Claims Examiner I Metroplus Health Plan IncClaims Examiner INew York, NY$50,000–$54,194 / yearPerforms other related duties, i.e., maintaining individual production counts, updating manuals and reference materials, attending all refresher training seminars. Scope of Role & Responsibilities: Process claims involving medical and/or surgical services; screens for complete member/provider information.
Senior Claim Examiner-Environmental Chubb LtdSenior Claim Examiner-EnvironmentalJersey City, NJ$94,600–$136,400 / yearThe 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. This role requires accountability for the handling and disposition of claims, including investigation, coverage, reserves, negotiation, settlement and trial strategies.
Senior Claims Examiner-Environmental Chubb LtdSenior Claims Examiner-EnvironmentalJersey City, NJ$94,600–$136,400 / yearThe 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. This role requires accountability for the handling and disposition of claims, including investigation, coverage, reserves, negotiation, settlement and trial strategies.
Litigation Claim Examiner-Personal Umbrella (Bodily Injury Liability/Auto/Premises) RLI Corp.Litigation Claim Examiner-Personal Umbrella (Bodily Injury Liability/Auto/Premises)New York, NY$80,897–$115,682 / yearThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.
Senior Claims Examiner, Professional Liability Arch Capital Group LtdSenior Claims Examiner, Professional LiabilityNew York, NYRemote$111,100–$172,465 / yearTotal individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.
Social Services Examiner I-Spanish Speaking-Help Program Suffolk County, NYSocial Services Examiner I-Spanish Speaking-Help ProgramRonkonkoma, NYInterviews applicants, including Spanish-speaking applicants, for financial assistance programs; Reviews certification form to determine that the information is complete and consistent; when necessary, asks applicant appropriate questions and makes necessary additions and/or corrections to the form; Evaluates applicant's financial eligibility for assistance and may determine initial categorical eligibility; Prepares and computes budget for the applicant; Advises applicant of the eligibility determination, the amount of assistance and when the first grant can be expected; Informs the applicant about the program under which she/he is eligible, and any documentation or additional information which may be needed; Explains the validation process to the applicant; Advises the applicant about his/her duty to keep the agency informed of any change that may affect eligibility; Informs applicant about the range of services in the agency and may refer applicant to social services section or other specialists, such as resources, housing, employment, legal, medical, etc; Makes re-determinations of financial eligibility; Recommends emergency grants as needed; May be required to make field visits to obtain collateral verification to determine eligibility and make referrals to Special Investigations Unit if appropriate. Under the supervision of a technical or administrative supervisor, an employee in this class determines financial eligibility for programs administered by the Department of Social Services and recommends amounts of assistance in accordance with established policies and procedures.
Claims Examiner - Insurance Carrier - Base Salary to 100k/year - Great Neck, NY AllSearch Professional StaffingClaims Examiner - Insurance Carrier - Base Salary to 100k/year - Great Neck, NYGreat Neck, NY$60,000–$100,000 / yearOur client, a large and growing insurance carrier, is seeking a Claims Examiner to manage complex bodily injury, property damage, and litigated third-party liability claims involving commercial auto, trucking, transportation, fleet, and business insurance policies. This role is responsible for investigating, evaluating, negotiating, and resolving complex commercial liability claims while coordinating with attorneys, Third Party Administrators (TPAs), claimants, medical providers, defense counsel, and internal teams.
Social Services Examiner I-Spanish Speaking-HELP Program Suffolk CountySocial Services Examiner I-Spanish Speaking-HELP ProgramRonkonkoma, New YorkInterviews applicants, including Spanish-speaking applicants, for financial assistance programs; Reviews certification form to determine that the information is complete and consistent; when necessary, asks applicant appropriate questions and makes necessary additions and/or corrections to the form; Evaluates applicant's financial eligibility for assistance and may determine initial categorical eligibility; Prepares and computes budget for the applicant; Advises applicant of the eligibility determination, the amount of assistance and when the first grant can be expected; Informs the applicant about the program under which she/he is eligible, and any documentation or additional information which may be needed; Explains the validation process to the applicant; Advises the applicant about his/her duty to keep the agency informed of any change that may affect eligibility; Informs applicant about the range of services in the agency and may refer applicant to social services section or other specialists, such as resources, housing, employment, legal, medical, etc; Makes re-determinations of financial eligibility; Recommends emergency grants as needed; May be required to make field visits to obtain collateral verification to determine eligibility and make referrals to Special Investigations Unit if appropriate. Under the supervision of a technical or administrative supervisor, an employee in this class determines financial eligibility for programs administered by the Department of Social Services and recommends amounts of assistance in accordance with established policies and procedures.
Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | Remote Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | RemoteNYRemote$75,000–$85,000 / yearTo analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Workers Compensation Claims Examiner | Strong VT Jurisdictional Experience & VT Licensing Required | Additional Jurisdictions: CT, MA, NH, RI Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Strong VT Jurisdictional Experience & VT Licensing Required | Additional Jurisdictions: CT, MA, NH, RINYRemote$80,000–$90,000 / yearMental: 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. PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Examiner Workers Compensation I NY experience required Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I NY experience requiredNY$60,234–$90,000 / yearTo analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Claims Examiner | No Fault- PIP | Lit Required | New York Sedgwick Claims Management Services, Inc.Claims Examiner | No Fault- PIP | Lit Required | New YorkNew York, NY$75,000–$85,000 / yearPRIMARY PURPOSE OF THE ROLE: Investigates, negotiates, and resolves personal injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions, best practices, and jurisdictional requirements. Investigates loss details, evaluates, negotiates, and resolves claims within appropriate authority guidelines; maintains a high level of productivity, confidentiality, and customer service.
Workers Compensation Claims Examiner | NY Jurisdictional and Licensing Required | Public Entity Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NY Jurisdictional and Licensing Required | Public EntityNYRemote$90,000–$95,000 / yearMental: 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. PRIMARY PURPOSE OF THE ROLE To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
NewWorkers Compensation Claims Examiner | Dedicated Client & Capped Caseloads | CT, MA, NJ, VT Jurisdiction Experience | VT & CT Licensing Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Dedicated Client & Capped Caseloads | CT, MA, NJ, VT Jurisdiction Experience | VT & CT LicensingNYRemote$80,000–$90,000 / yearMental: 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. PRIMARY PURPOSE OF THE ROLE To analyze Lost-time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Sr Claim Examiner- WC Crawford & CoSr Claim Examiner- WCHauppauge, NYTo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Sr Claim Examiner-Liability Crawford & CoSr Claim Examiner-LiabilityHauppauge, NYTo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Title Examiner Amtrust Financial Services IncTitle ExaminerNew York, NY$40–$50 / hourExamine title orders within underwriter guidelines to determine the conditions of the title and insurability by considering the effect of documents such as deeds, deeds of trust, mechanics liens, tax liens, judgments, assessments, probates, and other record documents. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
Senior Claims Examiner Markel Group IncSenior Claims ExaminerRed Bank, NJ$78,000–$134,090 / 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 primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Senior Claims Examiner, Lawyers and Financial Advisors Professional Liability Markel Group IncSenior Claims Examiner, Lawyers and Financial Advisors Professional LiabilityNew York, NY$78,000–$134,090 / 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. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Claim Examiner II - Program Claims Markel Group IncClaim Examiner II - Program ClaimsRed Bank, NJ$62,400–$107,250 / 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. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist internal business partners, including claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.