143 Results for

Claims Jobs in Forest Hills, NY

Jobs

11717 Public Adjuster | Outside Sales Representative Metro Public Adjustment

Pittsburgh, PA

$65,000–$250,000 / year
Full time

We are seeking a motivated Outside Sales Representative to generate new business, build client relationships, and partner with our claims team. Experience in outside/territory sales, business development, or consultative selling; insurance/public adjusting experience a plus.

30+ days ago

459763 Public Adjuster Metro Public Adjustment

Pittsburgh, PA

Full time

Conduct a virtual walk-through inspection of the property, take some pictures, and fill out about 5 minutes worth of paper work. We are seeking motivated, self-starters in your area, who want to succeed.

30+ days ago

Claims Adjuster Trainee The Progressive Corp

Monroeville, PA

$54,000–$57,500 / year

For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.

7 days ago

Property Adjuster Insurance Claims Elevate Claims Solutions

Pittsburgh, Pennsylvania

Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Elevate Claims Solutions is seeking an Independent Adjuster adjusters with commercial and residential property claims in Duluth, MN and surrounding area.

15 days ago

Casualty Claims Specialist First Chicago Insurance Company

Pittsburgh, PA

They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.

15 days ago

Field Claims Representative Solera Holdings LLC

Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff.

30+ days ago

Casualty Claims Specialist First Chicago Insurance Company (FCIC)

Pittsburgh, PA

Full time

They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.

30+ days ago

Claims Operations Technician CNA

Meridian, Pennsylvania

Collaborates with underwriting, insureds, claimants, providers, vendors or claim adjusters utilizing various methods to obtain and provide information related to claim support activities. Completes data or makes data corrections based on set requirements or procedures within claim file information utilizing multiple claim systems that support P&C Claim.

8 days ago

Complex Claims Consultant - Life Insurance Agent / Broker Dealer CNA Financial Corp

$72,000–$141,000 / year

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. Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of high complexity and exposure Financial Lines claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.

30+ days ago

Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLP

$99,000–$232,000 / year

PwC 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.

30+ days ago

Senior Claims Adjuster Workers Compensation - NJ/PA Gallagher

Pittsburgh, Pennsylvania

Remote

Full time

About you : As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. How you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.

10 days ago

Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink Health Management LLC

Pittsburgh, PA

Our two primary products BlinkRx and Quick Save remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.

30+ days ago

Lost Time Claims Specialist, Workers'''' Compensation Encova Mutual Insurance Group

Our current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. Consults with assigned claim director, return to work specialists, nurse case managers, internal/external medical, and legal on current and/or recommended treatment, litigation or rehabilitation plans to ensure claims outcomes are achievable and appropriate.

3 days ago

Pharmacy Claims Adjudication Specialist Onco360

Pittsburgh, Pennsylvania

Skills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.

4 days ago

Claims Prevention Coordinator Operations Pitt-Ohio Express, LLC

Frequent movement and sedentary work required - may be required daily to lift up to 25 pounds or exert up to 10 pounds of force to lift, carry, push, pull or otherwise move objects including the human body in a sustained motion; walking is frequently required for sustained periods of time. These include, but are not limited to, calls regarding shortages and damages, problem calls from drivers, pick up calls, tracing, proof of delivery (POD''s), rates, and claims issues.

30+ days ago

Remote Claims Representative - 11717 Metro Public Adjustment

Pittsburgh, PA

Remote

If 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.

1 day ago

Claims Consultant Tata Consultancy Services Ltd

$48,000–$55,000 / year

Responsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.

15 days ago

Safety Document Control, Claims Management & Paralegal Specialist Brayman Construction

Saxonburg, PA

Full time

Brayman Construction Corporation in Saxonburg, PA is looking for a detail oriented and organized Safety Document Control, Claims Management & Paralegal Specialist to support the organization's safety, legal, and risk management functions by maintaining controlled safety documentation, administering workers' compensation and liability claims, and providing paralegal-level support for legal, regulatory, and compliance matters. We are a leading heavy civil and geotechnical contractor with office headquarters in suburban Pittsburgh, Pennsylvania, a satellite office in Wytheville, Virginia and various project field offices in the Mid-Atlantic and Northeast Regions.

