Claims Associate, Risk Management The Related Companies LPClaims Associate, Risk ManagementNY$120,000–$140,000 / yearWe 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.
Inland Marine Claims Adjuster American International GroupInland Marine Claims AdjusterJersey City, NJ$76,000–$97,000 / yearAs an industry leader in Inland Marine Insurance, AIG will provide you with the unique opportunity to put your knowledge and expertise to work alongside many top experts in the field and a dedicated team of claim professionals, helping our insureds manage and mitigate their risk, often while handling complex larger sized cases and events from a primary perspective. #claims #claimsexaminer #claimsadjuster #ClaimsCareers #ClaimsJobs #inlandmarineclaims #marineclaims #cargoclaims #AtlantaInsuranceJobs #AtlantaLawCa.
Maintenance Supervisor PennroseMaintenance SupervisorAvenel, New Jersey$28–$30 / hourFull timeResponsibilities: Perform administrative work each morning (30 minutes) as assigned by the PM or Support Center, including but not limited to prescribed online training, reviewing “My Pennrose” updates, reviewing messages from the executive team/ownership, scheduling vendors, ordering parts, participating in “Team Meetings,” etc. This includes conducting a pre-move-out inspection, creating a “punch” list of maintenance work needed, scheduling vendors and contractors as needed, obtaining needed supplies and materials, completing all maintenance tasks, and inspecting completed work.
Auto Adjuster I, II or Sr. Allstate Insurance CompanyAuto Adjuster I, II or Sr.NJ$50,000–$74,350 / yearAuto Collision (Inactive), Auto Collision Repair, Auto Insurance, Auto Insurance Claims, Automobile Accidents, Automobile Liability, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, De-Escalation, Insurance Administration, Insurance Claims, Insurance Coverage, Insurance Policies, Investigative Skills, Multitasking, Negotiation, Task Organization, Time Management. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Sr. Individual Disability Claims Specialist MetLife IncSr. Individual Disability Claims SpecialistNY$70,000–$85,000 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworld's leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. In this role, the applicant will apply independent judgment, critical thinking, and strong communication skills to manage moderately complex claims, collaborate with internal and external partners, and help deliver fair, thorough, and well-reasoned outcomes that support MetLife's commitment to customers and communities.
Senior Counsel - Commercial Claims Geico InsuranceSenior Counsel - Commercial ClaimsNew York City, NY$148,625–$260,350 / yearProvide legal advice to claims organization and business leaders on complex commercial insurance claims, including providing coverage advice, evaluating risk transfer demands and opportunities, and evaluating risk associated with potential extra-contractual exposure and alleged bad faith. A successful candidate should have seven or more years' experience advising claims organizations in insurance coverage and claims-related litigation arising from commercial insurance policies and ideally would have some familiarity with claims-related litigation risks across all fifty states.
Remote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717Princeton, NJRemote$100,000–$250,000 / yearMetro Public Adjusting is a leading firm specializing in advocating for property owners navigating insurance claims after storms, water damage, fire, and other property losses. We are seeking an Outside Sales Representative who will generate new business, manage client relationships, and partner with our claims team to deliver exceptional results.
MBU Program Claims Leader Eatontown, NJ or Remote Crum & Forster Holdings Corp.MBU Program Claims Leader Eatontown, NJ or RemoteEatontown, NJRemoteInformation about the Role, Line of Business and Team: The successful candidate will work as part of the Operations team to proactively manage a team of claims professionals including the Claims Program Management teams, Training & Development team, and oversight of Stop Loss and Travel vertical operations. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
Investigator Ethos Risk ServicesInvestigatorJersey City, NJPart timePrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
Maintenance Supervisor Pennrose Properties LLCMaintenance SupervisorAvenel, NJ$28–$30 / hourPerform administrative work each morning (30 minutes) as assigned by the PM or Support Center, including but not limited to prescribed online training, reviewing "My Pennrose" updates, reviewing messages from the executive team/ownership, scheduling vendors, ordering parts, participating in "Team Meetings," etc. This includes conducting a pre-move-out inspection, creating a "punch" list of maintenance work needed, scheduling vendors and contractors as needed, obtaining needed supplies and materials, completing all maintenance tasks, and inspecting completed work.
