Senior Actuarial Analyst, Pricing At-BaySenior Actuarial Analyst, PricingNew York, NY$120,000–$135,000 / yearYou'll be surrounded by a team that loves what they do, leverages technology to improve efficiency & minimize duplicative work, and recognizes the enormous responsibility that they have - to support key business decisions with data backed insights and a deep understanding of insurance risk. You will be responsible for leading and supporting a wide variety of pricing and underwriting related initiatives, quantifying the impacts and implications of those initiatives on the business and identifying ways to the overall economics of the business.
Senior Cyber Underwriter (Wholesale) At-BaySenior Cyber Underwriter (Wholesale)New York, NY$130,000–$150,000 / yearPortfolio Management: Closely manage and monitor an SMB book of business, ensuring financial targets are met and implementing strategies to optimize profitability. With 98% of cyber insurance claims in the past five years coming from small and mid-size businesses with revenue under $2B, providing an integrated solution to help manage risk is more critical than ever.
Office Manager DEO Dental GroupOffice ManagerHackensack, NJDeliver treatment plan presentations and effectively communicate recommended treatments to patients, helping them understand the importance of their oral health and moving forward with treatment. Effetive leadership style with the ability to set clear expectations, hold the team accountable, and create a supportive culture inspiring the best out of others .
Account Associate - State Farm Agent Team Member Marwan Jaser - State Farm AgentAccount Associate - State Farm Agent Team MemberMerrick, NYFull timeROLE DESCRIPTION: As an Account Associate for Marwan Jaser Agency, 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.
Denials Coordinator - Hospital Billing Patient Financial Services - Corporate 42nd Street - Full-Time - Days Mount Sinai Health SystemDenials Coordinator - Hospital Billing Patient Financial Services - Corporate 42nd Street - Full-Time - DaysNew York, NY$65,885–$98,827 / yearKey responsibilities include analyzing claim denial reasons, identifying denial trends, sharing trends and findings with owner areas, coordinating the appeals process, collaborating with departments to prevent future denials, maintaining documentation including issue logs with updates, denied dollars and resolutions, and acting as a resource for staff regarding denial-related issues and payer rules. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Account Associate - State Farm Agent Team Member Manny Coby - State Farm AgentAccount Associate - State Farm Agent Team MemberMartinsville, NJFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Manny Coby - State Farm Agent, you are vital to our daily business operations and customers’ success. ABOUT OUR AGENCY: Manny has been proudly serving New Jersey and New York for over 25 years and leads two multi-lingual offices known for their professionalism and dedication.
Customer Service Representative - State Farm Agent Team Member Anthony Sposito - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberBethpage, NYFull timeAs a Customer Service Representative - State Farm Agent Team Member with Anthony Sposito - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. ABOUT OUR AGENCY: I opened my State Farm agency in 2019 after spending several years working for State Farm Corporate, where I developed a strong understanding of the company’s mission and how to best serve customers.
Account Associate - State Farm Agent Team Member Chris Tobar - State Farm AgentAccount Associate - State Farm Agent Team MemberRego Park, NYFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Chris Tobar - 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 Anthony Sposito - State Farm AgentAccount Associate - State Farm Agent Team MemberBethpage, NYFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Anthony Sposito - State Farm Agent, you are vital to our daily business operations and customers’ success. ABOUT OUR AGENCY: I opened my State Farm agency in 2019 after spending several years working for State Farm Corporate, where I developed a strong understanding of the company’s mission and how to best serve customers.
Claims Consultant - Hospital/Excess Professional Liability The Medical Protective CompanyClaims Consultant - Hospital/Excess Professional LiabilityNYRemote$90,000–$150,000 / yearFrom our roots in our hometown of Fort Wayne, Indiana, we''ve worked diligently to become the nation''s premier healthcare liability coverage provider, currently insuring more than 300,000 customers. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others.
VP LTD Claims & Operations MetLife IncVP LTD Claims & OperationsNew York, NY$219,000–$290,000 / 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. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Manager, US Benefits & Retirement eTeam Inc.Manager, US Benefits & RetirementMorristown, NJThe role will independently manage Benefits workstreams and complex transition-related activities, partnering with Total Rewards, HR, Payroll, Legal, HR Operations, external advisors and benefit vendors. Independently manage Benefits workstreams arising from business transformation, organizational changes, workforce transitions and other complex projects.
Director of Public Housing New York City Housing Development CorporationDirector of Public HousingNew York, New York$115,000–$135,000 / yearArea of Talent: Architecture/Engineering/Affordable Housing Position Type: Full Time/Exempt Salary Range: $115,000 to $135,000 Office Location: NYC/Financial District Position Summary: The Director of Public Housing position reports to the Vice President of Architecture & Engineering in the Asset Management Department. This role is critical in ensuring the long-term sustainability and safety of HDC’s housing portfolio, NYCHA PACT and TRUST portfolios, and directly impacts residents’ quality of life as well as advancing HDC’s housing mission.
Sales Engineer - ISO Verisk Analytics IncSales Engineer - ISOJersey City, NJRemoteUnsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property. Working closely with Sales and client stakeholders across SIU, Claims, Analytics, and Technology, this role leads discovery, solution applicability, product demonstrations, proof-of-value engagements, and technical validation throughout the sales cycle.
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 .
Short Term Disability Unit Leader MetLife IncShort Term Disability Unit LeaderNY$59,000–$99,300 / 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. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Medical Biller / Reimbursement Coordinator McKesson CorporationMedical Biller / Reimbursement CoordinatorEdison, NJ$17.44–$23.53 / hourResponsibilities Key Responsibilities:- Submit and follow up on insurance claims (commercial, Medicare, Medicaid)- Verify patient insurance eligibility and benefits- Review and resolve claim denials and rejections promptly- Manage accounts receivable and aging reports- Post payments and reconcile accounts accurately- Coordinate prior authorizations for chemotherapy, infusions, and specialty medications- Ensure compliance with coding and billing regulations (ICD-10, CPT, HCPCS)- Communicate effectively with patients, providers, and insurance companies regarding billing inquiries- Maintain accurate and up-to-date patient billing records Qualifications Qualifications:- Minimum 2+ years of medical billing experience (oncology/hematology preferred)- Strong knowledge of insurance guidelines, reimbursement processes, and prior authorizations- Relevant certifications such as Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) are preferred but not required.- Familiarity with oncology-specific billing (infusion services, J-codes, drug billing) is highly desirable- Experience with EHR/PM systems (e.g., Athena, Centricity, ONCOEmr)Preferred Skills:- Experience handling high-dollar claims and specialty drug reimbursement- Knowledge of Medicare guidelines for oncology services- Ability to work independently and as part of a team in a fast-paced environmentPHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
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.
AVP, Sr. Claims Examiner W. R. Berkley CorpAVP, Sr. Claims ExaminerNew York, NY$132,000–$189,000 / yearThe AVP, Senior Claims Examiner handles all aspects of claims notices and files related to professional liability and accompanying coverages, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel. Additionally, the AVP, Senior Claims Examiner supports and assists with marketing and loss prevention education, including development of educational materials, for assigned product lines, as requested or needed.
Forensic Accountant Selby Jennings LtdForensic AccountantLong Island, NYExcellent written and verbal communication skills with the ability to explain complex financial concepts to non-financial audiences. Review financial statements, revenue trends, expenses, invoices, inventory records, and supporting documentation to determine and support claim values.