Claims Litigation Specialist Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)Claims Litigation SpecialistNYRemote$106,000–$143,000 / yearThe candidate must be a highly skilled Claims Specialist who can handle a range of complex cases, including Bad Faith claims, documented cases of daycare abuse/molestation, fatalities involving coverage issues, and construction defect cases involving multiple parties and complex contractual issues. Previous experience in handling complex claims, particularly in the areas of Bad Faith, daycare abuse/molestation, fatalities with coverage issues, and construction defect cases involving multiple parties and complex contracts.
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.
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.
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.
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.
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 CaseloadsNJRemote$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.
Claims Examiner - Binding Authority Coaction Specialty Insurance GroupClaims Examiner - Binding AuthorityMorristown, NJRemoteCoaction is looking for talented and driven candidates who combine strategic thinking, creativity, and pragmatic execution to drive business results. If your application is selected, you will receive an email directly from the Coaction Recruiting Team at coaction@myworkday.com asking you to contact a member of the Coaction Recruiting Team.
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.
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.