Operations Analyst, Government Programs EGWP Capital Rx LLCOperations Analyst, Government Programs EGWPNew York, NY$78,800–$98,500 / yearPosition Responsibilities: Support EGWP program setup, implementation and go-live readiness across assigned internal functions and delegate oversight, which includes enrollment, claims processing, member services, member communications, CAHPS activities and associated member service STARs activities. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Staff Software Engineer, Performance Capital Rx LLCStaff Software Engineer, PerformanceNew York, NY$200,800–$251,000 / yearClaims processing, prior authorization, and supporting data products drive highly complex, data-intensive workloads where decisions across the entire database stack - including schema design, database configuration, connection management, and storage architecture - directly determine the platform's ability to deliver reliable performance under heavy read and write load. 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.
Auto Damage Claims Adjuster The Progressive CorpAuto Damage Claims AdjusterRutherford, NJ$80,100–$97,900 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Individual will work in the field, office, body shop, network shop, or service center environment and at time be expected to lift, bend stretch, walk, crouch, twist and/or lay on floor.
Data Exchange Manager - Claims Operations Capital Rx LLCData Exchange Manager - Claims OperationsNew York, NY$150,800–$188,500 / yearJudi 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. The role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution.
Claims Examiner - Insurance Carrier - Base Salary to 100k/year - Great Neck, NY AllSearch Professional StaffingClaims Examiner - Insurance Carrier - Base Salary to 100k/year - Great Neck, NYGreat Neck, NY$60,000–$100,000 / yearOur client, a large and growing insurance carrier, is seeking a Claims Examiner to manage complex bodily injury, property damage, and litigated third-party liability claims involving commercial auto, trucking, transportation, fleet, and business insurance policies. This role is responsible for investigating, evaluating, negotiating, and resolving complex commercial liability claims while coordinating with attorneys, Third Party Administrators (TPAs), claimants, medical providers, defense counsel, and internal teams.
Sr. Examiner, Homeowner Claims Multi-State - Remote CSAA Insurance GroupSr. Examiner, Homeowner Claims Multi-State - RemoteNYRemote$37.26–$41.40 / hourAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Serves as the owning adjuster for all assigned claims, including low- to higher-complexity losses that may require oversight of service providers conducting physical or virtual inspections.
NewNo-Fault Claims Adjuster Rossillo & Licata, LLPNo-Fault Claims AdjusterWestbury, NYThis role involves working directly with insurance companies to process claims, review medical records and vendor bills, and perform various administrative functions. Our clients expect and receive the highest level of professionalism, integrity and commitment to excellence that have been, and always will be, the hallmarks of our practice.
Data Exchange Analyst - Claims Operations Capital Rx LLCData Exchange Analyst - Claims OperationsNew York, NY$96,800–$121,000 / yearJudi 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. This role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients.
Senior Project Manager Capital Rx LLCSenior Project ManagerNew York, NY$117,600–$147,000 / yearInteract daily with product manager and scrum teams with effective and efficient communications to ensure proper tracking of project roadmap and hold all project team members accountable for accurate and timely completion of assigned tasks. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Carrier Revenue Analyst Progyny, Inc.Carrier Revenue AnalystNew York, NY$65,000–$70,000 / yearHeadquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Our benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.
Director, Property Claims -Remote - Midwest Crum & ForsterDirector, Property Claims -Remote - MidwestMORRISTOWN, New JerseyRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Overall, this position requires strong technical claims expertise, field engagement, TPA oversight, hotline management, and collaboration with internal and external partners to ensure the effective adjustment of complex claims and alignment with sound business strategy.
Senior Claims Adjuster, TPA Oversight Fortegra FinancialSenior Claims Adjuster, TPA OversightIselin, NJ$100,000–$130,000 / yearThe Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.
Workers Compensation Claims Adjuster Interstate Waste ServicesWorkers Compensation Claims AdjusterTeaneck, New JerseyOverview: Interstate Waste Services is the most progressive and innovative provider of solid waste and recycling services in the greater New York, New Jersey and Connecticut markets with a rail-served landfill in Ohio. Essential Job Summary: We are seeking a detail-oriented and customer-focused Workers’ Compensation Claims Adjuster to manage a caseload of claims across New Jersey, New York, and Connecticut.
Director, Property Claims Remote Midwest Crum & Forster Holdings Corp.Director, Property Claims Remote MidwestMorristown, NJRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Overall, this position requires strong technical claims expertise, field engagement, TPA oversight, hotline management, and collaboration with internal and external partners to ensure the effective adjustment of complex claims and alignment with sound business strategy.
Senior Director, Insurance Claims Advisory NTT DATASenior Director, Insurance Claims Advisorysaddle river, NJ$160,000–$296,000 / yearEcosystem & Partnership Leadership: Develop joint GTM motions with key alliance partners and Independent Software Vendors (ISVs) in the insurance space (e.g., Guidewire, Duck Creek, Majesco, Verisk). to amplify market reach and deliver integrated client solutions. A critical component of this role is serving as the primary pre-sales Claims domain expert for the North American P&C and L&A sales team, translating complex IT capabilities into tangible business outcomes (e.g., improved claims efficiency, lower loss ratio).
Senior Casualty Claims Specialist Endurance Services LimitedSenior Casualty Claims SpecialistNew York City, New YorkThe candidate must be agile, effective at priority setting, willing to travel to attend mediations (under proper conditions), and one who excels at interaction with internal and external customers, underwriters, peers and management. Proven ability to manage multiple projects, prioritize effectively, work independently, and use systems such as MS Word, Excel, Outlook, and claims platforms like Guidewire, Genius, and ImageRight.
Senior Claims Examiner, Professional Liability Arch Capital Group LtdSenior Claims Examiner, Professional LiabilityNew York, NYRemote$111,100–$172,465 / yearTotal individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.
Claims Examiner - Fast Track TransReClaims Examiner - Fast TrackNew York, New YorkThe anticipated annual base salary range in New York for this position, exclusive of benefits, paid time off, and incentive pay opportunity is $70,000 - $100,000 This range is an estimate and the actual base salary offered for this position will be determined based on certain factors, including the applicant’s specific skill set and level of experience. The fast track division processes high volumes of claims, requiring a combination of analytical precision, procedural discipline, and the ability to maintain accuracy under time pressure.
Claims Specialist Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)Claims SpecialistNYRemote$100,000–$143,000 / yearLeverage a working knowledge of insurance contracts, Unfair Claims Settlement Practices, insurance codes, civil codes, vehicle codes, arbitration rules and regulations, tort law, claims best practices handling and management as part of your ongoing adjudication of claims. High degree of comfort with navigating sometimes ambiguous environments and a willingness to dive in and assist coworkers with workloads or contribute to organizational needs/projects when needed.
Claims Quality Assurance Specialist - Property and Casualty Insurance - Base Salary to 100k/year - Great Neck, NY AllSearch Professional StaffingClaims Quality Assurance Specialist - Property and Casualty Insurance - Base Salary to 100k/year - Great Neck, NYGreat Neck, NY$70,000–$100,000 / yearThe Claims Quality Assurance Specialist will analyze claim trends, identify root causes, recommend process improvements, support operational reporting and KPI development, and collaborate on claims system enhancements and cross-functional initiatives to improve efficiency and strengthen claims operations. Our client, a large and growing insurance carrier, is seeking a Claims Quality Assurance Specialist who will work with departmental and team leaders to ensure claims operations comply with regulatory requirements, Fair Claims Settlement Practices, and industry best practices.