PIP Examiner GEICOPIP ExaminerMelville, NY$29–$45.28We are looking for Personal Injury Protection (PIP) Claims Examiners in our Melville, NY office to deliver our promise to be there and assist our customers throughout the often-complicated medical aspects of auto insurance claims. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, the work location as well as market and business considerations.
Ins Claims Examiner Medical Malpractice - Union City, NJ Diedre Moire Corp.Ins Claims Examiner Medical Malpractice - Union City, NJUnion City, NJ$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Insurance Underwriter Diedre Moire Corp.Insurance UnderwriterWhite Plains, NY$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Underwriter Specialty Program Excess Surplus Commercial Lines Program Underwriter #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Sr. Group Life Claims Examiner (HYBRID or REMOTE) Equitable Financial Life Insurance CompanySr. Group Life Claims Examiner (HYBRID or REMOTE)NYRemote$60,000–$68,000 / yearGroup Life Claims Examiner (HYBRID or REMOTE)'',''260000BU'',''UNITED STATES-Remote'',''UNITED STATES-Remote'',''UNITED STATES-NY-New York, UNITED STATES-NC-Charlotte, UNITED STATES-NY-Syracuse'',''UNITED STATES-NY-New York, UNITED STATES-NC-Charlotte, UNITED STATES-NY-Syracuse'',''Equitable'',''Equitable'',''Full-time'',''Full-time'',''!*! Managing Multiple Priorities: Knowledge of effective self-management practices; ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.
NewNew York City Fire Pension Fund Sub-Chapter II Medical Board Physician New York City Fire Pension FundNew York City Fire Pension Fund Sub-Chapter II Medical Board PhysicianNew York, NYJob DescriptionJob DescriptionJob Opportunity: Physician for Sub-Chapter II Medical BoardOur organization is in search of a qualified Physician specializing in Psychiatry to join the Sub-Chapter II Medical Board. Familiarity with federal, New York State, and New York City laws and regulations related to government policies, regulatory codes, and legal guidelines.
Accounts Payable Assistant / Claims Examiner Integrated Resources, IncAccounts Payable Assistant / Claims ExaminerNew York, NY$25–$28 / hourResponsible for data entry and system adjudication of provider claims, authorizing final claim disposition within prescribed guidelines while ensuring accuracy, compliance, and timely processing. Minimum 2 years of experience in the healthcare insurance industry with integrated claims processing knowledge.
Sr. Claims Examiner W. R. Berkley CorpSr. Claims ExaminerJersey City, NJ$90,000–$140,000 / 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 Senior Claims Examiner will be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $100,000.00.
NewExecutive Claims Examiner Markel Group IncExecutive Claims ExaminerNew York, NY$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Senior Claims Examiner Markel Group IncSenior Claims ExaminerSummit, NJRemoteThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
SR. Claims Examiner Arrowhead ProgramsSR. Claims ExaminerGarden City, New York85k - $100k AnnualThe 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. Claims Examiner position will manage an inventory of third-party bodily injury and property damage claims arising under a municipal insurer's automobile and general liability insurance policies. .
NewCommercial 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.
SR. Claims Examiner Brown & Brown IncSR. Claims ExaminerGarden City, NY$85,000–$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. Claims Examiner position will manage an inventory of third-party bodily injury and property damage claims arising under a municipal insurer's automobile and general liability insurance policies.
Claims Examiner II, Professional Lines HCC Life Insurance CompanyClaims Examiner II, Professional LinesPurchase, NY$74,500–$102,300 / yearTokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world. Our Good Company values, including integrity, empowerment, and commitment to customer service, and a culture of innovation, communication, and collaboration make TMHCC a great place to work.
Senior Claims Examiner, General Liability Arch Capital Group LtdSenior Claims Examiner, General LiabilityNew York, NY$97,100–$131,130 / yearTotal individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.
Senior Claims Examiner, New York Labor Law Arch Capital Group LtdSenior Claims Examiner, New York Labor LawJersey City, NJ$123,400–$166,000 / yearIn this role, the responsibilities include but not limited to actively manage a caseload and provide oversight to third-party administrator claims handlers for commercial New York Labor Law coverage, liability, and damage claims. Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs.
Claims Examiner, Commercial Auto Arch Capital Group LtdClaims Examiner, Commercial AutoNew York, NY$75,000–$85,000 / yearTotal individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims.
Senior Claims Examiner, Casualty Arch Capital Group LtdSenior Claims Examiner, CasualtyGarden City, NY$97,100–$131,130 / yearIn this role, the responsibilities include actively managing commercial general liability claims for high severity, complex general liability, and auto accounts, as well as the associated excess and umbrella policies, in jurisdictions throughout the United States. Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs.
Claims Examiner, General Liability Arch Capital Group LtdClaims Examiner, General LiabilityJersey City, NJ$61,900–$96,100 / yearTotal individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.
