NewCyber Claims Specialist (Junior and Senior) (Full-Time) (Hybrid scbhedule) Career DevelopersCyber Claims Specialist (Junior and Senior) (Full-Time) (Hybrid scbhedule)Berkley Heights, NJ$100,000–$170,000 / yearIn this role, you will proactively investigate and manage a portfolio of primary and excess Technology Errors & Omissions (E&O) and Media Liability claims, delivering exceptional service and driving effective outcomes. Collaborate closely with underwriters, actuaries, brokers, insureds, defense counsel, and senior management to ensure effective claim handling and alignment with business objectives.
Claims Manager, SDI AXA SAClaims Manager, SDINew York, NY$139,300–$219,300 / yearClaims Manager - SDI Chicago, IL | Hartford, CT | Exton, PA | New York, NY | Morristown, NJ| Boston, MA | USA As the SDI Claims Manager, you will play a pivotal role in leading a team that handles high-exposure Subcontractor Default Insurance (SDI) claims for some of the largest construction contractors in the industry. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
Claims Operations Specialist - HYBRID DB Insurance Co., Ltd.Claims Operations Specialist - HYBRIDGreat Neck, NY$70,000–$100,000 / yearBacked by the financial strength of a global powerhouse (AM Best Rating: A+, S&P Rating: A+), we combine world-class resources with the agility of a close-knit team. Key Responsibilities: Manage and conduct pre- and post-payment adjudication audits on claim matters to ensure financial, processing, and operational accuracy.
NewSr. Claims Specialist W. R. Berkley CorpSr. Claims SpecialistJersey 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.
AVP, Claims W. R. Berkley CorpAVP, ClaimsNew York, NY$150,000–$200,000 / yearOur brokers and agents cater to a global base of clients in a variety of environments, including private and corporate art collections, museums, galleries, and exhibition, jewelry wholesalers, retailers, and manufacturers, along with those who work with collectibles, currencies, securities, and other high-value assets. Industry Presence - You''ll represent Berkley Asset Protection at industry events, conferences, art and jewelry exhibitions, and client meetings, helping strengthen our market presence while building relationships across the high-net-worth ecosystem.
Senior Claims Adjuster, Specialty LotSolutions, Inc.Senior Claims Adjuster, SpecialtyIselin, NJ$90,000–$150,000 / yearPart timeAs a direct report to the Manager of 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 Professional Liability line of business. Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address.
NewClaims Technical Director, Management Liability Skyward Specialty Insurance Group IncClaims Technical Director, Management LiabilityNYRemote$125,000–$150,000 / yearReviews and provides direction on reserve and settlement authority, where required, on complex, specialized claims including D&O, EPL, Fiduciary, Commercial Crime, Financial Institution E&O, Financial Institution bonds and Representations and Warranties/ transactional liability. Ensure execution of proper claim handling strategies; including appropriate determination of coverage, liability, damages and claim resolution under various D&O, EPL, crime/bond, financial institution, and Reps & Warranties policies.
AVP, Sr. Claims Examiner W. R. Berkley CorpAVP, Sr. Claims ExaminerNew York, NY$132,000–$189,000 / yearThe AVP, Senior Claims Examiner handles all aspects of claims notices and files related to professional liability and accompanying coverages, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel. Additionally, the AVP, Senior Claims Examiner supports and assists with marketing and loss prevention education, including development of educational materials, for assigned product lines, as requested or needed.
Health Claims Stop Loss Auditor RSC Insurance Brokerage IncHealth Claims Stop Loss AuditorNY$51,800–$75,000 / yearThe Health Claims Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role.
Complex Casualty Claims Manager EMC Insurance Group Inc.Complex Casualty Claims ManagerNY$103,954–$149,372 / yearKnowledge, Skills & Abilities: Excellent understanding of casualty claims techniques and a current knowledge of knowledge of various jurisdictions, good faith claims handling requirements and legal environments. In this role, you'll provide strategic guidance on coverage, liability, valuation, and resolution, ensure accurate reserving, and partner with counsel and internal stakeholders to control costs and maintain compliance.