Senior Business Analyst, Claims and Vendor Data EmblemHealth IncSenior Business Analyst, Claims and Vendor DataNY$68,040–$118,800 / yearProven ability to apply quantitative and/or qualitative research and data analysis techniques to improve operational processes; and to identify and interpret trends, patterns, and anomalies within complex datasets of trend information required. Analyze and interpret claims, payment, and vendor data to identify, prevent, and recover overpayments, as well as to drive process improvements and cost containment.
Sr. Claims Counsel, Environmental and Design Professional Liability Sompo International Holdings LimitedSr. Claims Counsel, Environmental and Design Professional LiabilityMorristown, NJ$125,000–$175,000 / yearThe successful candidate will be able to provide insight and analysis on complex high profile/high exposure Architects & Engineers (Design Professional Liability) and Environmental (Contractors Pollution and Professional Liability, Site Environmental Liability and Excess Environmental Liability) claims. Our business, your impact, our opportunity: What you'll be doing: Provide coverage, liability, and damages analysis for complex environmental and professional liability claims, including Architects & Engineers, Construction Professional, and Pollution.
Sr. Claims Counsel, Lawyers Professional Liability Sompo International Holdings LimitedSr. Claims Counsel, Lawyers Professional LiabilityMorristown, NJ$125,000–$175,000 / yearBelow is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents.
NewClaims Specialist, Construction Sompo InternationalClaims Specialist, ConstructionNew York City, NY$65,000–$135,000 / yearWorking closely with underwriting, actuarial, legal, and claims partners, the team delivers technical expertise, strong claim outcomes, and exceptional service while supporting the overall profitability and growth of the business. Collaborate with management, underwriting, and actuarial teams by communicating claim developments, supporting renewal activities, and identifying loss and expense trends across a portfolio of claims.
Sr. Claims Counsel, Lawyers Professional Liability Sompo InternationalSr. Claims Counsel, Lawyers Professional LiabilityNew York City, NY$125,000–$175,000 / yearBelow is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents.
Sr. Claims Counsel, Environmental And Design Professional Liability Sompo InternationalSr. Claims Counsel, Environmental And Design Professional LiabilityMorristown, NJ$125,000–$175,000 / yearThe successful candidate will be able to provide insight and analysis on complex high profile/high exposure Architects & Engineers (Design Professional Liability) and Environmental (Contractors Pollution and Professional Liability, Site Environmental Liability and Excess Environmental Liability) claims. Our business, your impact, our opportunity: What you'll be doing: Provide coverage, liability, and damages analysis for complex environmental and professional liability claims, including Architects & Engineers, Construction Professional, and Pollution.
Sr. Claims Specialist W. R. Berkley CorpSr. Claims SpecialistJersey City, NJ$110,000–$160,000 / yearWe 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. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $110,000-$160,000 • Eligible to participate in annual discretionary bonus.
Workers Compensation Claims Specialist (NE Region) Zurich Insurance Group LtdWorkers Compensation Claims Specialist (NE Region)Parsippany, NJRemoteThis position offers a hybrid work schedule from our Parsippany or Boston offices, or a fully remote setup based in one of the following states: Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, or West Virginia. The Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation claims of low to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.
Claims Manager, No Fault Metropolitan Transportation AuthorityClaims Manager, No FaultNY$99,204–$110,227 / yearOpening: The Metropolitan Transportation Authority is North America's largest transportation network, serving a population of 15.3 million people across a 5,000-square-mile travel area surrounding New York City, Long Island, southeastern New York State, and Connecticut. Claims Manager, No Fault is responsible for directing and overseeing no-fault claims handling and settlement decisions, interpreting and applying no-fault statutes and case law to complex claims, and developing and maintaining guidelines, procedures, and quality controls that govern no-fault claims adjudication.
