in Financial Lines Claims, North America, encompassing the following business segments and claim types: Directors and Officers (D&O) (both public and private/not-for-profit companies), Employment Practices Liability (EPL) and Pension/Fiduciary Liability (PTL).
Metropolitan Transportation AuthorityClaims Mgr Court Prep Torts Metropolitan Transportation AuthorityClaims Mgr Court Prep Tortsbrooklyn, NY$120,000–$125,000 / yearDescription Position at New York City Transit Claims Manager Court PrepOpen Date: 5/6/2025Close Date: Open Until FilledAuthority: TADepartment: LawDivision/Unit: TortsReports to: Assistant General CounselWork Location: 130 Livingston Street, Brooklyn NYWork Hours: As requiredCompensation: Salary Range: $120,000 - $125,000Summary:This position is responsible for the management of personnel who provide litigation support in a high-volume of personal injury and/or property damage lawsuits brought against MTA agencies. Education and Experience: A baccalaureate degree from an accredited college or university and experience in liability claims, investigations and adjustment of which one (1) year must have been in a supervisory capacity; or A satisfactory equivalent combination of education and/or experienceDesired Skills:• At least 15 years claims handling experience.• Extensive knowledge of torts negligence law and medical claim evaluation and insurance adjusting industry.•
DB Insurance Co., Ltd.NewClaims Operations Specialist - HYBRID DB Insurance Co., Ltd.Claims Operations Specialist - HYBRIDGreat Neck, NYFull timeBacked by the financial strength of a global powerhouse (AM Best Rating: A+, S&P Rating: A+), we combine world-class resources with the agility of a close-knit team. Key Responsibilities: Manage and conduct pre- and post-payment adjudication audits on claim matters to ensure financial, processing, and operational accuracy.
DB Insurance Co., Ltd.3rd Party Claims Adjuster/Examiner - HYBRID DB Insurance Co., Ltd.3rd Party Claims Adjuster/Examiner - HYBRIDGreat Neck, NYFull timeIn this role, you will handle claims involving third-party liability, specifically in commercial trucking and business policies, working to resolve them efficiently while ensuring fair settlements. Key Responsibilities: Investigate, evaluate, and resolve third-party claims including bodily injury, property damage, and liability claims including ones in litigation for commercial trucking and business policies.
Lemonade IncSenior Manager, Claims Vendor Strategy & Operations Lemonade IncSenior Manager, Claims Vendor Strategy & OperationsNY$110,000–$135,000 / yearYoull sit within our Property Claims organization, owning the end-to-end relationships with our Third Party Administrators and operational vendors - the people and systems that power our claims operations at scale. Partner with Product and Engineering to integrate vendors into our proprietary AI tools, pushing legacy partners toward a faster, tech-first way of working.
Luster NationalSenior Claims and Change Manager Luster NationalSenior Claims and Change ManagerNew York City, NY$150,000–$190,000 / hourThis role functions as a senior individual contributor within established governance and approval structures, applying advanced claims, contracts, and change management expertise on major design build contracts while independently leading claims strategy, analysis, and negotiation; change management and formal notice letters; contract interpretation and dispute response; owner and attorney interactions; and providing commercial risk insight for a $2B contract package. The position works closely with construction management, project controls, and contract administration teams to evaluate Notices of Change, develop and document entitlement positions, support negotiations, and ensure adherence to defined change control processes and audit expectations in politically sensitive, federally scrutinized environments.
HermeseCommerce Manager Delivery Claims & Incidents HermeseCommerce Manager Delivery Claims & IncidentsManhattan, NYFull timeAs eCommerce Manager - Delivery Claims and Incidents, you will work closely with internal and external business partners to maintain and improve all day-to-day processes including delivery claims and order incident resolutions. The freedom to create, the constant search for beautiful materials, the transmission of a savoir-faire of excellence, and the aesthetic of functionality define the singularity of Hermès, a house dedicated to making highly-crafted, beautiful objects made to stand the test of time.
Axis Capital HoldingsClaims Specialist - Primary Casualty Axis Capital HoldingsClaims Specialist - Primary CasualtyNew York, NY$75,000–$130,000 / yearDrafting coverage positions to be reviewed and approved by Claim Manager Working closely with Insureds, Claimants, attorneys and brokers ensuring a premier and best practices claim service is maintained, escalating issues as appropriate. Setting accurate and timely claim reserves and make referrals to Claim Manager where necessary Managing the lifecycle of a claim from notification to closure, ensuring timely and accurate resolution.
PricewaterhouseCoopers LLPNewProperty & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerStamford, CT$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
The Vertex Companies, LLCManager, Schedule Delay Claims The Vertex Companies, LLCManager, Schedule Delay ClaimsNew York, NY$85,000–$202,000 / yearFull timeThe salary ranges for this role are as follows: $85,000 - $202,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $78,000 - $186,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria)$72,000 - $171,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees).At VERTEX, growth never stops. The Vertex Companies, LLC (VERTEX) is a $180M global consulting firm that integrates strategic advisory, project management, and dispute resolution services for organizations facing complex challenges in a world of risk.
Chubb LtdSenior Manager, Marketing & Communications - North America Claims Chubb LtdSenior Manager, Marketing & Communications - North America ClaimsJersey City, NJ$108,000–$156,000 / yearAs a Marketing & Communications Senior Manager, you'll create communications and marketing materials for our North America Claims organization, partnering closely with senior leadership to elevate our voice, strengthen our reputation and influence key stakeholders across the U.S. Exceptional writing is at the heart of this role. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
General Placement ServiceClaims Executive - Professional Liability General Placement ServiceClaims Executive - Professional LiabilityStamford, CTGeneral Placement Serviceis recruiting on behalf of for a top rated, Fortune 500 specialty insurance company with offices nationwide. In this role you will be responsible for handling litigated and non-litigated Professional Liability claims.
