Credentials Specialist (Manhattan) New York University School of MedicineCredentials Specialist (Manhattan)New York, NY$66,299.99–$81,375 / yearPost Committee reviews and approvals, responsible for assuring file completeness and prompt, accurate and detailed communication regarding final on-boarding of new providers, including Post Committee approval letters, Delineation of Privileges (DOP) and communication to providers. Employs public relations skills and uses discretion in a wide variety of email, phone and in person contacts with internal and external sources for purposes of soliciting information and communicating information essential to the credentialing process and credentials investigations.
Sr. Claims Examiner W. R. Berkley CorpSr. Claims ExaminerJersey City, NJWe 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. This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $100,000.00.
Account Associate - State Farm Agent Team Member Alberto Santana - State Farm AgentAccount Associate - State Farm Agent Team MemberJersey City, NJFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Alberto Santana - State Farm Agent, you are vital to our daily business operations and customers’ success. ABOUT OUR AGENCY: Our agency has proudly served the community for over 16 years, building a strong reputation for trust, reliability, and exceptional service.
Account Associate - State Farm Agent Team Member Mariela Gonzalez - State Farm AgentAccount Associate - State Farm Agent Team MemberTeaneck, NJFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Mariela Gonzalez - State Farm Agent, you are vital to our daily business operations and customers’ success. If you’re motivated, enjoy working with people, and are looking for an opportunity where you can grow and make an impact, I’d love to connect with you and see if this could be the right fit.
Account Associate - State Farm Agent Team Member Ronald Demyers - State Farm AgentAccount Associate - State Farm Agent Team MemberMontclair, NJFull timeWe invest heavily in growth through ongoing training, mentorship, daily role plays, and access to conferences and certifications, while also supporting work-life balance with flexible schedules and a vibrant downtown office location surrounded by great restaurants and public transit. We’re a “work hard, play hard” team that celebrates wins, supports each other through challenges, and is always growing together—making this a great place for motivated, ethical, team-oriented individuals who want to build a meaningful and rewarding career.
Customer Service Representative - State Farm Agent Team Member Ronald Demyers - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberMontclair, NJFull timeWe invest heavily in growth through ongoing training, mentorship, daily role plays, and access to conferences and certifications, while also supporting work-life balance with flexible schedules and a vibrant downtown office location surrounded by great restaurants and public transit. We’re a “work hard, play hard” team that celebrates wins, supports each other through challenges, and is always growing together—making this a great place for motivated, ethical, team-oriented individuals who want to build a meaningful and rewarding career.
Legal Case Coordinator Yampaglia LawLegal Case CoordinatorBranchburg, New JerseyThe Legal Case Coordinator plays a vital role in managing the day-to-day progress of legal matters by serving as the primary liaison between clients, attorneys, medical providers, insurance companies, courts, and other parties. The ideal candidate has excellent communication and organizational skills, thrives in a fast-paced legal environment, and is passionate about delivering exceptional client service while ensuring cases move efficiently from intake through resolution.
Customer Service Representative - State Farm Agent Team Member Kevin Burgman - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberHamilton, NJFull timeAs a Customer Service Representative with the Kevin Burgman Agency, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Senior Claims Representative Total Loss Plymouth Rock Management Company of New JerseySenior Claims Representative Total LossParsippany, NJ$64,000–$84,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. The Senior Total Loss Claim Representative processes payments and is responsible for the documentation of assigned claims as well as coordinate disposition of the total loss salvage vehicle.
Claims Technical Specialist - Remote Selective Insurance Group IncClaims Technical Specialist - RemoteNYRemote$96,000–$125,000 / yearSelective'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. Analyze information to evaluate Coverage, determine liability, and assess the extent of loss, potential co-carriers, and other parties involved in the claim, such as subcontractors, taking into consideration contributory or comparative negligence and potential exposure to the insured.
Customer Service Representative - State Farm Agent Team Member Greg Thomas - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberMiddletown, NJFull timeAs a Customer Service Representative - State Farm Agent Team Member with Greg Thomas - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Before becoming an agent with State Farm, I worked in auto claims, which gave me firsthand experience helping customers through challenging situations and understanding the importance of having the right protection in place.
NewCustomer Service Representative - State Farm Agent Team Member Manny Coby - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberMartinsville, NJFull timeAs a Customer Service Representative - State Farm Agent Team Member with Manny Coby - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. 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.
