NewSales Engineer - ISO Verisk Analytics IncSales Engineer - ISOJersey City, NJRemoteUnsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property. Working closely with Sales and client stakeholders across SIU, Claims, Analytics, and Technology, this role leads discovery, solution applicability, product demonstrations, proof-of-value engagements, and technical validation throughout the sales cycle.
Complex Claims Advisor | Product Liability & GL | Jurisdiction: All States | Licensing: Required Hybrid Sedgwick Claims Management Services, Inc.Complex Claims Advisor | Product Liability & GL | Jurisdiction: All States | Licensing: Required HybridNYRemote$70,000–$105,000 / yearPRIMARY PURPOSE OF THE ROLE To develop targeted solutions and provide added technical guidance and oversight to ensure matters are resolved optimally while creating a culture of continual quality improvement designed to elevate the overall claim handling to benefit our stakeholders. Experience: Eight (8) years of casualty claims experience or equivalent combination of education and experience required to include three (3) to five (5) years of experience handling complex claims and experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims.
Senior General Liability Claims Specialist Selby Jennings LtdSenior General Liability Claims SpecialistJersey City, NJRemoteKey Responsibilities: Oversee the full lifecycle of complex claims, including fact-finding, document analysis, and review of legal filings to determine overall exposure. Supervise external legal partners and vendors, ensuring counsel strategy, risk transfer opportunities, and indemnification positions are properly executed.
Director, Information Systems Enlyte Group LLCDirector, Information SystemsNYRemote$130,796–$185,000 / yearDefine and execute the data center exit strategy with complete plans, timelines, risk assessments, cost models, and cross-functional governance across Server, Resiliency, PMO, Managed Services, Facilities, and Finance. This is a full-time remote position that can be located anywhere in the U.S. The Director, Infrastructure Engineering is responsible for leading Enlyte's infrastructure engineering organization, encompassing cloud engineering, data center infrastructure, network and firewall management, and operating systems (Windows/Linux).
Medical Claims Auditor Clover Health Investments CorpMedical Claims AuditorNYRemote$90,000–$100,000 / yearAs a Medical Claims Auditor within our Special Investigations Unit, you will play a critical role in ensuring that Clover is able to continue to build and scale a compliant, effective FWA audit program. Success in this role looks like: By the end of your initial 90 day period, you will have demonstrated a strong understanding of our review process and are able to effectively navigate through the various Clover systems.
Workers Compensation Claims Examiner | NY Jurisdictional and Licensing Required | Public Entity Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | NY Jurisdictional and Licensing Required | Public EntityNYRemote$90,000–$95,000 / 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. PRIMARY PURPOSE OF THE ROLE To analyze Lost-Time 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.
Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped Caseloads Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped CaseloadsNYRemote$80,000–$90,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze New York Workers Compensation Lost-Time 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. Mental: 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.
Program Manager, Payer Operations (Alma) Spring HealthProgram Manager, Payer Operations (Alma)New York, NYRemote$97,000–$113,500 / yearAlma has raised $220.5M in funding from Insight Partners, Optum Ventures, Tusk Venture Partners, Primary Venture Partners, First Round Capital, Sound Ventures, BoxGroup, Cigna Ventures, and Rainfall Ventures. You won't be expected to solve every issue yourself, but you will be the one making sure nothing falls through the cracks: tracking open issues, mobilizing the right internal experts, and driving accountability across teams until problems are resolved.
Medical Biller Ideal Option PLLCMedical BillerNYRemote$17.50–$18 / hourWe are looking for a Medical Biller to join our growing team and help us in our vision to give back lives, reunite families, and heal communities that are suffering from the devastating effects of substance use disorder. Maintains knowledge of current billing rules and trends for billing types assigned by attending seminars, workshops and watching webinars.
NewSenior Claims Specialist - Workers Compensation Great American Insurance CompanySenior Claims Specialist - Workers CompensationNew Jersey, NJRemote$105,000–$125,000 / yearThis role is responsible for investigating claims, determining compensability, establishing reserves, negotiating settlements, and developing strategies that drive effective claim resolution. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their jurisdiction's comp laws, but also enjoys the role of putting that experience to good use.
