Senior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsNJ$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
Claims Associate, Risk Management The Related Companies LPClaims Associate, Risk ManagementNew York, NY$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.
Managed Care Claims Business Analyst | Hybrid – 3 Days Onsite VNS HealthManaged Care Claims Business Analyst | Hybrid – 3 Days OnsiteNew York, New York$66,300–$79,800 / yearFull timeWorking closely with Claims Operations and cross-functional teams, this role identifies root causes, supports system enhancements, and helps ensure claims are processed accurately, efficiently, and in compliance with regulatory requirements. Effective oral and written communication skills, consulting and analytical skills and ability to work with clients, IT management, staff, consultants and vendors required.
Business Analyst, Claims VNS HealthBusiness Analyst, ClaimsNew York, NY$66,300–$79,800 / yearWorking closely with Claims Operations and cross-functional teams, this role identifies root causes, supports system enhancements, and helps ensure claims are processed accurately, efficiently, and in compliance with regulatory requirements. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
Commercial Auto & General Liability Claims Examiner II TEEMA GroupCommercial Auto & General Liability Claims Examiner IINew York, NYRemote$85,000–$95,000Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions.
Sr. Individual Disability Claims Specialist MetLife IncSr. Individual Disability Claims SpecialistNY$70,000–$85,000 / 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. 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.
IDI Claims Business Procedures Consultant MetLife IncIDI Claims Business Procedures ConsultantNY$54,000–$72,000 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. Guided by our purpose - always with you building a more confident future - and our New Frontier strategy focused on stronger growth, attractive returns and all-weather performance, this is an exciting opportunity to strengthen operational consistency, support risk mitigation, and partner across Claims, Reinsurance, Finance, Technology, and Audit to improve processes that directly support MetLife's customers and business performance.
Manager Claims Healthcare VillageCareManager Claims HealthcareNew York, NY$118,135.58–$132,902.53 / yearExperience: This position requires a minimum of 5 + years' experience in claims analytics performing increasingly complex data analysis and report/dashboard development, in a healthcare setting, and at least 2 years' experience managing and training staff. VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
Claims Assistant II HCC Life Insurance CompanyClaims Assistant IIPurchase, NY$56,800–$85,200 / yearPerform initial and ongoing claims processing including setting up claims files for multiple lines of business, performing data entry, scanning documents, and preparing loss runs. Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world.
HealthCare Claims Analyst VillageCareHealthCare Claims AnalystNew York, NY$65,294.40–$72,277 / yearYou will play a critical role in understanding healthcare reimbursement from both financial and operational perspectives, conducting audits, and performing root cause analysis to resolve identified issues with internal teams and third-party administrators (TPAs). To excel as a Full-Time HealthCare Claims Analyst at VillageCare, candidates must possess a Bachelor's Degree in a relevant field such as Computer Science, Mathematics, Statistics, or Engineering, with a Master's degree preferred.
Claims Review Analyst EmblemHealth IncClaims Review AnalystNew York, NY$48,600–$83,160 / yearIdentify potential/actual claims problems (single or recurring/trending) and document root cause analysis; present findings to management. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines.
Field Property Claims Adjuster: Princeton, NJ Farmers Insurance GroupField Property Claims Adjuster: Princeton, NJEdison, NJRemote$23.22–$47.07 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Candidates Must be Willing and Able to: Climb Ladders to inspect roofs, and be comfortable working on rooftops, multiple times per day, Work in small, confined spaces that have been damaged; such as attics and crawlspaces.
NewCyber Claims Specialist (Junior and Senior) (Full-Time) (Hybrid scbhedule) Career DevelopersCyber Claims Specialist (Junior and Senior) (Full-Time) (Hybrid scbhedule)Berkley Heights, NJ$100,000–$170,000 / yearIn this role, you will proactively investigate and manage a portfolio of primary and excess Technology Errors & Omissions (E&O) and Media Liability claims, delivering exceptional service and driving effective outcomes. Collaborate closely with underwriters, actuaries, brokers, insureds, defense counsel, and senior management to ensure effective claim handling and alignment with business objectives.
Processor, eBay - NJ (temp-to-hire) Collaborative SolutionsProcessor, eBay - NJ (temp-to-hire)Jersey City, New JerseyWe grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. We grade, authenticate, vault and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions.
Processor , eBay (Temp-To-Hire) (Shift 2) Collaborative SolutionsProcessor , eBay (Temp-To-Hire) (Shift 2)Jersey City, New JerseyWe grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. Our services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia.
Remote Claims Representative -581888 Metro Public AdjustmentRemote Claims Representative -581888Paramus, NJRemoteMetro Public Adjustment is looking for customer-oriented individuals to join our team of claims representatives. Once reviewed, If you want a face-to-face interview, we typically conduct them on Zoom: For Interview time and location, use the link below:
Claims Manager New Jersey Criterion Executive SearchClaims Manager New JerseyMontvale, NJMinimum of 5 years in a leadership role and must have commercial claims experience. Report all E&O exposures to the CEO with full details and claim file.
NASCO claims Specialist Tata Consultancy Services LtdNASCO claims SpecialistNewark, NJ$110,000–$115,000 / yearInterpret and guide implementation of complex payer rules, benefit configurations, and provider contracts. Review test artefacts and guide offshore UAT teams to ensure domain accuracy.
Processor , eBay (Temp-To-Hire) (Shift 2) Collectors Holdings, Inc.Processor , eBay (Temp-To-Hire) (Shift 2)Jersey City, NJWe grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. Our services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia.
Inside Sales - Claims (Mandarin Required) ASUSTeK Computer IncInside Sales - Claims (Mandarin Required)NY$70,304–$71,400 / yearIn this role, you will partner closely with Sales, Product Management, Finance, and external customers to verify promotional documentation, resolve pricing and invoice discrepancies, coordinate claim resolution, and support the successful execution of channel programs. Essential Duties and Responsibilities: Serve as the primary liaison between ASUS Asia headquarters and North American Sales, Product Management, Finance, Accounts Receivable, and customers, ensuring timely communication and resolution of operational issues.