30+ days ago

Workers Comp Senior Claims Rep Remote-NJ PA MA Vanliner Insurance Company

Pittsburgh, Pennsylvania

Remote

Our steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.

2 days ago

Workers Comp Senior Claims Rep Remote-NJ PA MA Great American Insurance Company

Remote

$72,000–$82,000 / year

30+ days ago

Workers Comp Senior Claims Rep Remote-NJ PA MA National Interstate Corporation

Pittsburgh, Pennsylvania

Remote

2 days ago

Field Claims Representative - Pittsburgh Acuity, A Mutual Insurance Company

Pittsburgh, PA

$75,000–$150,000 / year

The representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation. If you have a disability and require reasonable accommodations to apply or during the interview process, including for in-person interviews, please contact our Talent Acquisition team at careers@acuity.com.

30+ days ago

Epic Systems Analyst- Resolute Hospital Billing & Claims Highmark Inc

In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet the end user"s needs, and implements new technologies.

30+ days ago

Senior Claims & Insurance Analyst University of Pittsburgh Medical Center

Pittsburgh, PA

This role manages complex claims involving primary and excess insurance coverages, significant litigation, and extensive liability; monitors claims work on complicated claims; assumes responsibility for reviewing claims for settlement potential; managing the litigation services provided by all subcontracted defense attorneys; and conducts comprehensive audits of litigated files. Analyze complex, technically challenging, and/or sensitive employee related and third party claims that are submitted for coverage under one of, but not limited to, UPMC Captive policies; Directors & Officers Liability, including Employment Practice Liability, Managed Care Errors & Omissions, General Liability and Professional (malpractice liability.

21 days ago

Claims Prevention Coordinator- Operations Pitt Ohio

Cheswick, Pennsylvania

Full time

Frequent movement and sedentary work required – may be required daily to lift up to 25 pounds or exert up to 10 pounds of force to lift, carry, push, pull or otherwise move objects including the human body in a sustained motion; walking is frequently required for sustained periods of time. These include, but are not limited to, calls regarding shortages and damages, problem calls from drivers, pick up calls, tracing, proof of delivery (POD's), rates, and claims issues.

30+ days ago

Claims Administrative Support Specialist The Progressive Corp

Monroeville, PA

In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable. High School diploma/GED equivalent or higher and a minimum of one year of administrative or clerical support experience.

30+ days ago

QA Associate | Claims Associate Integrated Resources, Inc

Pittsburgh, PA

Performs and documents results of all quality assurance evaluations on all operational products and services, including (but not limited to) benefit verification cases, patient assistance cases, software support calls/emails, inbound calls from patients or health care providers, data entry, etc. The Operations Quality Assurance Associate I will be a subject matter expert for their respective assigned business unit(s) and will utilize analytical skills to analyze data, processes, and workflows to provide insightful, actionable coaching for the Operations Agents.

30+ days ago

Claims Counsel West Shore Home, Inc.

Pittsburgh, PA

You will serve as a subject matter expert regarding claims matters, handling various types of claim disputes and litigation for automobile personal injury, commercial general liability, property damage, workers compensation, and other corporate litigation. Our dedication to fostering a strong, value-driven culture has consistently earned us the Top Workplaces USA award as one of the nation's top employers, including recognition in Leadership, Purpose & Values, and Compensation & Benefits.

22 days ago

Field Claims Specialist II, Material Damage (Southwest Greater Pittsburgh Area, PA - WFH) Nationwide Mutual Insurance Co

Pittsburgh, PA

Remote

$62,500–$115,500 / year

Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you!

30+ days ago

Field Claims Specialist II, Material Damage (Eastern Greater Pittsburgh Area, PA - WFH) Nationwide Mutual Insurance Co

Pittsburgh, PA

Remote

$62,500–$115,500 / year

30+ days ago

Claims Examiner Workers Compensation I University of Pittsburgh Medical Center

Pittsburgh, PA

UPMC Health Plan and WorkPartners is hiring a full-time Claims Examiner Workers Comp I to join the Commercial Worker Comp Claims Admin team. Good written (grammar and punctuation and verbal communication skills including the ability to communicate clearly and being a good listener via the telephone.