Account Associate - State Farm Agent Team Member Alexa Santana - State Farm AgentAccount Associate - State Farm Agent Team MemberRahway, NJFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Alexa Santana - State Farm Agent, you are vital to our daily business operations and customers’ success. We’re here to serve the communities of New Jersey, New York, and Pennsylvania with Automobile, Homeowners, Renters, Condominium, Commercial, Pet, and Life Insurance.
Customer Service Representative - State Farm Agent Team Member Alexa Santana - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberRahway, NJFull timeAs a Customer Service Representative - State Farm Agent Team Member with Alexa Santana - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. We’re here to serve the communities of New Jersey, New York, and Pennsylvania with Automobile, Homeowners, Renters, Condominium, Commercial, Pet, and Life Insurance.
Director, Value Engineering - Financial Services CelonisDirector, Value Engineering - Financial ServicesNew York, NY$195,000–$265,000 / yearYou will lead a diverse organization-ranging from strategic Industry Partners to technical execution teams-to translate high-level institutional goals (e.g., Capital Efficiency, Operational Resilience, Combined Ratio optimization) into realized P&L impact. Translate Institutional Strategy: Partner with C-Level executives (COO, CIO, Heads of Lines of Business) to map bank and carrier strategic goals across Banking and Insurance -such as T+1 Settlement Readiness, Regulatory Compliance, or Claims Modernization-to specific Celonis capabilities.
NewAssociate Attorney Ternium Revenue Cycle ManagementAssociate AttorneyNew York, NYRemote$55,000–$65,000 / yearWith a dedicated team of professionals, we consistently deliver outstanding results, increasing net patient revenue, improving cash flow, and reducing operational costs while enhancing the patient experience. What You'll Do As an Associate Attorney at Ternium, you'll play a crucial role in advocating for healthcare providers in disputes with insurance carriers and managed care organizations.
Engagement Lead - Risk Consulting Marsh & McLennan Companies IncEngagement Lead - Risk ConsultingNew York, NY$112,600–$239,800 / yearAs an Engagement Lead - Forensic Accounting & Claims Services Consultant, you will act as a recognized subject matter expert, leading large-scale strategic projects, coaching team members, and solving complex client problems. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law.
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 - DaysNY$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.
Forward Deployed AI Leader- Claims (Hybrid) Selective Insurance Group IncForward Deployed AI Leader- Claims (Hybrid)NJ$163,000–$220,000 / yearProactively identifies, shapes, and documents AI use cases in partnership with business unit stakeholders, ensuring proposed opportunities are grounded in business need, aligned to the business unit's strategy, mapped to executive sponsorship, and evaluated against intake criteria before advancing to solution design or development. Owns the business unit's AI portfolio view and adoption outcomes, proactively shapes use cases, pushes for innovation, delivers small-scale AI solutions, and escalates misalignment, stalled progress, or resource issues to the AI COE Leader and business unit leadership.
NewSenior Casualty Claim Representative/Claims Specialist-Specialty Human Services Great American Insurance Group (DBA)Senior Casualty Claim Representative/Claims Specialist-Specialty Human ServicesNew York, NY$80,000–$120,000 / yearSHS works with agents to address the coverage needs and loss exposures of more than 16,000 social service and non-profit organizations across the country. Since 1980, we've been Protecting Those Who Improve Your Community and were one of the first carriers to offer niche coverage solutions to nonprofit and service organizations.
Restoration Supervisor SERVPRO of Hoboken/Union CityRestoration SupervisorCliffwood, NJFull timeSERVPRO Team Harvey is growing, and we're looking for a Restoration Supervisor to lead restoration projects, support our field teams, and help deliver an exceptional customer experience. Servpro Franchise employees are not employed by, jointly employed by, agents of or under the supervision or control of Servpro Industries, LLC or Servpro Franchisor, LLC (the Franchisor), in any manner whatsoever.
Sr. Claims Examiner BerkleySr. Claims ExaminerJersey City, New JerseyWe 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. Responsibilities: This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $100,000.00.
Personal Lines Producer John Wiltshire Allstate AgencyPersonal Lines ProducerNew York, New York$35,000–$100,000 / yearJob Description The Personal Lines Producer at City and Shire Insurance Agency is responsible for maintaining and maximizing profitable relationships with personal lines clients and for growing the book of business through new client sales. Demonstrate strong knowledge of insurance products and usages, rating procedures, underwriting procedures, coverages, and industry operations to effectively secure new business and maintain existing client base.
Priority Responder and Fire Chaser ServproPriority Responder and Fire ChaserWestwood, New JerseyWe’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. You will be responsible for monitoring emergency alerts from fire departments, arriving at fire-damaged properties quickly, and offering our restoration services to property owners in need.
