AVP, Claims-TCO Arch Capital Group LtdAVP, Claims-TCONew York, NY$145,000–$190,000 / yearYou will be a visible advisor to senior leadership and a go-to technical resource for the broader claims organization-driving outcomes, and elevating best practices across lines including General Liability, Business Auto, Excess/Umbrella, Inland Marine, and Professional Liability (including Programs and Middle Markets). Reporting to the Chief Technical Claim Officer (CTCO), this role is a collaboratory leader of the strategy and resolution of the organization's most complex, high-exposure claim matters-spanning sophisticated complex disputes, multi-district litigation, class actions, declaratory judgment actions, and suits against the Company.
Epic HB & HB Claims Analyst Computer Task Group, IncEpic HB & HB Claims AnalystNYRemote$120,000–$130,000 / yearDuration: 2-Year Contract Location: Remote (Must work West Coast business hours) On-Call Requirement: Participation in scheduled on-call rotation required Position Summary We are seeking an experienced Epic HB Home Health Billing Analyst to support the ongoing optimization, maintenance, and enhancement of Epic revenue cycle workflows related to Home Health services. The ideal candidate will possess an active Epic Hospital Billing (HB) certification and demonstrate hands-on experience supporting Home Health billing, charge capture, claims processing, reimbursement, and revenue cycle operations within Epic.
Staff Product Manager, Claims Experience Coalition IncStaff Product Manager, Claims ExperienceNYAs a Staff Product Manager for our Claims Experience, you will own the systems and workflows at the heart of that promise: making our claims handling faster, smarter, and more effective for the internal teams who run it and the brokers and policyholders who depend on it. Develop and maintain a clear product strategy and roadmap for Coalition''s claims experience, with a strong emphasis on operational efficiency spanning workflow tools, automation, ML-powered insights, and customer-facing experiences.
Outside Property Associate Claim Representative TravelersOutside Property Associate Claim RepresentativeNew York City, New YorkThis position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.
Insurance Analyst/Associate Insurance & Risk Specialist Remote 3 Days a Week with Benefits Legal Dept Rye New York New York Blood CenterInsurance Analyst/Associate Insurance & Risk Specialist Remote 3 Days a Week with Benefits Legal Dept Rye New YorkRye, NYRemoteFounded in 1964, New York Blood Center (NYBC) has served the tri-state area for more than 60 years, delivering 500,000 lifesaving blood products annually to 150+ hospitals, EMS and healthcare partners. Experience supporting the development or execution of risk management strategies, including identifying exposures, documenting risks, or assisting with mitigation plans.
Field Property Adjuster II or Sr. Allstate Insurance CompanyField Property Adjuster II or Sr.Westchester, NY$56,000–$82,500 / yearAnalytical Thinking, Business Case Analyses, Case Management, Claims Administration, Customer Satisfaction, Customer Service, Homeowners Claims, Homeowners Insurance Claims, Multitasking, Property Claims, Property Insurance Claims, Quality Management, Relationship Management, Time Management, Xactimate, Xactimate (Estimating Software), Xactimate Estimating. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Assstant Vice President, Claim Counsel Ryan Specialty Holdings IncAssstant Vice President, Claim CounselNew York, NY$152,000–$190,000 / yearDevelop and execute advanced claims advocacy strategies by leveraging industry expertise, market insights, and data-driven analysis to improve claim outcomes and maximize client recoveries. They 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.
Outside Property Claim Representative The Travelers Companies IncOutside Property Claim RepresentativeQueens, NY$67,000–$110,600 / yearDetermines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies.
Head Of Claims MLabsHead Of ClaimsNew York, NY$150,000–$200,000 / yearBacked by some of the world's most prestigious investment funds—including Y Combinator, Atomico, and Eurazeo—our client manages claims operations across the US, UK, and Europe for leading MGAs, publicly traded companies, and household insurer names. Collaborate directly with product and engineering teams to automate workflows and continuously improve operations using AI.
Head of Claims MLabsHead of ClaimsNew York, New YorkBacked by some of the world's most prestigious investment funds—including Y Combinator, Atomico, and Eurazeo—our client manages claims operations across the US, UK, and Europe for leading MGAs, publicly traded companies, and household insurer names. Collaborate directly with product and engineering teams to automate workflows and continuously improve operations using AI.
