NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNJ$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Senior Property Claims Adjuster (Complex, Large Loss Claims) HCC Life Insurance CompanySenior Property Claims Adjuster (Complex, Large Loss Claims)PARemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. In this role, you will handle claims from initial investigation through resolution, applying advanced coverage knowledge and strong analytical judgment to deliver fair, timely outcomes while providing exceptional service to our insureds and partners.
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 .
Senior 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.
Senior Claims Adjuster, Specialty Claims LotSolutions, Inc.Senior Claims Adjuster, Specialty ClaimsIselin, NJ$90,000–$150,000 / yearPart timeAs 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. Direct management of general liability claims, including New York Labor Law matters with potential for significant severity and complexity.
Senior Workers' Compensation Claims Examiner - Federal Claims American International GroupSenior Workers' Compensation Claims Examiner - Federal ClaimsPhiladelphia, PA$73,000–$96,000 / 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. #insurancecareers #insurancejobs #claimsexaminer #WorkersCompClaims #WorkersCompensationClaims #paralegalcareers.
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 ServicesPrinceton, NJ$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 Manager - Excess Casualty Claims AXIS Capital Holdings LtdClaims Manager - Excess Casualty ClaimsPrinceton, NJ$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 ServicesPrinceton, NJ$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.
Senior Claims Adjuster, Specialty Claims Fortegra FinancialSenior 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.
Bill Processor New Jersey ManufacturersBill ProcessorTrenton, New JerseyWith a nationally ranked reputation for outstanding customer service and a history that spans more than a century, NJM is a leading provider of worker's compensation, automobile, and homeowners insurance in New Jersey. Our MCS (Medical Claims Services) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has excellent communication skills as well as strong organizational and time management skills.
Senior Claims Analyst/Claims Manager, Commercial Auto Starr CompaniesSenior Claims Analyst/Claims Manager, Commercial AutoPhiladelphia, PAProviding management oversight to Third Party Administrators commercial auto property damage and bodily injury claims personnel by monitoring the claims online using the Third Party Administrators' claim systems. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
NewLegal Notice Processor Philadelphia Insurance CompaniesLegal Notice ProcessorBala Cynwyd, PAMarketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Retailer Claims Team Lead Subaru of America IncRetailer Claims Team LeadCamden, NJ$90,000–$105,000 / yearServes as liaison and claims subject matter expert to Subaru of America (SOA) internal and Field staff (including Customer Advocacy, District Parts/Service Managers, Regional Parts/Service Managers, District Service Quality Managers, etc.) offering timely and accurate support and fostering partnership across the field and HQ. Strong working knowledge of all system applications related to claims processing, including the claims system, Subarunet, Retail Parts Management (RPM), the Labor Time Guide (LTG), and the Electronic Parts Catalog (EPC).
Supervisor, Claims Medical Only AmTrust Financial Services, Inc.Supervisor, Claims Medical OnlyPrinceton, New Jersey$66,900–$92,000 / yearFull timeSalaries are based upon a wide range of factors considered in making the compensation decision, including, butnot limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property or casualty claims based on coverage, appraisal and verifiable injury or damage.
Product Owner - Claims & Servicing Platforms MetLife IncProduct Owner - Claims & Servicing PlatformsBridgewater, NJ$107,000–$130,000 / 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").
Commercial Auto Liability, PD Claims Examiner III TEEMACommercial Auto Liability, PD Claims Examiner IIIPhiladelphia, PA$36–$37This is an excellent opportunity for a licensed adjuster who enjoys working independently, evaluating complex claims, negotiating settlements, and providing outstanding service to insureds, claimants, attorneys, and clients. We are seeking an experienced Automobile Claims Adjuster to manage automobile physical damage, property damage liability, and No-Fault/PIP claims from initial investigation through resolution.
Senior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsPA$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
NewClaims – Workers’ Compensation TEEMA GroupClaims – Workers’ CompensationPhiladelphia, PA$85,000–$90,000The position requires strong analytical judgment, excellent communication skills, and consistent collaboration with clients, claimants, vendors, legal counsel, and internal teams. This role handles highly complex claims and plays a critical part in ensuring compliance with state regulations, timely investigations, accurate reserving, and effective claim resolution.
Field Property Claims Adjuster: Princeton, NJ Farmers Insurance GroupField Property Claims Adjuster: Princeton, NJEdison, NJRemote$23.22–$47.07 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidates Must be Willing and Able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.