Sr. Complex Claims Specialist Arch Capital Group LtdSr. Complex Claims SpecialistGarden City, NY$95,700–$148,512 / yearAssist CAM's and others with TPA management and oversight to include: o TPA claim staff training relating to Arch processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service and other topics that may arise. Responsibilities include, actively managing and effectively overseeing large exposure and complex general/auto liability and trucking claims (primary, umbrella and excess) direct handled by Third-party Administrators ("TPA's") and supporting Arch business stakeholders.
Trainer I Blue Cross and Blue Shield AssociationTrainer INewark, NJ$56,200–$75,285 / yearThis 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. This position is responsible for delivering service training programs across enterprise sites and remote vendor locations while supporting the development and continuous improvement of learning solutions.
Senior Claims Examiner, Professional Lines Coaction Specialty Insurance GroupSenior Claims Examiner, Professional LinesMorristown, New JerseyLeveraging deep technical expertise and a strategic mindset, you will oversee the full claims lifecycle—ensuring high-quality investigations, timely resolution, and alignment with corporate objectives, regulatory requirements, and Coaction’s claim handling guidelines. Salary range specific to for this role: $103,000-$168,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance.
Senior Claims Examiner, Professional Lines Coaction Specialty Insurance Group IncSenior Claims Examiner, Professional LinesMorristown, NJLeveraging deep technical expertise and a strategic mindset, you will oversee the full claims lifecycle-ensuring high-quality investigations, timely resolution, and alignment with corporate objectives, regulatory requirements, and Coaction's claim handling guidelines. Salary range specific to for this role: $103,000-$168,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance.
Specialist, Business Systems Analyst II Blue Cross and Blue Shield AssociationSpecialist, Business Systems Analyst IINewark, NJ$109,600–$149,625 / yearServe as the primary Business Systems Analyst for Blue Card, BlueCard Modernization (BCM), National Program Releases (NPR), Inter-Plan Teleprocessing System (ITS), Blue2, BlueCard Portal, RTM, and related BCBSA initiatives. 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.
Hiring for Supervisor, Patient Accounts in White Plains, NY Sage GroupHiring for Supervisor, Patient Accounts in White Plains, NYWhite Plains, New York4. Describe your experience in analyzing statistical data to measure and explain staff performance, accounts receivables, and progress towards financial targets. The ideal candidate will have strong backend patient accounts, hospital billing, insurance reimbursement, and revenue cycle experience.
HealthCare 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.
Independent Insurance Claims Adjuster in Holmdel, New Jersey MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Holmdel, New JerseyHolmdel, NJWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Clark, New Jersey MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Clark, New JerseyClark, NJWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Account Manager IV (National Large Group) Horizon Healthcare ServicesAccount Manager IV (National Large Group)Newark, New JerseyThis 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. The Account Manager acts as a trusted advisor to the client and consultants while coordinating across internal Horizon teams to ensure service delivery, compliance, and performance expectations are met.
Independent Insurance Claims Adjuster in Garden City, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Garden City, New YorkGarden City, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Plainview, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Plainview, New YorkPlainview, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
AI Solution Architect TechDigitalAI Solution ArchitectHolmdel, NJSolution & Enterprise Architecture Deep expertise in solution architecture disciplines: capability modelling, application architecture, integration architecture, data architecture, and security architecture. Technology Stack (Hands-On Proficiency) Java / J2EE: Java 11–21, Spring Boot, Spring Framework, Jakarta EE, microservices with REST/gRPC, Apache Kafka, JPA/Hibernate, PostgreSQL, Oracle.
Independent Insurance Claims Adjuster in Linden, New Jersey MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Linden, New JerseyLinden, NJWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Newark, New Jersey MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Newark, New JerseyNewark, NJWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Software Engineer (Senior) Candid HealthSoftware Engineer (Senior)New York City, New YorkCollaborate closely with customers, product managers, designers, and cross-functional partners to understand customers’ needs and develop creative ways to address them. With our cutting-edge revenue cycle automation platform, we are transforming this space through an intelligent, data-driven approach that simplifies billing, enhances claims processing, and eliminates administrative waste.
NewMedical Claims Processor Vanguard Group StaffingMedical Claims ProcessorWhite Plains, NYCommunicate via telephone and written correspondence with providers, members, attorneys, and collection agencies to resolve balance billing/fee negotiation inquiries. Negotiate and resolve balance billing inquires, negotiate fees and discounts for members with nonparticipating providers to reduce out of pocket expenses.
Manager of Clinical Appeals and Grievances HealthfirstManager of Clinical Appeals and GrievancesNJ$103,400–$149,430 / yearProvides guidance in the preparation of case preparation for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Independent Insurance Claims Adjuster in Larchmont, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Larchmont, New YorkLarchmont, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in New City, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in New City, New YorkNew City, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.