Data Exchange Analyst - Claims Operations Capital Rx, Inc.Data Exchange Analyst - Claims OperationsNew York, NY$96,800–$121,000 / yearThis 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. 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.
FELA Claim Agent Metropolitan Transportation AuthorityFELA Claim AgentJamaica, NY$80,000–$87,000 / yearOpening: The Metropolitan Transportation Authority is North America's largest transportation network, serving a population of 15.3 million people across a 5,000-square-mile travel area surrounding New York City, Long Island, southeastern New York State, and Connecticut. Position Objective: This position has the responsibility to investigate, evaluate, and settle personal injury and property damage claims/lawsuits from employees and customers of the Railroads (Metro-North Railroad and Long Island Rail Road).
NewAssistant Vice President, Claim Counsel Ryan Specialty GroupAssistant Vice President, Claim CounselNew York, New YorkDevelop and execute advanced claims advocacy strategies by leveraging industry expertise, market insights, and data-driven analysis to improve claim outcomes and maximize client recoveries. They represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market.
Assstant Vice President, Claim Counsel Ryan Specialty GroupAssstant Vice President, Claim CounselNew York, New YorkDevelop and execute advanced claims advocacy strategies by leveraging industry expertise, market insights, and data-driven analysis to improve claim outcomes and maximize client recoveries. They represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market.
Data Exchange Analyst - Claim Ops (Tpa) Capital Rx, Inc.Data Exchange Analyst - Claim Ops (Tpa)New York, NY$96,800–$121,000 / yearKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Position Summary: The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx - JUDI Health and its various partners, including employers, providers, and other TPAs.
Licensed Public Adjuster (NJ) Velaz SolarLicensed Public Adjuster (NJ)Elizabeth, New JerseyThis is an excellent opportunity for a motivated professional who wants unlimited earning potential while helping homeowners navigate the insurance claims process after storm, wind, hail, or other property damage. Velaz Group LLC is seeking a licensed Public Adjuster to join our growing team in New Jersey.
Insurance Collector Empress Ambulance Service LLCInsurance CollectorYonkers, NYPart timeMaintain working knowledge of ICD-10, CPT and HCPCS coding, NPI, HIPAA, Modifiers, EPCR’s and all forms of medical billing (direct, 3rd party, HMO’s, private pay, no-fault, worker’s comp, Medicare & Medicaid. Identify insurance trends that negatively impact cash collections, utilize training tools provided to resolve issues and/or escalate to Dept Manager/ Director.
Senior Analyst, Internal Audit Roc Nation Sports LLCSenior Analyst, Internal AuditNew York, NY$92,000–$115,000 / yearYou will scrutinize outside counsel invoices for accuracy and compliance with billing guidelines, coordinate directly with insurance carriers and brokers to recover covered costs, and provide analytical support for internal contract review and internal audit initiatives. The Role: Roc Nation is seeking a detail-oriented finance professional to own the review of revenue contracts and management of the company's legal spend and lead the recovery of eligible legal expenses through insurance claims.
PIP Insurance Verification Coordinator Human HirePIP Insurance Verification CoordinatorClifton, NJThe ideal candidate will have experience verifying medical insurance coverage, managing personal injury protection (PIP) claims, reviewing surgical benefits, and communicating with insurance carriers, attorneys, adjusters, and patients. Proficiency with EHR/practice management systems, payer portals, Microsoft Outlook, Excel, and Teams.
Complex Liability Adjuster (New York) Berkshire Hathaway GUARD Insurance CompaniesComplex Liability Adjuster (New York)New York, NY$75,000–$120,000 / yearBerkshire Hathaway GUARD Insurance Companies is seeking a Complex Liability Adjuster to handle Commercial General Liability (CGL) and Business Owners Policy (BOP) claims in New York, including litigated files. Good things are happening at Berkshire Hathaway GUARD Insurance Companies-an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway.
Insurance Coordinator Specialty1 PartnersInsurance CoordinatorWhite Plains, NY$28–$32 / hourE-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. Dental Assistants, Sterilization Technicians, Specialists, Office Managers, Patient Care Coordinators and many more all work together to improve the patient care experience and great clinical results.
Sr. Long Term Disability Change in Definition MetLife IncSr. Long Term Disability Change in DefinitionNY$58,000–$69,000 / 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. Guided by our purpose - always with you building a more confident future - and our New Frontier strategy focused on stronger growth, attractive returns and all-weather performance, this is an exciting opportunity to apply independent judgment, critical thinking, and strong customer service skills while managing a complex CID caseload.
Mitigation Project Manager | Metro NY/NJ Paul Davis RestorationMitigation Project Manager | Metro NY/NJCarlstadt, New JerseyYou'll manage customer communication, field operations, documentation, budgets, and claim compliance while ensuring projects move efficiently and customers feel supported. Whether property damage is caused by water, fire, smoke, storms or other disasters, we deliver on our promise to deliver excellence, expertise and a customer experience that is second to none.
CRM Systems & Digital Specialist Kennedys Law LLPCRM Systems & Digital SpecialistNew Jersey, NJ$75,000–$90,000 / yearMaintain high-quality digital content and data across platforms, working with Marketing, BD and Content teams to ensure website pages, mailing lists, campaign assets and social advocacy materials are accurate, client-focused, compliant and up to date. The successful candidate will work closely with colleagues across our global BD, IT Applications and Training teams, to support the ongoing development of our CRM system (InterAction), improve data quality and support digital marketing activity and drive user adoption across the firm.
Business Analyst Berkshire Hathaway GUARD Insurance CompaniesBusiness AnalystParsippany, NJ$57,304.80–$132,706.20 / yearParticipate in Agile/Scrum ceremonies, including backlog refinement, sprint planning, release planning, reviews, and retrospectives, ensuring requirements remain aligned to business value. The Business Analyst plays a critical role in translating business needs into actionable solutions and ensuring alignment between strategy, execution, and measurable results.
Accounts Payable Specialist Kennedys Law LLPAccounts Payable SpecialistNew Jersey, NJ$58,000–$65,000 / yearAccurate and timely processing of day to day transactions through firm's office and client accounts, including entering/authorizing payments on the banking system, posting payments/receipts and registering disbursement vouchers. Our global Finance team is comprised of Billing, Collections, Financial Planning and Reporting, Management Accountants, Credit Control, Legal Accounting and Financial Operations Database professionals located in the UK, US, and Far East.
Office Manager - 2157 BhiredOffice Manager - 2157Brooklyn, New YorkA growing dental practice is seeking an experienced and highly organized Office Manager to lead daily operations and ensure a smooth, professional, and patient-focused environment. The ideal candidate is a strong communicator and natural leader who can maintain efficiency while delivering exceptional customer service to patients.
Roofing Closer Manager Velaz SolarRoofing Closer ManagerJersey City, New JerseyVelaz Group LLC is seeking an experienced Roofing Closer Manager to lead, coach, and develop a team of high-performing Roofing Closers. This leadership role is responsible for driving sales performance, improving closing ratios, mentoring sales professionals, and ensuring the team consistently achieves company goals.
Account Associate - State Farm Agent Team Member Arthur Huth - State Farm AgentAccount Associate - State Farm Agent Team MemberHewlett, NYFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Arthur Huth - State Farm Agent, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments.
Account Associate - State Farm Agent Team Member Alberto Santana - State Farm AgentAccount Associate - State Farm Agent Team MemberJersey City, NJFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Alberto Santana - State Farm Agent, you are vital to our daily business operations and customers’ success. ABOUT OUR AGENCY: Our agency has proudly served the community for over 16 years, building a strong reputation for trust, reliability, and exceptional service.