NewMedical Claims WITH STRONG EXCEL Coordinator PhaxisMedical Claims WITH STRONG EXCEL CoordinatorManhattan, NY$23We are seeking detail-oriented professionals with strong analytical skills and experience handling medical claims, insurance documentation, and data tracking in fast-paced healthcare environments. Excellent opportunity for candidates with medical billing, claims, insurance verification, or healthcare administrative experience seeking a stable hybrid opportunity!
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.
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.
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.
Tax Insurance Claims Lawyer - VP Aon PlcTax Insurance Claims Lawyer - VPNew York, NY$242,000–$315,000 / yearResponsibilities: Consult and strategize with clients and Aon's broking team about policy coverage and claims Oversee filing of claim notices Facilitate the tax insurance claim process including reviewing insurer coverage positions and discussing claim strategy with clients Engage in claim advocacy and negotiating resolutions where appropriate Assist with the collection and review of tax insurance claims data Help to produce thought leadership publications including a market leading claim study Participate in public speaking engagements, clients and prospect meetings and industry conferences You Bring Knowledge and Expertise: 4+ years experience in tax controversy matters, either at a law firm or government role, with comprehensive experience in resolving tax claims at federal and state levels Exceptional legal, analytical and negotiating skills Proven experience managing multiple projects simultaneously and producing quality deliverables Ability to identify and resolve complex problems and issues Excellent verbal and written communication skills, including presentation skills to clients and at industry events Team player who takes initiative, is resourceful and is self-motivated Education, Additional Skills: Juris Doctor or Bachelor of Laws degree Data Analysis, Document Management, Process Improvements, Business Communications, Case Management, Claims Negotiations, Claims Processing, Claims Resolution, Claims Training How we support our colleagues In addition to our comprehensive benefits package, we encourage an inclusive workforce. The individual filling this position will step into a newly created role, working alongside Aon Transaction Solution colleagues and claims associates to facilitate the resolution of complex tax insurance claims on behalf of private equity and corporate clients.
Lead Healthcare Claims Assistant HCC Life Insurance CompanyLead Healthcare Claims AssistantNew York, NY$29.90–$51.35 / hourAs an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions. With the strength and stability that comes from being a member of the Tokio Marine Group, and more than fifty years of growth, profitability, and stability, we offer important insurance products that most people don't even know exist.
Claims Operations Manager SiriusPointClaims Operations ManagerNew York City, New YorkThe successful candidate will work closely with Global Head of Claims Operations, Claims leadership, claims handlers, underwriting, finance, actuarial, compliance, legal, IT and external service providers to deliver high-quality operational support across claims management, governance, reporting and transformation activities. Data and systems support: Help maintain data quality across claims platforms, reporting tools and workflow systems, supporting system enhancements, user acceptance testing and operational change delivery.
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.
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.
Private Client Claims Advocacy Leader Marsh & McLennan Companies IncPrivate Client Claims Advocacy LeaderNew York, NY$125,000–$233,000 / yearFrequently communicate key client and Family Office matters/concerns, team updates, market developments and claims trends with PCS field leadership teams (Zone Leaders and Zone Client Advisor Leaders) as well as MMA regions. Directs and interfaces with PCS Operations and EPIC Transformation teams to design and implement contemporary claims technologies, including claims 'use cases' for Risk Services and Solutions data platform.
Claims Negotiation Analyst (Out of Network Mandates) Horizon Healthcare ServicesClaims Negotiation Analyst (Out of Network Mandates)Newark, New JerseyPrepares written responses including negotiation outcomes by completing a written justification on how Horizon BCBSNJ adjudicated the initial and adjusted claim, but not limited to, benefits, contracts, payment and pricing methodology, proof of plan and providing explanation of benefits within regulated timeframes. $58,029 - $77,074 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
Claims Manager, SDI AXA SAClaims Manager, SDINew York, NY$139,300–$219,300 / yearClaims Manager - SDI Chicago, IL | Hartford, CT | Exton, PA | New York, NY | Morristown, NJ| Boston, MA | USA As the SDI Claims Manager, you will play a pivotal role in leading a team that handles high-exposure Subcontractor Default Insurance (SDI) claims for some of the largest construction contractors in the industry. 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 Technician Markel Group IncClaims TechnicianRed Bank, NJ$19.69–$27.08 / 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.
NewSenior Property Claims Specialist - Commercial (Inside Desk) Utica National Insurance GroupSenior Property Claims Specialist - Commercial (Inside Desk)Woodbury, NY$77,000–$105,000 / yearWe believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations in NYC, Dallas and Charlotte.
Claims & Risk Analyst HelloFresh SEClaims & Risk AnalystNew York, NY$68,400–$81,000 / yearThis position offers the opportunity to gain broad exposure across corporate risk management, including claims oversight, data analytics, return-to-work programs, insurance renewals, and continuous process improvement. Monitor and support claims throughout the lifecycle by handling routine follow-ups, identifying aging or high-risk claims, and coordinating with adjusters to ensure timely progression.
Specific Claims Auditor HCC Life Insurance CompanySpecific Claims AuditorNY$40,300–$88,800 / yearThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. As an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions.
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:
Professional Claims Writer -581888 Metro Public AdjustmentProfessional Claims Writer -581888Marlboro, NJMetro 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 Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsMelville, New York$78,862.06–$102,500 / yearFull timeWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).