Independent Insurance Claims Adjuster in Lancaster, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Lancaster, New YorkLancaster, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeWilliamsville, NY$60,500–$63,000 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
Adjuster - Specialty Casualty Claims MerchantsAdjuster - Specialty Casualty ClaimsBuffalo, New York$85,000–$115,000 / yearResponsible for all claim handling activities on assigned high exposure claims through disposition, including investigation, litigation management, evaluation, procuring appropriate settlement authority, engaging in settlement negotiations, providing instruction and guidance on risk transfer and coverage issues, training and development of claim staff through informal knowledge transfer and formal training activities, preparing for and presenting claims to the Large Loss Committee, and ensuring proper reinsurance reporting and communication. The Adjuster - Specialty Casualty Claims will become part of a dedicated team focusing on providing high-level technical expertise in the handling of commercial umbrella, excess liability, multi-party catastrophic injury, property damage, and construction defect claims.
ESIS Claims Associate Chubb LtdESIS Claims AssociateCheektowaga, NYThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Contact, interview, and obtain statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc., to secure necessary claim information.
ESIS Senior Claims Representative, WC Chubb LtdESIS Senior Claims Representative, WCCheektowaga, NY$78,100–$109,400 / yearAbility to plan, organize, and implement general business and people management practices, supported by management and technical training, a business or legal college-level curriculum, or equivalent practical experience. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
NewRestoration Claims & Estimate Manager Rainbow RestorationRestoration Claims & Estimate ManagerBUFFALO, NY$50,000–$65,000 / yearNeither Rainbow Restoration ("Franchisor") nor its affiliates have the power to: (1) hire, fire or modify the employment condition of franchisees employees; (2) supervise and control franchisees employee work schedule or conditions of employment; (3) determine the rate and method of payment; or (4) accept, review or maintain franchisee employment records. All independently owned and operated franchised businesses operate under the service brands' marks, trademarks, trade names, logos, emblems, slogans, or other indicia of origin in connection with the Rainbow Restoration franchise system within a specified geographical area.
Crop Claims Seasonal Adjuster Great American Insurance Group (DBA)Crop Claims Seasonal AdjusterAlabama, NYComplete field inspections, reviews, and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company Crop insurance policies. The Division is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI policies.
CLAIMS ADJUSTER Niagara Frontier Transportation AuthorityCLAIMS ADJUSTERBuffalo, NY$53,407–$80,110 / yearInvestigates liability claims, no-fault claims, and other claims involving personal injury or property loss/damage; investigates scene of the accident, takes detailed statements from involved parties, photographs evidence to document investigation files, peruses video evidence, performs other research as necessary. • Inspects damage to structure, motor vehicles, and heavy equipment; reviews repair estimates; reviews medical records and determines value of claim and coverage applicable; prepares a cost benefit analysis for settling claims.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerBuffalo, NY$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistBuffalo, New YorkSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Claims Follow Up Rep Brown University HealthClaims Follow Up RepBuffalo, NYRemote$19.97–$32.96 / hourSUMMARY: Under general supervision of the PFS Supervisor of Claims Follow-up and Denials, performs all duties necessary to properly follow up on outstanding claims and correct/re-process all denied claims to obtain timely reimbursement of each third-party claim and ensure the financial stability of a large multi-specialty, multi-state physician practice. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
CAM Claims Processor III M&T Bank CorpCAM Claims Processor IIINY$22.61–$37.67 / hourUnderstand difference between the claim types: Short Sales, Foreclosure Claims, Third Party Claims, Charge Off, Security Claims, Loss Mitigation Claims, and Deed in Lieu Claims. Overview: Submits FHA and conventional claims, reviews losses, and reconciles loans for final booking by Default Accounting.
Claims Supervisor CentivoClaims SupervisorBuffalo, New YorkEducates and mentors claims staff to ensure proper application of client benefit plans to claims processed, at the required quality and production metrics, including establishing performance plans for those falling below expectations with appropriate coaching and mentoring to achieve improvement. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.
Claims Specialist BestSelf Behavioral Health IncClaims SpecialistBuffalo, NYA Claims Specialist will organize billing and rebilling materials as well as create and analyze reports from the billing system to provide feedback to program sites. The position prepares claim data for transmission to Medicaid, Medicare, and Managed Care plans.
Claims Compliance Manager CentivoClaims Compliance ManagerBuffalo, New YorkManage RxDC (Prescription Drug and Health Care Spending) reporting under the Consolidated Appropriations Act (CAA), including both D2 Medical and P2 Medical data files; coordinate with pharmacy benefit managers (PBMs), stop-loss carriers, and internal teams to compile and submit accurate annual reports on behalf of plan sponsors. Manage and coordinate NSA negotiations for out-of-network claims subject to the open negotiation process; partner with claims leadership and legal counsel to support Independent Dispute Resolution (IDR) proceedings, including submission preparation, documentation, and tracking of outcomes.
Claims Business Analyst CentivoClaims Business AnalystBuffalo, New YorkHeadquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Proactively identify opportunities and recommend system solutions that increase automation, resolve system deficiencies, and enhance claims processing and reporting to meet and exceed business requirements.
Lead Claims Quality Auditor CentivoLead Claims Quality AuditorBuffalo, New YorkStrategic Thinking – Knack for sorting through clutter to find the best route, often by pulling up from the current complexity to identify patterns that guide future direction and allow one to narrow the options and articulate the options from which others can work backward. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.
Claims Auditor CentivoClaims AuditorBuffalo, New YorkCentivo is seeking a Claims Auditor who will be responsible for conducting pre-payment, post-payment, and claims adjudication audits across multiple employer groups and product lines, including complex, high-dollar claims. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.
Claims Process Documentation & Training Specialist CentivoClaims Process Documentation & Training SpecialistBuffalo, New YorkPartner with POP as a subject matter expert to ensure claims process and adjudication content is accurate, providing quality review of new hire and enhanced training materials (including COB, adjustments, and corrected claims) and advising on the appropriate sequencing of content within new hire training. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.
Claims Adjustor CentivoClaims AdjustorBuffalo, NYRemoteIncreased responsibilities, which may include assisting and mentoring less experienced team members, participating in various initiatives or projects within the Claims Delivery Team, documenting processes, performing advanced tasks, supporting high-dollar reviews, and overpayments/refunds. Diligently reviewing all system-generated edits which have been applied to claims in the Claims Adjustor's assigned queues prior to releasing the claims to ensure benefits are being applied per the client's SPD and client funds are being appropriately managed.