NewAppellate Attorney CURE Auto InsuranceAppellate AttorneyPrinceton, NJJob TitleAppellate AttorneyJob SummaryWe have a unique opportunity for an experienced appellate attorney with 3+ years of civil litigation experience handling automobile insurance claims and 2+ years handling appeals of automobile insurance claims. CURE Auto Insurance (Citizens United Reciprocal Exchange)A leading direct writer of auto insurance in New Jersey, Pennsylvania, and Michigan.
Reassessment Sr. Long Term Disability Claims MetLife IncReassessment Sr. Long Term Disability ClaimsNY$58,000–$69,000 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworld's leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. The Reassessment Senior LTD Claims Specialist is responsible for evaluating and managing ongoing long-term disability claims to ensure accurate, timely, and customer-focused claim decisions that support MetLife's commitment to making a meaningful impact in the lives of our customers and communities across the United States.
Manager, Companion Animals Global On-market Clinical Studies & Outcomes Research Zoetis IncManager, Companion Animals Global On-market Clinical Studies & Outcomes ResearchNJ$93,000–$148,000 / yearThe role will ensure alignment of research with the Global Pet Care Strategy and foster close collaboration with regional colleagues, Technical Services, Marketing, Veterinary Medical Research & Development (VMRD), Regulatory Affairs, Global Medical Portfolio Support (GMPS) and Global Portfolio Marketing (GPM). Proven track record designing and executing outcomes and real world evidence studies in companion animals (e.g., comparative effectiveness, PRO/HRQoL, adherence, utilization), including economic analyses and decision modeling.
Senior Complex Claims Director - Management Liability American International Group Inc (AIG)Senior Complex Claims Director - Management LiabilityNY$118,000–$178,000 / yearAs Senior Complex Claims Director for Management Liability, you will be responsible for handling all aspects of our highest severity D&O claims with opportunity to handle high exposure Employment Practices Liability and Fiduciary Liability claims and you will have the unique opportunity to work with some of the industry's top talent in Financial Lines Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Supervisor, Claims Medical Only Amtrust Financial Services IncSupervisor, Claims Medical OnlyPrinceton, NJ$66,900–$92,000 / yearSalaries are based upon a wide range of factors considered in making the compensation decision, including, butnot limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property or casualty claims based on coverage, appraisal and verifiable injury or damage.
NewCasualty Auto Coverage Adjuster Allstate Insurance CompanyCasualty Auto Coverage AdjusterNY$50,000–$86,400 / yearAnalytical Thinking, Automobile Accidents, Bodily Injury Claims, Case Management, Claims Administration, Claims Resolution, Claims Review, Coverage Analysis, Coverage Litigation, Customer Service, De-Escalation, Demand Letters, Insurance, Insurance Claims Investigations, Insurance Investigation, Insurance Policies, Negotiation, Personal Injuries, Personal Injury Claims, Relationship Management. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Claims Representative, Auto Sedgwick Claims Management Services, Inc.Claims Representative, AutoNJ$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
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.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageNJ$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Client Support Specialist-Claims Raphael and AssociatesClient Support Specialist-ClaimsRutherford, NJFull timeWhile 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. 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.
Executive Claims Examiner Markel Group IncExecutive Claims ExaminerNY$97,520–$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.
Executive Claims Examiner, Programs Markel Group IncExecutive Claims Examiner, ProgramsRed Bank, NJ$97,520–$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 internal business partners, including claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTETrenton, NJRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTETrenton, NJRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Claims Adjuster II U-HaulClaims Adjuster IIIvyland, PAThe states in which U-Haul will decline to hire nicotine users are: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Pennsylvania, Texas, Utah, Vermont, Virginia, and Washington. Under the general direction of the Claims Manager, Repwest Insurance, responsible for the investigation, evaluation and settlement (either by denial, compromise or payment) of claims arising from physical damages to vehicles, property of customers (higher and more complex cases) and third parties (medium to high exposure bodily injury claims).
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.
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 Specialist, Commercial E&O AXA SASenior Claims Specialist, Commercial E&ONY$105,300–$184,400 / yearBy combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty. This includes, building and refining effective working relationships with insured, brokers, claim handlers, underwriters, co-insurers, excess and reinsurers as well as external vendors including investigators and legal counsel.