7 days ago

Senior Stop Loss Claims Analyst Highmark Inc

This includes following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item charges and determining if all information is available to finalize the payment request. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

30+ days ago

SIU Claims Investigator Lemieux & Associates LLC

West Mifflin, PA

$25–$32 / hour
Part time

Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your surveillance expertise.

30+ days ago

Complex Claim Director - Mass Tort Unit CNA Financial Corp

$97,000–$189,000 / year

JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals, has full management responsibility for setting and communicating expectations, providing direction and situational coaching, and facilitating ongoing training. Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental claims, including social media addiction, PFAS, talc, sexual molestation, and other long tail general liability and pollution related matters.

30+ days ago

Sr Counsel, Claim The Travelers Companies Inc

Pittsburgh, PA

$132,800–$219,100 / year

As a Senior Counsel with Travelers you will be responsible for high quality, proactive case handling and will have the opportunity to use your legal expertise and litigation skills to independently handle a caseload of higher exposure cases and more complex litigation matters, including Major Case and Complex Claim matters depending on line of business. In the independent handling of a caseload of higher exposure cases and most complex litigation matters, including Major Case and Complex Claim depending on line of business, your responsibilities will include: Leverage trial experience to apply effective use of litigation skills and techniques to try cases to verdict or negotiate resolution.

15 days ago

Sr Counsel, Claim Travelers

Pittsburgh, Pennsylvania

16 days ago

Claim Rep Outside Liability The Travelers Companies Inc

Pittsburgh, PA

$67,000–$110,600 / year

Determines appropriate settlement amount based on independent judgment, appropriate liability determination, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of proper jurisdictional rules, limits, and deductibles. Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.

9 days ago

General Liability Claim Representative The Travelers Companies Inc

Pittsburgh, PA

$67,000–$110,600 / year

Investigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

30+ days ago

Claim Rep Outside Liability Travelers

Pittsburgh, Pennsylvania

10 days ago

General Liability Claim Representative Travelers

Pittsburgh, Pennsylvania

30+ days ago

LTD (Long Term Disability) Claim Manager - Pittsburgh New York Life Insurance Co

Pittsburgh, PA

$50,000–$71,500 / year

The Claim Manager will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attorneys, etc. to gather the information to make the decision on the claim. Role Overview: The LTD Claim Manager is responsible for accomplishing training requirements, learning, and applying the LTD concepts gained in classroom and on the job training to successfully manage an assigned LTD caseload.

15 days ago

Claim Specialist - Property Field Inspection State Farm

Pittsburgh, PA

$59,059.65–$90,000 / year

Competitive candidates should reside within one of the listed zip codes and will service this same territory: 16101 16102 16112 16132 16031 16057 16156 16105 16116 16143 16159 16127 16156 16172 16142 16159 16161 16121 16146 16148 16137 16133 16153 16113 16154 16104 16145 16114 16151 16125 16130 16314 16110 16131 16111 16316 16335 16424 16422 16433 16444 16403 16406 16440 16435. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!

7 days ago

Warranty Claim Assistant Blue Bird Bus Sales Of Pittsburgh, Inc.-

Valencia, PA

Full time

The Warranty Claims assistant will perform various routine clerical duties regarding school bus vehicles in support of the service location. Other duties will consist of answering phones, directing calls and preparing messages; data entry, filing, and completion of simple forms.

24 days ago

Insurance Customer Service John Ryce - State Farm Agency

WEXFORD, PENNSYLVANIA

We are currently seeking a dynamic individual to join our team as a Customer Retention/Billing Specialist - State Farm Agent Team Member. Prepare and process insurance forms, manage client files, and ensure all paperwork is accurately completed and filed.

30+ days ago

Medical Billing Assistant - Entry Level Vitalsearchgroup

Pittsburgh, Pennsylvania

The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.

30+ days ago

Private Investigator - Retired/Former Law Enforcement Lemieux & Associates LLC

West Mifflin, PA

Part time

We're actively seeking retired and former law enforcement professionals to join our Special Investigations Unit (SIU) as Investigators. Join a team where your background is respected, your voice is heard, and your work continues to make a difference.