NewSenior Claims Specialist, TPA Liability AXA SASenior Claims Specialist, TPA LiabilityMorristown, NJ$117,000–$184,400 / yearEffective teamwork/collaboration skills in order to effectively collaborative with Regional Practice Leads, Claim Legal, TPA and clients to produce desired outcomes, as well as with other internal and external stakeholders such as, brokers, actuarial, reinsurance and business partners to communicate regarding claim results, experience and trends. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
Vice President Claims Manager W. R. Berkley CorpVice President Claims ManagerStamford, CTResponsibilities The Vice President, Claims Manager plays a key leadership role within the reinsurance claims organization, overseeing a diverse portfolio of complex claims while guiding a small team of claims professionals. The role partners closely with underwriting, actuarial, legal, finance, and senior leadership to integrate claims insights into broader business strategies and strengthen cross‑functional decision‑making.
Deputy Chief Operating Officer - Health Plan Metroplus Health Plan IncDeputy Chief Operating Officer - Health PlanNew York, NY$300,000–$325,000 / yearDemonstrated knowledge and experience overseeing a diverse array of managed care product lines of business, managed care claims processing and call center operations, Experience and knowledge in the use of Project Management tools to improve and expand the offerings and services provided by MetroPlusHealth, Experience and knowledge related to customer experience and service, Comprehensive understanding of the principles and practices of managing information systems and services, and a thorough understanding of how operating areas and information services work together to improve current and future results. The Deputy Chief Operating Officer (DCOO) is a member of MetroPlusHealth's Senior Management team and is vital in providing assistance with the oversight, management, and supervision of Operations, in a matrix organizational structure including: Provider Network Operations, Call Center, Credentialing, Facilities, Enrollment & Membership, Vendor Management, Customer Success, and Claims.
Senior Analyst, Kroll Settlement Administration Kroll, LLCSenior Analyst, Kroll Settlement AdministrationNew York, NY$32–$36 / hourAs a settlement administrator, we are responsible for notifying potential class members, reviewing and processing claim forms filed by individuals and entities, calculating losses, auditing claims to determine the extent of the damages incurred and processing and distributing funds to eligible class members under the court's direction. Kroll Settlement Administration, part of Kroll's Business Services division, is the leader in cutting-edge technology and consulting services for class action, mass tort, regulatory remediation and government claims administration.
Experienced Associate, Forensics BDO USA PCExperienced Associate, ForensicsNY$65,000–$85,000 / yearJob Summary: The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. Keywords: Forensic, Healthcare Coding, Payment Integrity, Revenue Integrity, Revenue Cycle Management, Consulting, Disputes, Litigation, Investigation, Fraud, Waste, Abuse, Coding Auditor, Charge Capture, Healthcare Compliance.
Business Systems Analyst Diverse Lynx, LLCBusiness Systems AnalystFlorham Park, NJFDB Drug Nomenclature, Formulary & Preferred Drug List Design. Drug Coverage Configuration: Inclusions, Exclusions & Prior Authorization Criteria.
Sr. Forward Deployed Engineer Cohere Health Technologies LLCSr. Forward Deployed EngineerNYRemote$135,000–$155,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
VP, Logistics & Warehousing US Remote Fictiv IncVP, Logistics & Warehousing US RemoteNYRemote$30,000–$55,000 / yearReporting directly to the Senior Vice President of Operations & Supply Chain, the Vice President of Logistics & Warehousing will serve as a senior executive responsible for the full lifecycle of inbound and outbound logistics, warehousing operations, carrier partnerships, trade compliance, import operations, and distribution network strategy across MISUMI Americas. The ideal candidate brings deep experience in logistics, warehousing, import operations, carrier management, and global supply chain execution, along with a strong ability to lead teams, manage large budgets, and drive operational excellence through data, technology, AI, and continuous improvement.
Manager of Provider Contract Configuration Metroplus Health Plan IncManager of Provider Contract ConfigurationNew York, NYRemote$130,000–$140,000 / yearThis role will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing. Oversight of functions performed by delegated vendor(s) as it relates to provider pricing configuration, claims processing, with emphasis on provider pricing configuration, testing and accuracy.
EPIC Physician Billing Analyst KLM CareersEPIC Physician Billing AnalystHicksville, New York3. Do you have 3+ years of experience and expertise in Epic's Professional Billing module, including charge router, work queue configuration, collection agency workflows, statement processing, benefit engine, and estimates. Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.