Complex Claims Specialist - Remote Selective Insurance Group IncComplex Claims Specialist - RemoteNYRemote$124,000–$160,000 / yearReviews policy coverage analyzes claim facts, coordinates with insureds, brokers/agents, consultants, legal counsel, and remediation experts, and supports timely, accurate claim resolution in accordance with policy terms, regulatory requirements, and internal claims practices. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year.
Entry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorJersey City, NJFull timeOur Full-Time Entry-Level Field Investigator position will help launch your career by providing you with an industry leading FULLY PAID Investigator Training Program - no prior experience necessary! Documentation: Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day.
Senior Claims Specialist, Cyber AXA SASenior Claims Specialist, CyberNY$117,000–$184,400 / yearManaging 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. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business - property, casualty, professional, financial lines and specialty.
Claims Consultant - Accountants and Professional Liability The Hartford Insurance Group IncClaims Consultant - Accountants and Professional LiabilityNew York, NY$122,400–$183,600 / yearFor full-time, occasional, part-time, or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, MiFi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. The Hartford Financial Lines Errors & Omissions E&O Claims Group has an open Claim Consultant position handling a caseload of third-party Accountants and Miscellaneous Professional Liability claims, from inception to final disposition.
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.
Employee Benefits Claims Team Leader (HYBRID OR REMOTE) Equitable Financial Life Insurance CompanyEmployee Benefits Claims Team Leader (HYBRID OR REMOTE)NYRemote$68,000–$92,000 / year418318'',''true'',''418318'',''false'',''Submission for the position: Employee Benefits Claims Team Leader (HYBRID OR REMOTE) - (Job Number: 260000AW)'',''false'',''418318'',''false'',''true'',''Employee Benefits Claims Team Leader (HYBRID OR REMOTE)'',''260000AW'',''UNITED STATES-Remote'',''UNITED STATES-Remote'',''UNITED STATES-NC-Charlotte, UNITED STATES-NY-Syracuse'',''UNITED STATES-NC-Charlotte, UNITED STATES-NY-Syracuse'',''Equitable'',''Equitable'',''Full-time'',''Full-time'',''!*! Claims Management: Expertise in delivering a positive claims experience for Disability and/or Leave of Absence products, such as Short Term Disability, Statutory Disability Coverages, Long Term Disability, or State Paid Leaves.
NewGeneral Liability Claims Consultant CNA Financial CorpGeneral Liability Claims ConsultantPrinceton, 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.
Associate Claim Examiner Markel Group IncAssociate Claim ExaminerRed Bank, NJ$27.84–$38.27 / hourThis 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. Pay information: The hourly rate offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Coordination of Benefits and Recovery Specialist EmblemHealth IncCoordination of Benefits and Recovery SpecialistNY$56,160–$99,360 / yearInterface with the Benefits Coordination & Recovery Center (BCRC) and update the Common Working File (CWF) to ensure the global Medicare record accurately reflects other health insurance (OHI). Assist in the collection and validation of data required for Section 111 of the MMSEA, ensuring accurate member records are transmitted to CMS to avoid civil monetary penalties.
Vice President, Government and Commercial Programs Allied UniversalVice President, Government and Commercial ProgramsNYRemote$130,000–$160,000 / yearThe Vice President, Government and Commercial Programs is responsible for all government and commercial healthcare operations in addition to managing interactions with government entities while concurrently developing and executing strategies to drive commercial growth and Profit & Loss (P&L) responsibility across both public and private sectors. Responsible for the day-to-day oversight of the operational efficiency and effectiveness of the clinical auditing, compliance and special investigations unit organization, to include special programs such as Physician, Managed Care, Pharmacy, PACE, and Special Needs.
Manager, Claims & Litigation Summit Health IncManager, Claims & LitigationNew Providence, NJ$111,000–$155,000 / yearOur primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
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.
Workers Compensation Claims Examiner | NY Jurisdictional Experience Required | Dedicated Client Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NY Jurisdictional Experience Required | Dedicated ClientNY$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 Physical: Computer keyboarding Auditory/Visual: Hearing, vision and talking #claimsexaminer #claims #remote As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Experience Required | Dedicated Client Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?