Associate General Counsel - Risk Transfer Solutions Markel Group IncAssociate General Counsel - Risk Transfer SolutionsRed Bank, NJ$116,080–$159,610 / 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. The ideal candidate must be an excellent writer and communicator, a strategic thinker, have strong analytical skills, significant experience with the review of commercial contracts (specifically Insurance and Indemnity provisions), comfort communicating with other insurers and drafting lawsuits, and a demonstrated ability to manage multiple tasks and priorities.
Staff Dentist LIBERTY Dental PlanStaff DentistStaten Island, NJRemote$150,000–$165,000 / yearYour work directly influences patient outcomes, supports providers, and strengthens the integrity of dental benefits across Commercial, Marketplace, Medicare Advantage, and Medicaid programs. In this role, your day is highly focused and structured around clinical review and collaboration: ~90% of your time reviewing prior authorizations and dental claims using internal systems (including AI-supported platforms).
NewComplex Claims Consulting Director - Mass Tort Unit CNA Financial CorpComplex Claims Consulting Director - Mass Tort UnitNew York, NY$97,000–$189,000 / yearManages an inventory of the most complex commercial claims, which generally involve multiple years of coverage, have significant loss exposure, by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, and resolution strategies which may include pursuit of risk transfer, extensive negotiations and management of complex litigation. Drives the resolution of claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that often includes negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Medical Billing Clerk AculabsMedical Billing ClerkEast Brunswick, New JerseyJob Summary: Aculabs is currently looking for individuals who are excited about billing and coding to join our team in East Brunswick, New Jersey. Posting insurance payments, investigating denials and follows up with insurance companies for non-payment.
Complex Claims Consultant , Medical Malpractice and Dental CNA Financial CorpComplex Claims Consultant , Medical Malpractice and DentalMelville, NY$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Major Litigation Unit Complex Claims Consultant CNA Financial Corp.Major Litigation Unit Complex Claims ConsultantWarren, NJ$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Claims Consultant, Life Sciences CNA Financial Corp.Claims Consultant, Life SciencesNew York, NY$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Medical Malpractice CNA Financial Corp.Complex Claims Consultant - Medical MalpracticeTarrytown, NY$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Complex Claims Consultant , Medical Malpractice And Dental CNA Financial Corp.Complex Claims Consultant , Medical Malpractice And DentalMelville, NY$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
NewComplex Claims Consultant - Hospitals , Allied Facilities and Physicians CNA Financial CorpComplex Claims Consultant - Hospitals , Allied Facilities and PhysiciansNew York, NY$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex healthcare claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
NewComplex Claims Consultant - Hospitals , Allied Facilities And Physicians CNA Financial Corp.Complex Claims Consultant - Hospitals , Allied Facilities And PhysiciansNew York, NY$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex healthcare claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
VP, Subrogation Recovery Unit Manager Chubb LtdVP, Subrogation Recovery Unit ManagerJersey City, NJPosition Overview: The VP, Subrogation Recovery Unit Manager is responsible for leading the subrogation recovery function for property, auto claims, and workers compensation, with a focus on managing external subrogation vendors, internal recovery team, legal and claims teams. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
Director Configuration, Benefit Administration HealthfirstDirector Configuration, Benefit AdministrationNew York, NY$154,600–$236,555 / yearThis role implements the configuration structure within Healthfirst’s technology platforms to administer benefits taking in coordination with Provider Contracting, Claims Operations, Provider Data Management, Clinical Operations, Payment Integrity, and Information Technology. The objective of this role is to ensure that the benefit structure implementation delivers the intended experience through claim adjudication, including benefits, authorizations, reference data, claims editing, regulatory requirements, payment policies, and overall claim system functionality.
Dir Configuration, Benefit Administration HealthfirstDir Configuration, Benefit AdministrationNew York, NY$154,600–$236,555 / yearThis role implements the configuration structure within Healthfirsts technology platforms to administer benefits taking in coordination with Provider Contracting, Claims Operations, Provider Data Management, Clinical Operations, Payment Integrity, and Information Technology. The objective of this role is to ensure that the benefit structure implementation delivers the intended experience through claim adjudication, including benefits, authorizations, reference data, claims editing, regulatory requirements, payment policies, and overall claim system functionality.
Director, Healthcare - Payment Integrity West Monroe Partners, LLCDirector, Healthcare - Payment IntegrityNew York, NY$200,000–$250,000 / yearWorking alongside leaders across our National Healthcare Practice, this role will be responsible for developing and growing client relationships, identifying and pursuing new business opportunities, leading complex consulting engagements, and delivering exceptional value to clients. This role will focus on delivering business and technology consulting solutions for payer organizations, with a specialization in Payment Integrity, claims operations, reimbursement methodologies, and healthcare finance transformation.
AVP/VP– Cyber and E&O Insurance Broker Aon CorporationAVP/VP– Cyber and E&O Insurance BrokerNew York, New York$120,000–$170,000 / yearAon is recognized as one of the industry’s best-in-class resources in cyber risk management, and our multidisciplinary team of 600+ global professionals offers strong technical and investigative proficiency, enhanced consulting and risk transfer expertise, long-standing carrier relationships, and robust claims handling capabilities. Own all aspects of client service for your assigned book of business and new business opportunities in coordination with other team members and by using the deal flow process; optimally connect with other team members and administrative staff to ensure accurate prioritization of workflow.
Safety Manager ZumSafety ManagerYonkers, NY$75,000–$83,000 / yearRecognized globally for its innovative approach and operational execution, Zm has been named to Fast Company's World's Most Innovative Companies, CNBC Disruptor 50 and Changemakers, the World Economic Forum, and the Financial Times' Fastest Growing Companies lists. In the $50 billion student mobility market - the largest segment of the mass mobility industry - Zm CMX is transforming a daily source of anxiety and disruption into a reliable, transparent, and efficient mobility experience for students and families.
Forklift Operator - South Plainfield, NJ Georgia-PacificForklift Operator - South Plainfield, NJSouth Plainfield, NJFull timeAs a Koch company and a leading manufacturer of bath tissue, paper towels, paper-based packaging, cellulose, specialty fibers, building products and much more, Georgia-Pacific works to meet evolving needs of customers worldwide with quality products. We provide essential resources and support to build and maintain physical, financial, and emotional strength - focusing on overall wellbeing so you can focus on what matters most.
Quality Control Inspector System OneQuality Control InspectorButler, NJ$22–$25 / hourSystem One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality.
CLX Squad Lead, Contractor Operations Lemonade IncCLX Squad Lead, Contractor OperationsNY$80,000–$92,500 / yearYou'll sit within our property leadership team, managing contract adjusters across both day-to-day desk claims and catastrophe surges - making sure our external operation runs with the same precision, speed, and quality we hold ourselves to internally. Provide direct day-to-day oversight, performance management, and guidance to contract adjusters handling desk claims - both steady-state and catastrophe (CAT).