NewPhysician Practice Coder - Remote Boston Medical CenterPhysician Practice Coder - RemoteNYRemote$24.04–$33.65 / hourThis includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. KNOWLEDGE AND SKILLS: Work requires in-depth knowledge of medical terminology, ICD-10-CM and CPT-4 Work also requires basic concepts of human anatomy, physiology and pathology.
Claims Specialist Sales MatchClaims SpecialistNewark, New JerseyRemoteIn this role, you will assist in processing and reviewing insurance claims, ensuring all necessary information is gathered, and helping resolve claims efficiently. If you have strong attention to detail and enjoy supporting customers through the claims process, this is a great opportunity for you.
Director, Product Management — AI Claims Platform CB Smart RecruitDirector, Product Management — AI Claims PlatformNew York, New YorkRemoteCandidates whose experience is primarily BI/dashboard product management, high-level GenAI strategy without shipped products, transformation/program management without roadmap ownership, or healthcare without AI/automation/product ownership would not align closely with the requirements. The organization is developing a platform designed to help claims teams review claims more accurately and efficiently by using AI to understand policies, claims data, business rules, and operational workflows and provide decision support around whether claims should be approved, denied, adjusted, or escalated.
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.
Workers Compensation Claims Trainee - New York GallagherWorkers Compensation Claims Trainee - New YorkNew York, New YorkRemoteFull timeThe INVEST Program Guardian Pathway is a 6-month paid , fully remote, entry-level immersive learning experience, designed for recent college graduates to gain real-world exposure, personalized coaching and mentorship and a clear, long-term career path in one of U.S. best industries . Stakeholder Communication: Engage in professional communication and strategy development with clients ; provide support and empathy to the i njured employees ; secure key details from medical providers and other key stakeholders to support collaborative , outcome-focused, and empathetic claims handling.
Life Claims Specialist New York Life Insurance CoLife Claims SpecialistNYRemote$50,000–$55,000 / yearRole Overview: As a Life Claims Specialist, you will develop the skills needed to conduct Life Insurance claim investigations, make determinations regarding eligibility for benefits, provide ongoing claim administration, and communicate decisions and status updates. What Youll Do: Complete Life claim customer eligibility determinations and manage on-going claims through, applying appropriate contractual provisions, following legal guidelines, and working closely with technical leadership.
Field Property Claims Adjuster: Hackensack, NJ Farmers Insurance GroupField Property Claims Adjuster: Hackensack, NJHackensack, 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.
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.
Patient Account Specialist Regional Cancer Care AssociatesPatient Account SpecialistTeaneck, New JerseyRemote$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.
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.
NewClaims Specialist II Aon PlcClaims Specialist IINew York, NYRemote$55,000–$60,000 / yearAs part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of our Travel Practice business group within Aon Affinity. Successful completion of a 4-week training program required How we support our colleagues: In addition to our comprehensive benefits package, we encourage an inclusive workforce.
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.
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.
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.
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.
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.
Accounts Receivable Specialist Geode HealthAccounts Receivable SpecialistNYRemote$22–$24 / hourDemonstrates flexibility to meet the needs of all internal and external customers including changes to workflows, work volume and work schedules. Joining Geode Health will put you on the front-end of a rapidly growing movement to increase access and improve outcomes for mental health patients and providers across the nation.
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.