Account Associate - State Farm Agent Team Member Greg Thomas - State Farm AgentAccount Associate - State Farm Agent Team MemberMiddletown, NJFull timeBefore becoming an agent with State Farm, I worked in auto claims, which gave me firsthand experience helping customers through challenging situations and understanding the importance of having the right protection in place. ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Greg Thomas - State Farm Agent, you are vital to our daily business operations and customers’ success.
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.
Patient Accounts Rep, Self Pay RWJ Barnabas Health Medical IncPatient Accounts Rep, Self PayOceanport, NJ$20.60–$25.84 / hourThe Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their hospital service, correspondence response, billing and rebilling, certain denial issues, prompt handling of A/R credits and trend monitoring. RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team.
Claims Technician Rental Operations Plymouth Rock Management Company of New JerseyClaims Technician Rental OperationsParsippany, NJ$42,000–$50,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
NewSr. Claims Specialist, Workers Compensation (NE Region) Zurich Insurance Group LtdSr. Claims Specialist, Workers Compensation (NE Region)Parsippany, NJThis opportunity offers a hybrid work schedule from our Parsippany, NJ or Boston, MA offices, or the flexibility to work fully remotely from one of the following states dependent on location: Maine, Vermont, New Hampshire, Massachusetts, Connecticut, Rhode Island, New York, Pennsylvania, New Jersey, Virginia, Washington, D.C., or Delaware. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation claims of moderate 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.
Workers Compensation Claims Specialist W. R. Berkley CorpWorkers Compensation Claims SpecialistJersey City, NJWe 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. Analyze and process workers' compensation claims by investigating and gathering information to determine compensability and exposure on claims, handling multiple jurisdictions.
NewClaims Support Advocate (Temp) Included Health IncClaims Support Advocate (Temp)NYFor context, these markets include Zone A (e.g., Phoenix AZ, San Antonio TX, Columbus OH, Charlotte NC), Zone B (e.g., Chicago IL, Denver CO, San Diego CA, Houston TX), and Zone C (e.g., Los Angeles CA, Seattle WA, Washington, D.C., Boston MA). Job Summary: As a Claims Support Advocate (CSA), you will be part of a vibrant team of high performing and highly engaged professionals that work to ensure a quality member experience within our service level agreements.
Legal & Claims Senior Manager, Professional Services Group Aon CorporationLegal & Claims Senior Manager, Professional Services GroupNew York, New York$167,000–$210,000 / yearAs Senior Vice President, you will be a senior leader and subject matter expert for PSP’s claims advocacy offering, independently leading our most complex and sensitive claims and shaping advocacy strategy, data insights and best practices across the practice. Act as a senior leader within PSP, partnering with Practice Leaders and product leaders on client strategies and go‑to‑market plans, supporting major new business and retention efforts, and mentoring VP‑level and junior colleagues.
Legal & Claims Manager, Professional Services Group Aon CorporationLegal & Claims Manager, Professional Services GroupNew York, New York$135,000–$175,000 / yearExcellent written and verbal communication skills comma with the ability to explain complex coverage and claim issues to non-lawyers and build trusted relationships with senior stakeholders. As a Legal & Claims Manager you will lead complex claim advocacy and collections for PSP clients, helping them achieve optimal outcomes on high‑impact claims.
Patient Account Specialist Regional Cancer Care AssociatesPatient Account SpecialistHackensack, New Jersey$20.35–$27.43 / hourMakes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts. Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.
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.
Actuarial Manager, Pricing At-BayActuarial Manager, PricingNew York, NY$175,000–$205,000 / yearAs an Actuarial Manager on the Pricing team, you will be working under the risk function with talented team members in modeling, risk analytics, decision engine, insurance and tech product. Identify, advise and execute pricing initiatives to achieve functional strategies (often segment specific) on matters of significance, and present proposed initiatives to senior management.
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.
Cyber Underwriter / Senior Underwriter, Northeast Retail At-BayCyber Underwriter / Senior Underwriter, Northeast RetailNew York, NY$90,000–$115,000 / yearPortfolio Management: Closely manage and monitor a middle market 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.
Actuary / Senior Actuary At-BayActuary / Senior ActuaryNew York, NY$150,000–$185,000 / 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 driving At-Bay's professional lines product related initiatives and lead a wide variety of pricing projects, from inception to implementation, to understand the impacts and implications of pricing and underwriting initiatives on the business.
