Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryNJEducation & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws. Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
Client Support Specialist-Claims Raphael and AssociatesClient Support Specialist-ClaimsRutherford, NJThe Opportunity We are seeking a motivated and detail-oriented Client Support Specialist who is responsible for the timely and accurate set up of new insurance claims and provides administrative support to the Claims Department. While the work we do as a claims organization is complex, our mission is clear: to deliver outstanding service, attract and retain top-tier professionals, and leverage industry-leading technology to drive results.
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.
SIU Investigator Allied UniversalSIU InvestigatorEdison, NJ$27–$32 / hourAcquire 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 - New York Labor Law Allied UniversalSIU Investigator - New York Labor LawBrooklyn, NY$32–$40 / hourAcquire 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 LawManhattan, NY$32–$40 / hourAcquire 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.
Licensed Public Adjuster (Nj) Velaz Solar & RoofingLicensed Public Adjuster (Nj)Elizabeth, NJ$40,000–$60,000 / yearThis 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.
Senior Claims Advocacy Specialist Ryan Specialty GroupSenior Claims Advocacy SpecialistNew York, New YorkThey 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. • Develops and implements advanced strategies for generating claims insights and advocacy, leveraging industry expertise and insights to optimize claim resolution outcomes.
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.
Manager, Claims Amalgamated LifeManager, 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.
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.
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 Claims Specialist, Cyber AXA SASenior Claims Specialist, CyberNEW YORK, NY$117,000–$184,400 / 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.
General Liability Claims Consultant CNA Financial Corp.General Liability Claims ConsultantWarren, NJ$72,000–$141,000 / yearThis individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
NewHead of Disability & Voluntary Benefits Claims Operations Prudential FinancialHead of Disability & Voluntary Benefits Claims OperationsNewark, New JerseyLocation: Open to remote or hybrid candidates within the U.S. Candidates should be comfortable with regular travel and maintaining an in-person presence at a Prudential office as business needs require (Newark, NJ; Portland, ME; Fort Washington, PA; Hartford, CT). The successful candidate will lead a large-scale claims operation, ensuring exceptional customer outcomes, operational excellence, regulatory compliance, and continuous business transformation through technology, automation, and process innovation.
Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial Corp.Managing Director Strategic Claims Oversight - Healthcare SeverityTarrytown, 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.
Claims & Litigation Associate (Remote) Stanford Health CareClaims & Litigation Associate (Remote)NYRemote$100.03–$132.51 / hourInvestigates pre-suit claims, reviews medical records, interviews providers, retains consultants when necessary, communicates with patients and/or families, and directly negotiates settlements when warranted. Oversees legal defense strategy, retains outside counsel, coordinates support for investigation, reviews attorney invoices, and monitors counsel's compliance with litigation management guidelines.
Liability Claims Manager Coterie Applications IncLiability Claims ManagerNYRemote$100,000–$120,000 / yearThe incumbent will work closely with internal departments, external legal counsel, insurance adjusters, and claimants to achieve timely and cost-effective resolution of claims while minimizing financial exposure and reputational risk. Key Responsibilities: Claim Investigation: Conduct thorough investigations into liability claims, gathering evidence, interviewing witnesses, and analyzing relevant documentation to determine the validity and extent of liability.