Legal Processor United Nations Federal Credit UnionLegal ProcessorNew York, NY$55,130 / yearRegardless of seniority or role, uphold UNFCU’s mission, core values, and guiding principles by providing an exceptional service experience to colleagues and members alike through consistent demonstration of our service excellence behaviors. Under general supervision, performs moderately difficult processing of legal and organizational documents while verifying member information and ensuring compliance with both governmental and internal regulations.
Manager Risk Adjustment Analytics SVAM International IncManager Risk Adjustment AnalyticsNew York, NY$135–$150 / yearFull timeThe creation of 837 files is currently a major initiative for our team, and the role will also involve linking claims, managing adds and deletes submitted back to CMS following retrospective chart reviews, and supporting other key risk adjustment initiatives. Looking for a manager who can help revamp our risk adjustment reporting and develop meaningful analytics around these areas.
Medical Claims Processor GlobalchannelmanagementMedical Claims ProcessorParamus, New JerseyPartner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Medical Claims Processor duties: Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
NewDisability Claims Examiner - Stable & Mature Claims New York Life Insurance CoDisability Claims Examiner - Stable & Mature ClaimsWhite Plains, NY$58,000–$70,000 / yearBusiness Unit Overview: As part of New York Life's Group Membership Association Division, youll be working with the nation's No. 1 provider of life and disability income insurance solutions for association/affinity programs. Team members are expected to work onsite one day per week (Wednesdays), with one additional onsite day per month for team meetings or business activities.
Claims Specialist, Pollution Environmental Claims W. R. Berkley CorpClaims Specialist, Pollution Environmental ClaimsJersey City, NJWe 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. This individual would 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 $150,000.00.
Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance CompanyClaims Specialist/Senior Claims Specialist-Alternative MarketsNew Jersey, NJ$85,000–$106,000 / yearAt Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets .
Assistant Vice President Claims Application Technical Lead - Claims Technology American International Group Inc (AIG)Assistant Vice President Claims Application Technical Lead - Claims TechnologyJersey City, NJIn this role, you will serve as a senior business-facing technology leader, acting as the primary conduit between Claims stakeholders and technology delivery teams to ensure initiatives are clearly defined, strategically aligned, and delivered with measurable business impact. The role is responsible for ensuring Claims technology solutions are grounded in business need, operational efficiency, and aligned to our Claims Technology North Star, supporting scalability, simplification, and improved Claims outcomes globally.
Disability Transaction Processor Conduent IncDisability Transaction ProcessorNYThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations.
NewSenior Claims Adjuster, Specialty Claims The Fortegra Group IncSenior Claims Adjuster, Specialty ClaimsIselin, NJ$90,000–$150,000 / yearAs a direct report to the Director, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Commercial General Liability line of business. Primary Job Functions: Direct management of general liability claims, including New York Labor Law matters with potential for significant severity and complexity.
Claims Specialist, Pollution Environmental Claims BerkleyClaims Specialist, Pollution Environmental ClaimsJersey City, New JerseyWe 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: This individual would 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 $150,000.00.
Complex Claims Specialist- Specialty Claims- MLI (Remote) Selective Insurance Group IncComplex Claims Specialist- Specialty Claims- MLI (Remote)NYRemote$124,000–$160,000 / yearSelective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Candidate must possess strong communication and litigation management skills to collaborate with insureds and defense counsel to direct litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company.
Complex Liability Claims Specialist - Educational Institution Claims Utica National Insurance GroupComplex Liability Claims Specialist - Educational Institution ClaimsWoodbury, NY$103,300–$140,000 / yearThe ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities.
Claims Attorney, FSG Legal & Claims Aon PlcClaims Attorney, FSG Legal & ClaimsNew York, NY$137,300–$240,000 / yearWhat the day will look like Claims attorney position in the FSG Legal & Claims practice, Supports the brokers and clients in all management liability lines of coverage and provides claims advocacy services on behalf of clients, in addition to policy drafting and interpretation and educational services to internal Aon FSG colleagues. Claims Attorney - Financial Services Group Legal & Claims The Financial Services Group (FSG) is Aon's dedicated management liability insurance specialty practice with deep experience in directors' and officers' (D&O), employment practices liability (EPL), fiduciary, crime, and kidnap, ransom, and extortion (KRE).
Complex Claims Director, Excess Claims American International GroupComplex Claims Director, Excess ClaimsJersey City, NJ$112,000–$138,500 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.
Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance Group (DBA)Claims Specialist/Senior Claims Specialist-Alternative MarketsNew Jersey, NJ$85,000–$106,000 / yearAt Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets .
Claims Specialist - Life Global Claims General Re CorporationClaims Specialist - Life Global ClaimsStamford, CTMay participate in client / TPA due diligence activities such as supporting audit activity, identifying emerging trends and themes not only in the client's inventory but within the industry; supporting manager with industry gleaned best practices via building and delivering customer specific training programs and seminars; emphasizing and implementing technical solutions to business needs to achieve desired improvements when asked. Incumbent contributes to the accurate and efficient adjudication of claims by supporting the department and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, state/federal regulations and reinsurance treaties in effect.
Claims - Field Claims Representative Cincinnati Financial CorporationClaims - Field Claims RepresentativeGarden City, NY$68,400–$91,200 / yearThis territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements. Our Field Claims department is currently seeking field claims representatives to service the territory surrounding: Garden City, NY (Nassau County).
Claims Manager - Excess Casualty Claims AXIS Capital Holdings LtdClaims Manager - Excess Casualty ClaimsNew York, NY$160,000–$190,000 / yearClose collaboration with the Specialty Complex Claims team with regard to coverage disputes, including litigation and arbitration matters initiated by Axis issuing companies and when Axis issuing companies are parties to such litigation; Collaborating across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims handling. Identifying, liability and coverage trends and issues with both individual and portfolio impact and formulating the processes and strategies for handling such claims as well as ensuring accurate and consistent claims management across impacted underwriting segments and lines of business.
Senior Manager, Quality Assurance and Audit, North America Claims, Claims Shared Services AXIS Capital Holdings LtdSenior Manager, Quality Assurance and Audit, North America Claims, Claims Shared ServicesNJ$140,000–$160,000 / yearThis role is ideal for a claims, audit, quality assurance, or compliance professional with strong technical claims judgment, experience assessing specialty claim handler performance, working knowledge of TPA or outsourced claims partner oversight, and the ability to translate audit and file review results into practical actions that improve claim outcomes. The successful candidate will plan, coordinate, monitor, and report on audits and quality file reviews across North America Claims, including specialty claim handler audits across multiple lines of business, TPA oversight audits, and leadership quality control file reviews.
Claims Processing & Billing Specialist Professional Physical TherapyClaims Processing & Billing SpecialistMelville, NY$23.64–$25.51 / hourReporting to the Manager of Claims Processing & Credentialing, this role reviews claims in the Raintree EMR system, resolves billing edits and clearinghouse exceptions, and works closely with payers, patients, providers, and internal teams to support efficient reimbursement. The Claims Processing & Billing Specialist is responsible for the accurate and timely submission of institutional and professional medical claims.