AVP, Claims Quality Assurance & Performance Management Argo Group International Holdings IncAVP, Claims Quality Assurance & Performance ManagementNew York City, NY$137,496–$189,516 / yearQualifications / Experience Required: A specialized knowledge of managing Quality Assurance programs typically achieved through: Bachelor's degree required; JD, advanced degree, CPCU, AIC, SCLA, Six Sigma/Lean, PMP, Prosci, Guidewire certification, or similar insurance, claims, audit, process improvement, project management, or change management credential preferred. In addition, the role will expand QA output into a broader claims performance management capability by linking QA findings to Guidewire data, KPI trends, process assessment analytics, adjuster and manager performance evaluation, and senior leadership reporting across Argo's claims organization.
Avp, Claims Quality Assurance & Performance Management Argo Group International Holdings Ltd.Avp, Claims Quality Assurance & Performance ManagementNew York, NY$137,496–$189,516 / yearQualifications / Experience Required: A specialized knowledge of managing Quality Assurance programs typically achieved through: Bachelor's degree required; JD, advanced degree, CPCU, AIC, SCLA, Six Sigma/Lean, PMP, Prosci, Guidewire certification, or similar insurance, claims, audit, process improvement, project management, or change management credential preferred. In addition, the role will expand QA output into a broader claims performance management capability by linking QA findings to Guidewire data, KPI trends, process assessment analytics, adjuster and manager performance evaluation, and senior leadership reporting across Argo's claims organization.
Manager, Disability Claims Amalgamated LifeManager, Disability ClaimsWhite Plains, New YorkStrong written and verbal communication skills, including empathetic listening and a high level of customer service, are vital for this role which interacts with Claimants and stakeholders. They lead a small team responsible for the entire claims lifecycle, including but not limited to evaluating medical records, coordinating with providers, and communicating with claimants to determine eligibility for benefits.
Claims Representative Subrogation Plymouth Rock Management Company of New JerseyClaims Representative SubrogationParsippany, NJ$52,000–$75,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Responsibilities: Liability Assessments: Analyze investigations to make liability assessments, including reviewing first and third-party statements, witness testimonies, scene photos, and other relevant data.
SIU Investigator Allied UniversalSIU InvestigatorBrooklyn, New York$27–$32 / hourFull timeAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance. High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud.
SIU Investigator - NY Labor Law Allied UniversalSIU Investigator - NY Labor LawMelville, New YorkAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance. High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud.
Claims Specialist, Cyber AXA SAClaims Specialist, CyberNew York, NY$83,500–$145,500 / yearCoordinating and managing communication with internal colleagues and key external stakeholders (e.g., clients, brokers, reinsurers, vendors, etc.) ensuring we are providing the highest level of customer service Responsive claims management in direct coordination with a diverse team of specialists: computer forensics, data breach notification and call center services, credit and ID monitoring, public relations and expert legal counsel. Managing assigned complex Cyber and Technology claims across multiple jurisdictions, setting the case strategy for these claims in partnership with the Cyber Practice Leader and Claims Management, and taking all available steps to achieve the optimal outcome.
Senior Engagement Lead - Claims Advocacy Marsh & McLennan Companies IncSenior Engagement Lead - Claims AdvocacyNew York, NY$132,700–$282,700 / yearWe aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. You will work closely with clients, insurers, and claims handlers to support claim resolution, strengthen relationships, and help manage clients' total cost of risk.
Consulting Director, Claims Strategy and Execution CNA Financial CorpConsulting Director, Claims Strategy and ExecutionNew York, NY$97,000–$189,000 / yearThis individual contributor role will work across Professional Services and Healthcare segments: Architects & Engineers, Accounting, Program & Large Law, and Real Estate Professionals as well as Allied Healthcare Facilities, Aging Services, and Allied Health Providers. Knowledge of Microsoft Office Suite, and other business-related software especially in working with exporting data from various databases and compiling reports in MS Excel and other software tools.
Consulting Director, Claims Strategy And Execution CNA Financial Corp.Consulting Director, Claims Strategy And ExecutionTarrytown, NY$97,000–$189,000 / yearThis individual contributor role will work across Professional Services and Healthcare segments: Architects & Engineers, Accounting, Program & Large Law, and Real Estate Professionals as well as Allied Healthcare Facilities, Aging Services, and Allied Health Providers. Knowledge of Microsoft Office Suite, and other business-related software especially in working with exporting data from various databases and compiling reports in MS Excel and other software tools.
Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial CorpManaging Director Strategic Claims Oversight - Healthcare SeverityNew York, NY$97,000–$189,000 / yearDevelops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities.
Coverage & Complex Claims Lead Selby Jennings LtdCoverage & Complex Claims LeadMorristown, NJContribute to TPA oversight through training, audits, and best practice sharing, and support key proceedings such as mediations and trials while maintaining required licensing. This role will be responsible for handling bad faith suits filed against the major case unit while working heavily with coverage counsel and legal.
Workers'''' Compensation Claims Specialist (REMOTE - ME, CT, NJ) Holmes Murphy & Associates IncWorkers'''' Compensation Claims Specialist (REMOTE - ME, CT, NJ)NJRemote$57,500–$98,900 / yearWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
Complex Claims Manager Airbnb IncComplex Claims ManagerNYRemote$100,000–$115,000 / yearPhilosophy will be to identify intelligence / risk gaps and work with other internal risk management teams (such as Trust team, and Safety team), third party adjusters, our partners, Platform Product Management, Global Crisis Management, Community support, Policy, Privacy Legal teams to strengthen Airbnb's platform. The Difference You Will Make: As a Complex Claims Manager in the Complex Claims, you will play a vital role in safeguarding the integrity of our Aircover platform by effectively identifying, investigating, and managing the risk and mitigation strategies in resolution of Complex and Large Loss claims.
NewClaim Appeals & Correspondence I Medica Health Plans IncClaim Appeals & Correspondence INY$34,200–$51,240 / yearThis role researches, analyzes, and resolves claim processing issues while working closely with internal teams to ensure accurate claim outcomes and timely resolution of member and provider requests. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data.
Emergency Restoration Outside Sales Specialist A GRADE Property RestorationEmergency Restoration Outside Sales SpecialistNorwalk, CT$800–$1,500 / weekFull timeIf you are someone who thrives in the field, takes initiative, refuses to wait for opportunities to come to you, is self-confident yet approachable and can earn people's trust quickly in a high-stress situation we would like to meet you. At A GRADE Property Restoration , we help homeowners and businesses within Northern/Central NJ and tri-state areas recover after devastating fire, water, storm, and other property losses.
Claims Representative 595635 Metro Public AdjustmentClaims Representative 595635Edison, NJIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Remote Claims Representative - 609986 Metro Public AdjustmentRemote Claims Representative - 609986Piscataway, NJRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Remote Claims Representative 629550 Metro Public AdjustmentRemote Claims Representative 629550New Brunswick, NJRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Remote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717Newark, NJRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.