Manager, Large Loss Property Claims PL (NY / East PA - WFH) Nationwide Mutual Insurance CoManager, Large Loss Property Claims PL (NY / East PA - WFH)New York, NYRemote$108,000–$200,000 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. Able to make physical inspections of property loss sites; including climb ladders, balance at various heights and rooftops up to 8/12 pitch stoop, bend and/or crawl to inspect vehicles and structures; work outside in all types of weather.
Claims Specialist Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)Claims SpecialistNYRemote$100,000–$143,000 / yearLeverage a working knowledge of insurance contracts, Unfair Claims Settlement Practices, insurance codes, civil codes, vehicle codes, arbitration rules and regulations, tort law, claims best practices handling and management as part of your ongoing adjudication of claims. High degree of comfort with navigating sometimes ambiguous environments and a willingness to dive in and assist coworkers with workloads or contribute to organizational needs/projects when needed.
Senior Manager, IUL Ethos Technologies IncSenior Manager, IULNYRemote$102,000–$180,000 / yearObsessed about our sales team's employee satisfaction, leads a team passionate about positivity and continual improvement, is not afraid to set big goals, and has the leadership skills to align focus to achieve them. Ethos offers instant, accessible products and a seamless online process that requires no medical exams and just a few health questions; it eliminates traditional barriers, making it easier than ever for everyone to protect their families.
Claims Referral Specialist II LIBERTY Dental PlanClaims Referral Specialist IIUniondale, NYRemote$20–$25 / hourThe successful candidate will bring strong dental claims knowledge, experience with Coordination of Benefits (COB) and Orthodontic claims processing, and the ability to collaborate effectively across departments while working independently in a remote setting. We are seeking a detail-oriented and experienced Claims Referral Specialist II to join our Claims team and play a vital role in ensuring accurate and timely claims processing for our members and providers.
Forensic Engineer - Mechanical The Vertex Companies, LLCForensic Engineer - MechanicalNew York, NYRemote$146,000–$348,000 / yearFull timeThe salary ranges for this role are as follows: $146,000 - $348,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $134,000 - $322,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria) $123,000 - $295,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) $112,000 - $268,000 USD annually (Geographical Tier C - Sample Locations - Atlanta, Charlotte, Cincinnati, Miami) $107,000 - $255,000 USD annually (Geographical Tier D - Sample Locations - Mississippi, Mobile AL, Bowling Green KY, Tulsa) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees). Responsible for supporting assigned manager in meeting or exceeding the defined annual budget for the entire practice area (including proactive creation of work product to meet or exceed defined utilization targets, oversight of execution of profitable technical assignments, and communication with clients as assigned or requested).
National Complex Claims Leader Marsh McLennanNational Complex Claims LeaderWhite Plains, New YorkRemote$93,700–$174,800 / yearReporting to the SVP, National Claims Director, you will serve as a senior resource and technical authority on complex and high-exposure claims, bringing deep expertise, strategic judgment, and a national perspective to drive resolution on complex, high-stakes commercial P&C claim situations across the organization. In this capacity, you will build and maintain strong relationships with national and regional leadership, industry vertical leaders, and Marsh Risk, ensuring MMA clients receive best-in-class advocacy at every level.
National Complex Claims Leader Marsh & McLennan Companies IncNational Complex Claims LeaderMelville, NYRemote$93,700–$174,800 / yearReporting to the SVP, National Claims Director, you will serve as a senior resource and technical authority on complex and high-exposure claims, bringing deep expertise, strategic judgment, and a national perspective to drive resolution on complex, high-stakes commercial P&C claim situations across the organization. In this capacity, you will build and maintain strong relationships with national and regional leadership, industry vertical leaders, and Marsh Risk, ensuring MMA clients receive best-in-class advocacy at every level.
Director, Senior Cyber Claims Advocate Willis Towers Watson PLCDirector, Senior Cyber Claims AdvocateNYRemote$150,000–$220,000 / yearWTW provides a competitive benefit package which includes the following (eligibility requirements apply): Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program). This role serves as a trusted advisor to clients on complex coverage issues, litigation strategy, carrier negotiations, policy interpretation, and emerging insurance risks., while supporting client retention, business development, and the continued growth of the FINEX Practice.
Medical Biller Actalent IncMedical BillerNew York, NYRemote$62,400–$83,200 / yearWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Data Entry Clerk Actalent IncData Entry ClerkNew York, NYRemote$62,400–$83,200 / yearWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.