Senior Disability Claims Examiner (LTD) (Virtual) Prudential Financial IncSenior Disability Claims Examiner (LTD) (Virtual)Newark, NJRemote$61,700–$101,900 / yearThe Long-Term Disability (LTD) Senior Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication.
Sr. Claims Examiner Markel Group IncSr. Claims ExaminerNew York, NY$78,000–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Third Party Liability Claims Examiner - Insurance Carrier - Base Salary to 100k/year - Great Neck, NY AllSearch Professional StaffingThird Party Liability Claims Examiner - Insurance Carrier - Base Salary to 100k/year - Great Neck, NYGreat Neck, NY$60,000–$100,000 / yearOur client, a large and growing insurance carrier, is seeking a Third Party Liability Claims Examiner to manage complex bodily injury, property damage, and litigated liability claims related to commercial trucking and business insurance policies. This role is responsible for investigating, evaluating, negotiating, and resolving third-party liability claims while coordinating with attorneys, TPAs, claimants, and internal teams.
Senior Claims Examiner / Professional Liability Arch Capital Group LtdSenior Claims Examiner / Professional LiabilityNY$115,000–$140,000 / yearPosition Summary: The Claim Examiner/Claims Counsel is a highly skilled professional responsible for the end-to-end management of complex professional liability claims, with an emphasis on employment practices exposures within educational institutions. Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs.
Commercial Auto Liability Claims Examiner BerkleyCommercial Auto Liability Claims ExaminerJersey City, New Jersey$85,000–$115,000 / 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. Responsibilities: The auto liability claims department is looking for an experienced Auto Liability Claims Examiner individual contributor to handle moderate complexity auto claims in a fast paced energetic environment within our organization.
Claims Examiner, Inland Marine - Transportation Claims Markel Group IncClaims Examiner, Inland Marine - Transportation ClaimsNew York, NY$62,400–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Disability Claims Examiner - LTD Prudential Financial IncDisability Claims Examiner - LTDNewark, NJRemote$53,300–$88,000 / yearThe Role The Long-Term Disability (LTD) Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication.
Sr. Claims Examiner - PIP Philadelphia Insurance CompaniesSr. Claims Examiner - PIPMelville, ColoradoEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Sr. Casualy Claims Examiner Howden Group Holdings LtdSr. Casualy Claims ExaminerNYRemote$125,000–$145,000 / hourDraft well written and comprehensive captioned reports to request reserve and settlement authority on higher exposure cases that outline all critical aspects of the case in preparation for roundtable presentations to the carrier partners. Supporting the Construct Defect Claims team, you will independently manage moderate to high exposure claims involving alleged defects in residential and commercial construction.
Sr. Casualty Claims Examiner Construction Howden Group Holdings LtdSr. Casualty Claims Examiner ConstructionNY$125,000–$145,000 / yearDraft well written and comprehensive captioned reports to request reserve and settlement authority on higher exposure cases that outline all critical aspects of the case in preparation for roundtable presentations to the carrier partners. Supporting the Construct Defect Claims team, you will independently manage moderate to high exposure claims involving alleged defects in residential and commercial construction.
Workers Compensation Claims Examiner | NY Jurisdiction | Dedicated Client Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NY Jurisdiction | Dedicated ClientNYRemote$80,000–$90,000 / yearSedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. Independently handle a capped caseload of workers' compensation claims, from inception to resolution, ensuring adherence to company procedures, industry best practices, and regulatory requirements.
Senior Claims Examiner, Medical & Healthcare Claims Markel Group IncSenior Claims Examiner, Medical & Healthcare ClaimsSummit, NJThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Senior Auto Claims Examiner - UM/ UIM Arch Capital Group LtdSenior Auto Claims Examiner - UM/ UIMJersey City, NJ$123,400–$156,633 / yearInjury Adjuster- UIM/ UM, you will be responsible to adjust low to moderately complex UM/UIM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims while adhering to Arch's handling guidelines.
Associate, Claims Examiner MVP Health CareAssociate, Claims ExaminerNY$20–$26.60 / hourAn opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care.
Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictional Knowledge | Remote Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictional Knowledge | RemoteTelecommuter, NYRemote$80,000–$85,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. To analyze Lost-Time 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.
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.
Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | Remote Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | RemoteNJRemote$75,000–$85,000 / yearTo analyze Workers Compensation Lost-Time 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.
Workers Compensation Claims Examiner | NY Jurisdiction Experience Required | Dedicated Client Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NY Jurisdiction Experience Required | Dedicated ClientNY$70,000–$80,000 / yearPRIMARY PURPOSE OF THE ROLE: To analyze Lost-Time 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Workers'''' Compensation Claims Examiner | NY & VT Jurisdictional Knowledge | Remote Sedgwick Claims Management Services, Inc.Workers'''' Compensation Claims Examiner | NY & VT Jurisdictional Knowledge | RemoteNYRemote$70,000–$80,000 / yearTo analyze Medical Only & Lost-Times 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.
