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.
NewSenior Claims Examiner, Professional Liability Arch Capital Group LtdSenior Claims Examiner, Professional LiabilityNew York, NYRemote$111,100–$172,465 / yearTotal individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.
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.
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.
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.
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.
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.
Claims Examiner - Binding Authority Coaction Specialty Insurance GroupClaims Examiner - Binding AuthorityMorristown, New JerseyRemoteCoaction is looking for talented and driven candidates who combine strategic thinking, creativity, and pragmatic execution to drive business results. At Coaction, we’re a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset.
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.
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.
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).
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.
Forensic Engineer - MechanicalNEW The Vertex Co IncForensic Engineer - MechanicalNEWNew York, NYRemote$146,000–$348,000 / yearResponsible 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). Effectively coordinate with other team members as requested or assigned, able to provide technical work product review, and monitor own progress on assigned tasks or projects, and ensure work product produced by self is consistently high quality.
Product Owner – Claims Innovation & Workflow Solutions MSIG HoldingsProduct Owner – Claims Innovation & Workflow SolutionsWarren, New JerseyRemoteExperience with claims platforms such as Guidewire Claim Center, Duck Creek, Majesco, or similar is helpful, but the role is broader than core platform configuration and is intended for candidates who can drive claims innovation, workflow modernization, and cross-functional delivery. This role is not limited to core claims platform ownership; it will shape capabilities across claims intake, triage, assignment, document and data intelligence, decision support, payments, recovery, litigation, vendor workflows, and shared claims operations.
Business Development Manager - State Farm Agent Team Member Dominick Abramo - State Farm AgentBusiness Development Manager - State Farm Agent Team MemberBayonne, NJRemoteFull timeKeywords: insurance sales, State Farm, property and casualty insurance, life insurance, auto insurance, insurance agent, insurance license, customer service, commission sales, entry-level sales, insurance broker, financial products, sales presentation. Join our State Farm Insurance offices in Bayonne, NJ & Staten Island, NY and build your future with a Fortune 50 leader!