Director, Logistics Maiden Home IncDirector, LogisticsNew York, NY$180,000–$210,000 / yearDevelop a tariff risk monitoring and cost modeling capability: track tariff schedules, Section 301 classifications, and trade policy changes; model financial exposure by origin country, product category, and lane; and bring scenario analyses to leadership with enough lead time to inform procurement and pricing decisions. Own claims management for damaged, lost, and delayed shipments: file and track claims, maintain an open claims log with aging, analyze patterns to drive carrier accountability, and ensure recoveries are captured in financial reporting.
Director Configuration, Benefit Administration HealthfirstDirector Configuration, Benefit AdministrationNew York, NY$154,600–$236,555 / yearThis role implements the configuration structure within Healthfirst's technology platforms to administer benefits taking in coordination with Provider Contracting, Claims Operations, Provider Data Management, Clinical Operations, Payment Integrity, and Information Technology. The objective of this role is to ensure that the benefit structure implementation delivers the intended experience through claim adjudication, including benefits, authorizations, reference data, claims editing, regulatory requirements, payment policies, and overall claim system functionality.
CPC Investigator Horizon Healthcare ServicesCPC InvestigatorNewark, New JerseyThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. $70,500 - $94,395 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
Independent Insurance Claims Adjuster in Linden, New Jersey MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Linden, New JerseyLinden, New JerseyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Dir Configuration, Benefit Administration HealthfirstDir Configuration, Benefit AdministrationNew York, NY$154,600–$236,555 / yearThis role implements the configuration structure within Healthfirsts technology platforms to administer benefits taking in coordination with Provider Contracting, Claims Operations, Provider Data Management, Clinical Operations, Payment Integrity, and Information Technology. The objective of this role is to ensure that the benefit structure implementation delivers the intended experience through claim adjudication, including benefits, authorizations, reference data, claims editing, regulatory requirements, payment policies, and overall claim system functionality.
Commercial General Liability Director Selby Jennings LtdCommercial General Liability DirectorTrenton, NJThis is a unique opportunity to join a highly visible department and play a key role in shaping processes, developing talent, and supporting continued growth across the Mid-Atlantic region. A respected and growing property & casualty insurance carrier is seeking a Commercial General Liability Claims Director to provide leadership and strategic oversight for its commercial liability claims operation.
Absence Management Specialist Unit Leader MetLife IncAbsence Management Specialist Unit LeaderBridgewater, NJ$55,600–$99,300 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Independent Insurance Claims Adjuster in Carteret, New Jersey MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Carteret, New JerseyCarteret, New JerseyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Billing Coordinator Alliance Health SystemsBilling CoordinatorMatawan, New JerseyRemote$20–$30 / hourCoordinate with other departments to ensure the accuracy of invoices, correspond with patients to follow up on outstanding payments, and resolve any billing related issues or discrepancies. Background Check Requirement: Employment is contingent upon the successful completion of a background check, which may include verification of employment history, education, criminal records, and other relevant information as permitted by law.
Medical Case Manager Crawford & CoMedical Case ManagerNew Jersey, NJReviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual''s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases.
Senior Software Engineer, Backend Grow TherapySenior Software Engineer, BackendNew York, New YorkAs a Software Engineer on this team, you’ll work across search, ranking, profiles, and booking flows to build a fast, resilient, and intelligent marketplace that helps every client find the right fit provider and convert that intent into a booked appointment. As a Software Engineer on this team, you’ll build and harden systems for scheduling, authentication, notifications, and early-journey flows that directly determine whether clients show up, come back for visit two, and build lasting relationships with their providers.
Independent Insurance Claims Adjuster in Langhorne, Pennsylvania MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Langhorne, PennsylvaniaLanghorne, PennsylvaniaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Inland Marine Claims Adjuster American International GroupInland Marine Claims AdjusterJersey City, NJ$76,000–$97,000 / yearAs an industry leader in Inland Marine Insurance, AIG will provide you with the unique opportunity to put your knowledge and expertise to work alongside many top experts in the field and a dedicated team of claim professionals, helping our insureds manage and mitigate their risk, often while handling complex larger sized cases and events from a primary perspective. #claims #claimsexaminer #claimsadjuster #ClaimsCareers #ClaimsJobs #inlandmarineclaims #marineclaims #cargoclaims #AtlantaInsuranceJobs #AtlantaLawCa.
Outpatient Payment Integrity Production Coder MedReviewOutpatient Payment Integrity Production CoderNew York, NY$58,000–$65,000 / yearPerform outpatient coding reviews using medical records, itemized bills, claim lines, payer requirements, CPT/HCPCS guidance, ICD-10-CM guidelines, revenue codes, modifier rules, NCCI edits, APC/EAPG logic, and supporting documentation. The Outpatient Payment Integrity Production Coder is responsible for completing claim-level outpatient coding reviews to identify inaccurate coding, unsupported billing, documentation gaps, and potential overpayments.
Actuarial Intern | 2027 Summer Internship Program Verisk Analytics IncActuarial Intern | 2027 Summer Internship ProgramJersey City, NJUnsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property. Recognized as a Top 100 Internship Program by Yello and WayUp, our program empowers interns to make a tangible impact while learning from industry experts and building connections across the organization.
Independent Insurance Claims Adjuster in Metuchen, New Jersey MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Metuchen, New JerseyMetuchen, New JerseyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Insurance Domain Expert - Actuarial MercorInsurance Domain Expert - ActuarialNew York, New York$60–$100 / hourFor details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome. Design high-quality instruction specs and produce golden solutions for insurance and actuarial problems.
AVP & Counsel, MBU - Eatontown, NJ or Remote Crum & ForsterAVP & Counsel, MBU - Eatontown, NJ or RemoteEATONTOWN, New JerseyRemoteDemonstrated experience with (i) ERISA, COBRA, FMLA, ACA, NSA (No Surprises Act), and applicable federal and state insurance laws and regulations governing welfare benefit plans and accident and health insurance; and (ii) providing legal advice and counsel regarding an insurance company's or third-party administrator's handling of group benefit and insurance solutions, third-party self-funded plan claim administration, and regulatory compliance matters. Manage and coordinate complex claims litigation, including preparing case summaries and legal analysis, leading settlement negotiations, drafting releases and settlement agreements, coordinating with outside counsel, and providing strategic litigation guidance to claims and business teams, ensuring proactive and cost-effective handling that minimizes risk to the Company.
Disability Customer Advocate II MetLife IncDisability Customer Advocate IINY$49,100–$80,169 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
AVP & Counsel, MBU Eatontown, NJ or Remote Crum & Forster Holdings Corp.AVP & Counsel, MBU Eatontown, NJ or RemoteEatontown, NJRemoteDemonstrated experience with (i) ERISA, COBRA, FMLA, ACA, NSA (No Surprises Act), and applicable federal and state insurance laws and regulations governing welfare benefit plans and accident and health insurance; and (ii) providing legal advice and counsel regarding an insurance company''s or third-party administrator''s handling of group benefit and insurance solutions, third-party self-funded plan claim administration, and regulatory compliance matters. Manage and coordinate complex claims litigation, including preparing case summaries and legal analysis, leading settlement negotiations, drafting releases and settlement agreements, coordinating with outside counsel, and providing strategic litigation guidance to claims and business teams, ensuring proactive and cost-effective handling that minimizes risk to the Company.