Workers Compensation Claims Examiner | NY Jurisdictional Experience Required | Dedicated Client Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NY Jurisdictional Experience Required | Dedicated ClientTelecommuter, NY$80,000–$90,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding Auditory/Visual: Hearing, vision and talking #claimsexaminer #claims #remote As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Experience Required | Dedicated Client Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
Claims Examiner II, Lawyers and Financial Advisors Markel Group IncClaims Examiner II, Lawyers and Financial AdvisorsSummit, NJThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | Remote Sedgwick Claims Management Services, Inc.Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | RemoteNYRemote$63,404–$88,765 / yearTo analyze GL Litigated, Premise, Auto, Bodily Injury & Product claims on behalf of our valued dedicated client 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 | 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.
Claims Examiner MagnaCareClaims ExaminerMelville, NYFull timeAssist Customer Service, Casualty, Medical Management, and Management teams by providing support in resolving claims and responding to questions and concerns. Excellent analytical and problem-solving skills, with the ability to identify discrepancies and resolve complex claim issues.
New York Labor Law Claims Examiner Raphael and AssociatesNew York Labor Law Claims ExaminerRutherford, New JerseyYou will have the ability to make a meaningful impact by leveraging your claim handling skills, industry expertise, customer service skills, and ability to execute with a high degree of professionalism. Most importantly, you will have the opportunity to work directly alongside an extraordinary and dedicated team to grow a critical function within a dynamic, growing company.
Senior Disability Claims Examiner, Concierge Team (Virtual) Prudential Financial IncSenior Disability Claims Examiner, Concierge Team (Virtual)Newark, NJ$61,700–$101,900 / yearThe role will require the ability to analyze information specific to earned income, contractual provisions, and benefits paid to ensure the accuracy of partial disability payments on disability claims as outlined within the policy. Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.
Claims Examiner Atria ConsultingClaims ExaminerNew York, NY$25–$30 / hourWhen determining a team member's base salary and/or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). Please note that the salary range and/or hourly rate range of $25.00 - $30.00 is a good faith determination of potential base compensation offered to applicants at the time of this job advertisement and may be subject to modification in the future.
Claims Examiner Ampcus IncorporatedClaims ExaminerNewark, NJ$16.95–$19.95 / hourSince 1995, iTech Solutions Inc., has been providing IT Consulting and Direct Hire Services to the Insurance, Financial, Communications, Manufacturing and Government sectors with local offices in Connecticut, Minnesota, Colorado, Massachusetts, Tennessee, North Carolina, and New Jersey / Pennsylvania area. We can honestly say our staff understands the technologies, the complexities of finding and selecting the appropriate personnel and the pressures of running successful IT projects.
Senior Claim Examiner-Multinational Chubb LtdSenior Claim Examiner-MultinationalJersey City, NJ$79,300–$134,700 / yearThe 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. Chubb seeks a Senior Claim Examiner on the Multinational Casualty claims team that provides technical, specialized claim handling on behalf of Chubbs Multinational customers in the U.S. and abroad.
Executive Claims Director Hamilton Insurance Group LtdExecutive Claims DirectorNew Jersey, NJExperience in handling severity and excess casualty claims or related litigation Experience working claims in the Excess and Surplus Market preferred Experience working with complex coverage issues required Multi-jurisdictional claims and litigation experience preferred Adjuster license and/or certifications preferred Highly advanced knowledge of claim processes, policies, procedures, claim systems, regulation, coverage, liability, damage evaluation, and/or settlement with exposures in excess of $1M Excellent at establishing close working relationships with other departments, including underwriting, operations, finance, IT, actuarial and legal Strong negotiating, analytical, written, and organizational skills Mediation and arbitration experience Strong computer skills (Microsoft Office Suite and in-house claims systems) Ability to prioritize and manage deadlines Ability to work both independently and collaboratively as part of a team Bachelor's degree required; JD preferred Excellent verbal and written communication skills Ability to analyze data and make sound judgments Ability to prioritize and manage deadlines Ability to work both independently and collaboratively as part of a team. Dedicated and hard-working Willingness to learn and apply concepts Able to work autonomously with strong organizational skills and the ability to plan ahead Keen attention to detail, highly analytical and excellent problem-solving capability Collaborative spirit Results-oriented, forward-thinking, and growth mindset.
Claims Quality Analyst Metroplus Health Plan IncClaims Quality AnalystNY$55,000–$65,000 / yearAbout NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products including but not limited to New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Healths network includes over 27,000 primary care providers, specialists, and participating clinics.
Manager - Construction Claims Markel Group IncManager - Construction ClaimsNew York, NY$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.