Field Property Adjuster - New Jersey Allstate Insurance CompanyField Property Adjuster - New JerseyMorristown, NJ$56,000–$92,000 / yearBusiness Case Analyses, Case Management, Claims Administration, Collaboration, Communication, Customer Service, Insurance Claims, Property Claims, Quality Management, Relationship Management, Time Management, Xactimate. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
NewBodily Injury & Homeowners Liability Adjuster Allstate Insurance CompanyBodily Injury & Homeowners Liability AdjusterNY$53,500–$86,400 / yearAuto Insurance Claims, Case Management, Casualty Insurance, Casualty Management, Claims Administration, Claims Resolution, Claims Review, Commercial Liability, De-Escalation, Home Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Policies, Liability Insurance, Liability Management, Litigation, Multitasking, Personal Injury Claims, Property & Casualty Insurance, Relationship Management, Tort Liability. Team members may have the opportunity to gain exposure to a variety of claim types and handling responsibilities, including extended handling, litigation, and homeowners liability claims, based on business needs, performance, and development goals.
NewLarge Loss Inside Property Contents Adjuster - New York, New Jersey Allstate Insurance CompanyLarge Loss Inside Property Contents Adjuster - New York, New JerseyNew York, NY$60,000–$93,250 / yearYou'll wear a few hats that will require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Property claim. The Problem Solver -you'll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.
NewHealthCare Claims Analyst Village CareHealthCare Claims AnalystNew York, NY$65,294.40–$72,277 / yearFull timeYou will play a critical role in understanding healthcare reimbursement from both financial and operational perspectives, conducting audits, and performing root cause analysis to resolve identified issues with internal teams and third-party administrators (TPAs).This position involves identifying gaps in various aspects of claims processing, communicating trends and contract issues to management, and preparing comprehensive narratives and visual aids for leadership presentations. - $72,277**SQL CODING EXPERIENCE REQUIRED** A little about usVillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
Claim 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.
Cyber Claim Counsel The Travelers Companies IncCyber Claim CounselMorristown, NJ$111,600–$184,200 / yearTravelers'' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response, computer crime, infrastructure attacks and restoration, notification to affected parties and regulators, business interruption, consumer privacy liability, and identity fraud/theft. The First-Party Cyber Claim Team partners with and supports business units including Private-Non-Profit, Public Companies, Financial Institutions, Insurance Companies, Investment Advisors, and Professional Liability.
Financial Institution Associate Claim Counsel The Travelers Companies IncFinancial Institution Associate Claim CounselManhattan, NY$89,800–$148,300 / yearFollow operational policies to analyze, investigate, and resolve Financial Institution liability claims involving bank, asset management and insurance company accounts of varying levels of severity with active supervision from claims management. Prepare and present reports for management that accurately reflect loss development, potential/actual financial exposure, reserve adjustments, coverage issues, and claim and recovery strategies.
Senior Analyst, Internal Audit ROC NationSenior Analyst, Internal AuditNew York, NY$92,000–$115,000 / yearYou will scrutinize outside counsel invoices for accuracy and compliance with billing guidelines, coordinate directly with insurance carriers and brokers to recover covered costs, and provide analytical support for internal contract review and internal audit initiatives. The Role: Roc Nation is seeking a detail-oriented finance professional to own the review of revenue contracts and management of the company's legal spend and lead the recovery of eligible legal expenses through insurance claims.
Senior Director of Claims Delegation Village CareSenior Director of Claims DelegationNew York, NY$153,978.55–$173,225.87 / yearFull timeKey responsibilities include leading claims-related initiatives end to end; setting project priorities across internal and external workstreams; expanding claims reviews and audits in line with VillageCare policy, NYS Prompt Pay, DOH, and CMS; delivering monthly status reporting to Finance leadership and updates to senior leaders; partnering with Utilization Management on authorization-driven changes impacting claims; monitoring claims metrics against SLAs; directing root-cause analysis for processing risks; serving as claims data steward during migration efforts; and recruiting, coaching, and developing a team of managers, specialists, and analysts. Our OrganizationVillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
Data Exchange Analyst - Claim Ops TPA Capital Rx LLCData Exchange Analyst - Claim Ops TPANew York, NY$96,800–$121,000 / yearKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and.