Dir Client Services - Workforce Absence Sedgwick Claims Management Services, Inc.Dir Client Services - Workforce AbsenceNY$100,000–$115,000 / yearPRIMARY PURPOSE: To determine account management strategies related to client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide program management for jumbo clients requiring dedicated staff, multiple offices and complex service models; and to oversee the work of other local Client Services staff. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Underwriting Audit Supervisor Philadelphia Insurance CompaniesUnderwriting Audit SupervisorJersey City, NJ$102,200–$114,200 / yearThe role provides management with actionable insights regarding underwriting performance, risk exposure, documentation quality, and compliance trends while fostering a culture of accountability and continuous improvement throughout the underwriting organization. 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.
Senior Software Engineer, Backend Grow TherapySenior Software Engineer, BackendNew York, New YorkAs a Software Engineer on this team, you’ll work across search, ranking, profiles, and booking flows to build a fast, resilient, and intelligent marketplace that helps every client find the right fit provider and convert that intent into a booked appointment. As a Software Engineer on this team, you’ll build and harden systems for scheduling, authentication, notifications, and early-journey flows that directly determine whether clients show up, come back for visit two, and build lasting relationships with their providers.
Mgr, Business Consultant CVS Health CorpMgr, Business ConsultantNY$60,300–$132,600 / yearThe Manager will be responsible for ensuring the accuracy, completeness, and timeliness of encounter data submissions while partnering closely with internal business and technical teams, as well as external vendors, to meet regulatory and operational requirements across multiple states. As the Dual Special Needs Plan (DSNP) business continues to expand, we are seeking an experienced Manager, Encounter Data & State Submission Operations to lead the end-to-end management of encounter and claims data submissions to state agencies.
Managing Director, Insurance Managed Services Baker Tilly Virchow KrauseLLPManaging Director, Insurance Managed ServicesNew York City, NY$182,150–$345,330 / yearThis executive leadership role will be responsible for building and scaling insurance-specific managed services that help carriers and other insurance organizations transform and operate critical business functions, address talent and capacity constraints, improve operational performance, and leverage technology, automation, and AI to achieve sustainable business outcomes. Develop compelling business cases and value propositions based on measurable insurance outcomes, including improved productivity, reduced operating costs, improved cycle times, increased scalability, enhanced service quality, stronger controls, and improved access to specialized talent and capabilities.
Litigation Claims Adjuster – Bodily Injury (Trial Prep Rep II/ Sr.)) New Jersey ManufacturersLitigation Claims Adjuster – Bodily Injury (Trial Prep Rep II/ Sr.))Trenton, New JerseyA Trial Prep Rep is responsible for appropriately managing and resolving litigation claims, which includes reviewing and analyzing newly assigned files, coordinating with defense counsel, attending court proceedings as necessary, and ensuring all actions are consistent with company guidelines and applicable law. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
Claims Specialist, Pollution Environmental Claims BerkleyClaims Specialist, Pollution Environmental ClaimsJersey City, New JerseyWe 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. Responsibilities: 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.
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 .
Claims Manager, General Liability Team Markel Group IncClaims Manager, General Liability TeamRed Bank, NJ$97,520–$167,640 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
NewSenior Medical Malpractice Claims Specialist The Doctors CompanySenior Medical Malpractice Claims SpecialistNew York, NY$97,304–$137,880 / yearBenefits: Healthcare Risk Advisors offers competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. Salary may include additional geographic differential for employees working in higher-cost labor markets, including states such as New York and California.
Remote Claims Representative - 592211 Metro Public AdjustmentRemote Claims Representative - 592211Princeton, NJRemoteMotivated individuals who want more than a job — they want to build a rewarding business with unlimited income potential while making a real difference in their communities. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
NewClaims Specialist- Liab Crawford & CompanyClaims Specialist- LiabBerkeley Heights, NJFull timeVerifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves within designed authority, as necessary, during the processing of the claim. Keep Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refer matters beyond limits of authority and expertise to Team Manager for direction.
Medical Claims Assistant Phaxis LLCMedical Claims AssistantManhattan, NY$26–$28 / hourThis role focuses on accurate data entry, insurance verification, and proper handling of claims in accordance with payer guidelines and healthcare regulations. The position requires strong attention to detail, the ability to interpret medical and insurance documents, and proficiency in Microsoft Excel for tracking and reporting purposes.
Sr Long Term Disability Claims Specialist MetLife IncSr Long Term Disability Claims SpecialistNY$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. Excellent interpersonal and communication skills in both verbal/written form and excellent customer service skills proven through internal/external customer interactions with demonstrated conceptual thinking, risk management, ability to handle complex situations effectively with organizational and time management skills.
Claims Specialist Sales MatchClaims SpecialistNewark, New JerseyRemoteIn this role, you will assist in processing and reviewing insurance claims, ensuring all necessary information is gathered, and helping resolve claims efficiently. If you have strong attention to detail and enjoy supporting customers through the claims process, this is a great opportunity for you.
Claims Associate, Risk Management RelatedClaims Associate, Risk ManagementNew York, New York$120,000–$140,000 / yearResponsibilities: We are looking for a Claims Associate who will assist in the administration and documentation of the property, casualty, workers’ compensation and financial/executive risk claims for the company’s real estate portfolios and corporate activities. This role requires strong organizational, communication, and interpersonal skills, as well as the ability to work collaboratively with insurers, brokers, legal counsel, third-party administrators, and internal stakeholders.
Medical Claims WITH STRONG EXCEL Coordinator PhaxisMedical Claims WITH STRONG EXCEL CoordinatorManhattan, NY$23We are seeking detail-oriented professionals with strong analytical skills and experience handling medical claims, insurance documentation, and data tracking in fast-paced healthcare environments. Excellent opportunity for candidates with medical billing, claims, insurance verification, or healthcare administrative experience seeking a stable hybrid opportunity!
Claims Handler, Tech E&O and Media Liability Westfield Insurance CoClaims Handler, Tech E&O and Media LiabilityBerkeley Heights, NJIn 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 Specialist, Financial Lines Westfield Insurance CoClaims Specialist, Financial LinesBerkeley Heights, NJHandle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims. Duties and Responsibilities: Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims.
IDI Claims Business Procedures Consultant MetLife IncIDI Claims Business Procedures ConsultantNY$54,000–$72,000 / 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 strengthen operational consistency, support risk mitigation, and partner across Claims, Reinsurance, Finance, Technology, and Audit to improve processes that directly support MetLife's customers and business performance.