30+ days ago

Account Specialist (Dental Billing) University of Pittsburgh

Pittsburgh, PA

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30+ days ago

Property Adjuster I Erie Indemnity Co

Pittsburgh, PA

$56,367–$90,040 / year

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIEs geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.

21 days ago

Surveillance Investigator Allied Universal

Pittsburgh, PA

The 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. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.

20 days ago

Carnegie, PA - Field Roof Inspector Hancock Claims Consultants Technicians

Carnegie, PA

As a Roof Field Inspector , you'll be part of our dynamic network of independent contractors, conducting assessments on steep and high roofs, evaluating exterior and interior damage, and performing underwriting property inspections. Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.

14 days ago

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Claims Jobs in Forest Hills, NY

11717 Public Adjuster | Outside Sales Representative Metro Public Adjustment

459763 Public Adjuster Metro Public Adjustment

Claims Adjuster Trainee The Progressive Corp

Property Adjuster Insurance Claims Elevate Claims Solutions

Casualty Claims Specialist First Chicago Insurance Company

Field Claims Representative Solera Holdings LLC

Casualty Claims Specialist First Chicago Insurance Company (FCIC)

Claims Operations Technician CNA

Complex Claims Consultant - Life Insurance Agent / Broker Dealer CNA Financial Corp

Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLP

Senior Claims Adjuster Workers Compensation - NJ/PA Gallagher

Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Blink Health Management LLC

Lost Time Claims Specialist, Workers'''' Compensation Encova Mutual Insurance Group

Pharmacy Claims Adjudication Specialist Onco360

Claims Prevention Coordinator Operations Pitt-Ohio Express, LLC

Remote Claims Representative - 11717 Metro Public Adjustment

Claims Consultant Tata Consultancy Services Ltd

Safety Document Control, Claims Management & Paralegal Specialist Brayman Construction

Workers Comp Senior Claims Rep Remote-NJ PA MA Vanliner Insurance Company

Workers Comp Senior Claims Rep Remote-NJ PA MA Great American Insurance Company

Workers Comp Senior Claims Rep Remote-NJ PA MA National Interstate Corporation

Field Claims Representative - Pittsburgh Acuity, A Mutual Insurance Company

Epic Systems Analyst- Resolute Hospital Billing & Claims Highmark Inc

Senior Claims & Insurance Analyst University of Pittsburgh Medical Center

Claims Prevention Coordinator- Operations Pitt Ohio

Claims Administrative Support Specialist The Progressive Corp

QA Associate | Claims Associate Integrated Resources, Inc

Claims Counsel West Shore Home, Inc.

Field Claims Specialist II, Material Damage (Southwest Greater Pittsburgh Area, PA - WFH) Nationwide Mutual Insurance Co

Field Claims Specialist II, Material Damage (Eastern Greater Pittsburgh Area, PA - WFH) Nationwide Mutual Insurance Co

Claims Examiner Workers Compensation I University of Pittsburgh Medical Center

Senior Stop Loss Claims Analyst Highmark Inc

SIU Claims Investigator Lemieux & Associates LLC

Complex Claim Director - Mass Tort Unit CNA Financial Corp

Sr Counsel, Claim The Travelers Companies Inc

Sr Counsel, Claim Travelers

Claim Rep Outside Liability The Travelers Companies Inc

General Liability Claim Representative The Travelers Companies Inc

Claim Rep Outside Liability Travelers

General Liability Claim Representative Travelers

LTD (Long Term Disability) Claim Manager - Pittsburgh New York Life Insurance Co

Claim Specialist - Property Field Inspection State Farm

Warranty Claim Assistant Blue Bird Bus Sales Of Pittsburgh, Inc.-

Insurance Customer Service John Ryce - State Farm Agency

Medical Billing Assistant - Entry Level Vitalsearchgroup

Private Investigator - Retired/Former Law Enforcement Lemieux & Associates LLC

Account Specialist (Dental Billing) University of Pittsburgh

Property Adjuster I Erie Indemnity Co

Surveillance Investigator Allied Universal

Carnegie, PA - Field Roof Inspector Hancock Claims Consultants Technicians

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