Career DevelopersJunior Claims Specialist (1-3 years) (Hybrid in Berkeley Heights, NJ) (Full-Time) Career DevelopersJunior Claims Specialist (1-3 years) (Hybrid in Berkeley Heights, NJ) (Full-Time)Berkley Heights, NJ$75,000–$85,000 / yearHandle claims in accordance with Claim Handling Best Practices in all phases of the claim, including through initial contact, investigation of the claim, evaluation of the claim for coverage and reserving for exposure, and in the resolution and documentation of claims. Refer a friend: Referral fee program Career Developers Inc., a distinguished staffing and consulting firm, is proud to celebrate 30 years of service excellence.
Ryan Specialty GroupSenior Claims Advocacy Specialist Ryan Specialty GroupSenior Claims Advocacy SpecialistNew York, New YorkThey represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market. • Develops and implements advanced strategies for generating claims insights and advocacy, leveraging industry expertise and insights to optimize claim resolution outcomes.
TEEMA GroupCommercial Auto & General Liability Claims Examiner II TEEMA GroupCommercial Auto & General Liability Claims Examiner IINew York, NYRemote$85,000–$95,000Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition.
American International GroupSenior Claims Adjuster - Casualty Coverage and Mass Tort American International GroupSenior Claims Adjuster - Casualty Coverage and Mass TortJersey City, NJ$86,000–$106,000 / yearAs an experienced professional, in this role you’ll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, construction defect, as well as environmental and toxic tort claims. You’ll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment.
Coterie Applications IncLiability Claims Specialist Coterie Applications IncLiability Claims SpecialistNYRemote$75,000–$105,000 / yearExceptional communication, written and verbal, influencing, evaluation, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal and external peers and other professionals across organizational lines. Develop and implement strategy to resolve Commercial Property and Casualty General Liability, Property and Professional Liability claims of moderate level of severity and complexity, but may be required to handle volume.
Westfield Insurance CoClaims Specialist- Financial Lines Westfield Insurance CoClaims Specialist- Financial LinesBerkeley Heights, NJTechnical Skills: Account Management Claims Investigations Claims Adjustment Claims Resolution Claims Settlement Financial Controls Auditing Claims Case Management Customer Relationship Management Business Process Improvement Auditing Data Analysis and Reporting. Licenses and Certifications: Certified Professional Claims Management (CPCM) (preferred) Certified Claims Adjuster (CCA) (preferred) Chartered Property Casualty Underwriter (CPCU) (preferred).
Utica Mutual Insurance CompanyComplex Liability Claims Specialist - Commercial General Liability Utica Mutual Insurance CompanyComplex Liability Claims Specialist - Commercial General LiabilityWoodbury, NY$103,300–$140,000 / yearPart timeThe ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel’s work product and working with defense counsel to efficiently and fairly resolve claims.
Georgia ITNewDigital Claims RTE-Jersey City, NJ Georgia ITDigital Claims RTE-Jersey City, NJJersey City, NJJob Experience for Release Train Engineer: 8-10 years progressive work-related experience with demonstrated proficiency in multiple disciplines / technologies / processes related to the position as well as 3-5 years managing teams and / or significant complex projects. Demonstrated effective verbal and written communication skills for the purpose of providing and explaining technical and project related information to clients, vendors, senior management and staff.
Georgia ITNewDigital Claims RTE @ Jersey City, NJ Georgia ITDigital Claims RTE @ Jersey City, NJJersey City, NJJob Experience for Release Train Engineer: 8-10 years progressive work-related experience with demonstrated proficiency in multiple disciplines / technologies / processes related to the position as well as 3-5 years managing teams and / or significant complex projects. Demonstrated effective verbal and written communication skills for the purpose of providing and explaining technical and project related information to clients, vendors, senior management and staff.
Westfield Insurance CoSenior Claims Specialist- Financial Lines Westfield Insurance CoSenior Claims Specialist- Financial LinesBerkeley Heights, NJThe role also evaluates claims for reserve and settlement, executes settlement strategy, negotiates settlements proactively, attends arbitrations and ensures appropriate file documentation. Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.
Integrated Resources, IncData Quality Analyst / Claims Service Correspondent Integrated Resources, IncData Quality Analyst / Claims Service CorrespondentNew York, NY$60–$65 / hourThe incumbent works closely with Provider Relations, Medical Management, Member Services and the Claims Processing unit; Scope of Role & Responsibilities: Act as a key liaison and service representative for all written provider inquiries and problem resolution; Respond to all claim inquiries from provider sites personnel including physicians, clinical staff, and site administrators; Coordinate and track appropriate problem resolution activities with plan personnel in other departments (i.e., claims, utilization management); Manage and ensure appropriate follow-up and closure for all inquiries; Respond to Provider Inquiries in writing; maintain accurate files; Data Entry into the IMAX system; Perform claim adjustments to correct erroneous payments (overpayments/underpayments); Participate in Special Projects involving Claim Status Investigations; Resolve Member Bills referred from Member Services; Required Education, Training & Professional Experience: In-depth knowledge of MetroPlus Claims Processing protocols and payment schemes; Thorough knowledge of Plan Benefits; Proficiency in IMAX and TXEN; Customer Service Experience a plus; Must be able to handle irate providers in a professional manner; Excellent written/verbal communication skills. This position is responsible for the accurate and timely response to written claim inquiries received from providers and provides support regarding the adjudication and adjustment of claims for multiple lines of business.