Avp, Underwriting (Wholesale) At-BayAvp, Underwriting (Wholesale)New York, NY$145,000–$175,000 / yearIn this role, you'll work closely with our Insurance Product team, Claims team, and Security organization teams to help mold an effective strategy for winning Tech E&O and Cyber business in the Middle Market / Enterprise segments. Key responsibilities: Responsible for owning the strategy for profitable growth with new business and renewal business in our Middle Market / Enterprise Accounts ($100M+) risk segment to achieve profitable premium and rate goals.
Licensed Sales Producer Thomas Baumann Allstate AgencyLicensed Sales ProducerBridgewater, New Jersey$40,000–$65,000 / yearJob Description The Personal Lines Producer at Allstate is responsible for maintaining and maximizing profitable relationships with personal lines clients and for growing the book of business through new client sales. Demonstrate strong knowledge of insurance products and usages, rating procedures, underwriting procedures, coverages, and industry operations to effectively secure new business and maintain existing client base.
NewClaim Examiner II, Construction Markel Group IncClaim Examiner II, ConstructionSummit, NJThis 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 base salary 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.
NewDirector of Public Housing - Architecture & Engineering New York City Housing Development CorporationDirector of Public Housing - Architecture & EngineeringNew 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.
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.
Director, Loan Management New York Life Insurance CoDirector, Loan ManagementNY$137,000–$165,000 / yearKey responsibilities include: Lead, mentor, and develop a team of analysts responsible for the review and execution of borrower requests, including lease approvals, reserve disbursements, ownership transfers, insurance claims, easement requests, guaranty releases, and collateral substitutions, while building technical expertise in underwriting, loan administration, and credit analysis and supporting professional development. This role requires deep expertise in commercial real estate credit, strong leadership in managing and developing asset management professionals, and a proven ability to design and execute process improvement initiatives that drive efficiency and accuracy across operations.
Senior Associate, Mortgage Loan New York Life Insurance CoSenior Associate, Mortgage LoanNY$93,000–$133,000 / yearKey responsibilities include: Proactively manage a portfolio of commercial mortgage loans by analyzing financial statements and rent rolls to identify potential credit or market risks and assess compliance with loan covenants, Respond to borrower requests including lease approvals, reserve disbursements, ownership transfers, insurance claims, easements, guaranty releases, or collateral substitutions, Process construction and bridge loan draws in accordance with project budgets and contractual terms, Identify and track watchlist loans, preparing updates and analysis for regular portfolio review meetings, Partner with origination, legal, and senior leadership teams on loan modifications and document changes, Foster and maintain positive borrower relationships, Support initiatives aimed at enhancing process and operational efficiency, and. What Youll Bring: Bachelor's degree required, preferably in real estate, finance, economics, accounting, or a related business discipline with an investment concentration, 3-5 years of hands-on experience in commercial real estate lending, with a deep understanding of complex debt structures including revolvers, senior loans, mezzanine financing, and securitized products, Extensive expertise in interpreting complex loan documents and overseeing construction loan budgets; familiarity with Built is a strong advantage, Experience with Argus or Excel-based financial modeling, Excellent analytical and organizational abilities, with the capacity to manage multiple priorities in a fast-paced environment, and.
NewWorkers' Compensation Examiner, WCB Item #8194 New York State Thruway AuthorityWorkers' Compensation Examiner, WCB Item #8194New York, NY$60,506–$72,630 / yearThree years of full-time experience in a position where your primary responsibilities included extensive in-person or telephone customer service experience with the general public resolving customers issues and/or problems; explaining programs/services, policies, or procedures; reconciling accounts; or experience examining, investigating, processing, or adjusting insurance claims; or responding to technical questions from policyholders or claimants; Or 2. An Associate degree may substitute for two years of specialized experience described in #1; Or 3. A bachelors degree may substitute for four years of specialized experience described in #1. Reviews claims case file to determine if required forms and documents have been received; requests missing information from appropriate party; may prepare claims file, and if applicable according to specified criteria, prepares administrative decision for judges' approval or prepares the file for presentation to judge for action.
Health Claims Stop Loss Auditor RSC Insurance Brokerage IncHealth Claims Stop Loss AuditorNY$51,800–$75,000 / yearThe Health Claims Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role.
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.
Claims Analyst W. R. Berkley CorpClaims AnalystNJRemote$70,000–$80,000 / yearThe key to Berkley's success is our nimble approach to risk - our ability to quickly understand, think through, and devise a plan that addresses each client's challenges, coupled with the strong backing of a Fortune 500 company. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident.