Senior Manager - Data Analyst for Medical Health Claims ExlService Holdings IncSenior Manager - Data Analyst for Medical Health ClaimsNY$120,000–$125,000 / yearThe ideal candidate retrieves, organizes and performs research/analysis on Medical Health Claim data primarily to identify root cause and is a proactive thinker, self-starter, who enjoys working in a fast-paced and challenging environment with the ability to work independently. The Senior Data Analyst will support the business team in evaluating trends on utilization of products / services based on historical data - such as care management trends, claim utilization, member attributes, to develop cost effective quality product / services.
Senior Manager, Construction Claims Markel Group IncSenior Manager, Construction ClaimsSummit, NJThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Senior Claims Adjuster, Specialty The Fortegra Group IncSenior Claims Adjuster, SpecialtyIselin, NJ$90,000–$150,000 / yearAs a direct report to the Manager of Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Professional Liability line of business. Primary Job Functions: Direct management and oversight of professional lines claims with potential for significant severity and complexity.
Manager, Benefits Coordination and Claims EmblemHealth IncManager, Benefits Coordination and ClaimsNew York, NY$77,760–$149,040 / yearCollaborate and work cross-functionally with other operational areas (Claims, Provider Network Management, Contract Configuration, Provider File Operations, Payment Integrity, etc.) to ensure root causes are remediated for both overpayment and underpayments. Drive strategic initiatives to reduce claim overpayment, improve recovery outcomes, and strengthen financial performance while maintaining regulatory integrity.
Claims Manger, Select Professional AXA SAClaims Manger, Select ProfessionalNEW YORK, NY$139,300–$219,300 / yearBy combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty. As a Commercial E & O Claims Manager, you will be responsible for leading a team that handles complex insurance claims and litigation management duties within AXA XL's Commercial E&O Professional division, with a primary focus on Miscellaneous, Media, and Public Entity Liability Claims.
Client Service Manager | Casualty Claims Experience Required (Auto, GL or WC) | Multi-Client Sedgwick Claims Management Services, Inc.Client Service Manager | Casualty Claims Experience Required (Auto, GL or WC) | Multi-ClientNY$90,000–$100,000 / yearTo manage accounts of multiple client service programs or single large national program; to maintain client, client broker and key vendor relationships; and to manage program procedures and processes that impact customer satisfaction ensuring consistency in process within the account as well as client retention. 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.
Staff Product Manager, Claims Experience Coalition IncStaff Product Manager, Claims ExperienceNYAs a Staff Product Manager for our Claims Experience, you will own the systems and workflows at the heart of that promise: making our claims handling faster, smarter, and more effective for the internal teams who run it and the brokers and policyholders who depend on it. Develop and maintain a clear product strategy and roadmap for Coalition''s claims experience, with a strong emphasis on operational efficiency spanning workflow tools, automation, ML-powered insights, and customer-facing experiences.
NewClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTETrenton, NJRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
NewLiability Claims Coordinator Student Transportation of America, Inc.Liability Claims CoordinatorWall Township, NJ$60,000–$80,000 / yearPart timeThe Claims Coordinator will assist in designing workflow processes, provide reporting to management and risk management, and ensure data integrity and compliance with internal and external audit controls. • Partner with cross-functional management on updates to claims as needed and ensure the timely and accurate processing of information through the creation of best practice workflows.
NewLiability Claims Coordinator Student Transportation IncLiability Claims Coordinatorwall township, NJ$60,000–$80,000 / yearThe Claims Coordinator will assist in designing workflow processes, provide reporting to management and risk management, and ensure data integrity and compliance with internal and external audit controls. Qualifications: Associates or bachelor's degree majoring in Risk Management, Safety or legal field or related experience for three years of relevant experience in risk management or similar role.
NewProperty Claims Manager Assurant IncProperty Claims ManagerNYRemote$88,000–$147,000 / yearA Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world's leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. This is a great opportunity for a leader who enjoys developing people, using data to solve operational challenges, and helping a team stay future-ready as workflows, tools, and business needs continue to evolve.
Senior Claims Adjuster, Specialty Fortegra FinancialSenior Claims Adjuster, SpecialtyIselin, NJ$90,000–$150,000 / yearAs a direct report to the Manager of Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within Commercial Auto and General Liability lines of business. Primary Job Functions: Direct management of general liability claims with potential for significant severity and complexity.
Data Exchange Manager - Claims Operations Capital Rx, Inc.Data Exchange Manager - Claims OperationsNew York, NY$150,800–$188,500 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. The role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution.
Manager - Risk Management (Claims) WESCOManager - Risk Management (Claims)Cranbury, NJYou will partner with carriers, third-party administrators (TPAs), brokers, legal counsel, and internal stakeholders to manage complex claims, support litigation and settlement strategies, represent the company in mediations and other claim proceedings, and drive continuous improvement in claims handling practices. You will manage the Workers' Compensation Analyst, Risk Management (Claims) and serve as Wesco's primary point of contact for claim-related matters, ensuring timely, accurate, and cost-effective claim resolution while maintaining compliance with company policies and regulatory requirements.
NewSenior Claims Representative - REMOTE Ryder System IncSenior Claims Representative - REMOTETrenton, NJRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Manager, Risk Management & Claims Loews Hotels Holding CorpManager, Risk Management & ClaimsNew York, NY$95,600–$119,500 / yearWhat We're Looking For: As a vital member of our Risk Management team, the Manager, Risk Management & Claims reports directly to the Vice President, Risk Management, overseeing and navigating the complexities of claims management while ensuring compliance and asset protection for Loews Hotels & Co. You'll also conduct internal audits, collaborate on loss prevention strategies, provide consultation to our Orlando Risk Management Claims team, deliver regular claim status reports, organize casualty claim reviews, oversee investigations, evaluate settlements, and assist with managing litigation.
NewLiability Claims Coordinator Student Transportation of AmericaLiability Claims CoordinatorWall Township, NJ$60,000–$80,000 / yearThe Claims Coordinator will assist in designing workflow processes, provide reporting to management and risk management, and ensure data integrity and compliance with internal and external audit controls. Qualifications: Associates or bachelor's degree majoring in Risk Management, Safety or legal field or related experience for three years of relevant experience in risk management or similar role.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTETrenton, NJRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Forensic Accountant for Claims Preparation Aon PlcForensic Accountant for Claims PreparationNew York, NY$200,000–$250,000 / yearREQUIRED SKILLS AND QUALIFICATIONS 10-15 years of relevant experience Mathematics and Accounting Principles - Using mathematics and advanced accounting principles to solve problems Ability to be proactive and to prioritize multiple projects and tasks Interpersonal & teamwork- Working cooperatively with others - peers, supervisors, direct-reports, clients, adjusters, auditors and building relationships to mutually achieve the goals Technical Insurance Knowledge - have strong knowledge of basic principles of insurance, the roles of the players and how property insurance coverage applies. With a particular emphasis on construction and infrastructure claims, eg delayed start up, soft costs, business interruption Deductive Reasoning - the ability to apply general rules to specific problems to produce answers that make sense Mathematical Reasoning - the ability to choose the right mathematical methods or formulas to solve a problem Oral Expression - the ability to communicate information and ideas in speaking so others will understand Written Expression - the ability to communicate information and ideas in writing so others will understand Delegation - be able to juggle client demands with management responsibilities and delegate tasks to others.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerNew York, 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.
Claims Operations Specialist - HYBRID DB Insurance Co., Ltd.Claims Operations Specialist - HYBRIDGreat Neck, NY$70,000–$100,000 / yearBacked by the financial strength of a global powerhouse (AM Best Rating: A+, S&P Rating: A+), we combine world-class resources with the agility of a close-knit team. Key Responsibilities: Manage and conduct pre- and post-payment adjudication audits on claim matters to ensure financial, processing, and operational accuracy.
Claims Billing Manager, Medical Care At Home (Onsite 3 Days/Week) VNS HealthClaims Billing Manager, Medical Care At Home (Onsite 3 Days/Week)New York, NY$66,300–$72,000 / yearSupervises and trains assigned internal and/or external staff to ensure prompt and accurate completion of billing verification and authorization requests, and cash application to third party payors and governmental agencies and the daily application of payments to open receivables. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
Claims Billing Manager, Medical Care At Home (Athena Experience Preferred) VNS HealthClaims Billing Manager, Medical Care At Home (Athena Experience Preferred)New York, New York$66,300–$72,000 / yearFull timeSupervises and trains assigned internal and/or external staff to ensure prompt and accurate completion of billing verification and authorization requests, and cash application to third party payors and governmental agencies and the daily application of payments to open receivables. Communicates with third party payors and governmental agencies regarding unpaid claims, billing procedures, verifications, authorizations, delinquent accounts, overpayments and refunds where applicable.
Claims Manager, Audit & Complaints Metroplus Health Plan IncClaims Manager, Audit & ComplaintsNew York, NY$100,000–$120,000 / yearWorking under the direction of and in collaboration with the Director of Claims Quality, the Claims Manager, Audit & Complaints will: Act as a liaison for external audits conducted by DOH, CMS, and other regulatory entities related to claims operations. Reporting to the Director of Claims Quality, the Claims Manager, Audit & Complaints will oversee operational excellence and regulatory compliance by collaborating with cross-departmental teams to ensure that claims-related.
AVP, Claim - Casualty Manager (Environmental) Chubb LtdAVP, Claim - Casualty Manager (Environmental)Jersey City, NJ$152,400–$219,600 / yearThe claims involve bodily injury, property damage, and site/property remediation on varied pollution policy products which include energy, underground storage tank, premises pollution, contractors pollution liability (CPL) and CPL/Errors & Omission coverage in addition to some general liability. A minimum of five years of experience in claims management with a high degree of competence in the handling of complex casualty claims involving pollution and environmental claims stemming from property damage and bodily injury, is required.
Bilingual Claims Intake/Fnol/Triage Specialist Argo Group International Holdings Ltd.Bilingual Claims Intake/Fnol/Triage SpecialistNew York, NY$26.76–$30.80 / hourOur Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
Underwriting Manager - P&C Pricing, Product, Claims, and Underwriting, North America Willis Towers Watson PLCUnderwriting Manager - P&C Pricing, Product, Claims, and Underwriting, North AmericaNY$150,000–$200,000 / yearCompany Benefits: WTW 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). You will work alongside a team of underwriting, product, pricing, claims, analytics, and technology specialists to help insurers improve profitability through data-driven decision making, portfolio management, product innovation, underwriting transformation, and AI-enabled operating models.
Sr. Claims Analyst, Primary Construction Allied World Assurance Company LtdSr. Claims Analyst, Primary ConstructionNew York, NY$110,000–$125,000 / yearHeadquartered in Bermuda, Allied World has offices in Atlanta, Boston, Brisbane, Chicago, Costa Mesa, Dallas, Dublin, Farmington (CT), Hong Kong, Houston, London, Los Angeles, Malaysia, Manchester, Miami, Nashville, New Jersey, New York, Philadelphia, San Francisco, Singapore, Sydney, Switzerland and Toronto. Job Requirements: A minimum of four (4) years of experience handling liability insurance claims or related relevant experience, including General Liability claims in the construction context (Construction Defect) and Casualty claims, with specific experience handling New York Labor Law matters.
Engineering Manager (Claims) HeadwayEngineering Manager (Claims)New York City, NY$222,800–$278,500 / yearThat surface includes the claims lifecycle and status model, the APIs to file and refile claims, clearinghouse response processing (835 remittance parsing, 277 claim statuses, RARC/CARC handling), claims interpretation (issue types/subtypes, ERA confidence evaluation), the claim stack (claim-to-appointment aggregation, including multiple claims per appointment), and integration with invoices. Cross-functional partnership - working with leaders across the insurance group (benefits, eligibility, corrections) and adjacent groups (Claims Success, Billing Infrastructure, patient billing, payer partnerships, data platform) to keep the whole system coherent - including the explicit, guardrailed handoffs Project Switchboard depends on.
AMS Claims Support Specialist MetLife IncAMS Claims Support SpecialistNY$41,600–$80,169 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworld's leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Senior Claims Consultant, National Accounts Relation Insurance Services, IncSenior Claims Consultant, National AccountsNY$92,000–$154,000 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The Senior Claims Consultant, National Accounts serves as an advisor and primary claims resource for large, complex accounts through a range of internal and external resources.
Disability Claims Examiner - LTD Prudential Financial IncDisability Claims Examiner - LTDNewark, NJRemote$53,300–$88,000 / yearDocument objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication. The Long-Term Disability (LTD) Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims.
NewTSIB Claims Manager Turner Construction CoTSIB Claims ManagerNew York, NY$114,000–$145,000 / yearThis is a front-line, hands-on role responsible for managing a diverse portfolio of construction general liability, construction defect, builders' risk, and property damage claims, with a strong emphasis on NY labor law, litigation management, claim strategy, and stakeholder partnership. The Claims Manager works closely with the Regional Director of Claims and serves as a strategic claims partner to Turner Risk Management, project teams, Safety, and insurer partners.
Director , Product Management - AI Claims Platform CVS Health CorpDirector , Product Management - AI Claims PlatformNew York, NY$144,200–$288,400 / yearThis is a rare opportunity to own a flagship AI product in healthcare from strategy through delivery - partnering closely with Business executives, Operations teams, Enterprise technology, Data science and Engineering, with strong visibility to senior leadership. A&BC leverages advanced analytics, machine learning, modeling, and a hypothesis-driven approach to transform data into actionable, customer-centric insights to drive growth, improve health outcomes and access to health care across all our businesses in CVS Health.
Claims Analyst IV - Management Liability American International GroupClaims Analyst IV - Management LiabilityNew York, NY$70,000–$89,000 / yearAs a Claims Analyst IV, this role will be responsible for handling Directors & Officers Liability Claims with opportunity to handle Employment Practices Liability claims, identifying, investigating, and resolving multiple coverage issues at the earliest appropriate time and providing clear and concise written and verbal communication of policy coverage issues to insureds, brokers, underwriters and risk managers. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Senior Director of Claims Delegation VillageCareSenior Director of Claims DelegationNew York, NY$153,978.55–$173,225.87 / yearKey responsibilities include leading claims-related initiatives end to end; setting project priorities across internal and external workstreams; expanding claims reviews and audits in line with VillageCare policy, NYS Prompt Pay, DOH, and CMS; delivering monthly status reporting to Finance leadership and updates to senior leaders; partnering with Utilization Management on authorization-driven changes impacting claims; monitoring claims metrics against SLAs; directing root-cause analysis for processing risks; serving as claims data steward during migration efforts; and recruiting, coaching, and developing a team of managers, specialists, and analysts. Midday, you'll partner with Utilization Management leaders to align authorization changes with downstream claims outcomes, then join working sessions with Business Intelligence and Compliance to confirm definitions, controls, and reporting logic.
NewCommercial General Liability Claims Representative CNA Financial Corp.Commercial General Liability Claims RepresentativePrinceton, NJ$47,000–$78,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of low to moderate complexity and exposure commercial claims by following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit. Exercises judgement to determine liability and compensability by conducting investigations to gather pertinent information, taking recorded statements from insureds, witnesses and working with experts to verify the facts of the claim.
Senior Claims Adjuster - Casualty Coverage and Mass Tort American International Group Inc (AIG)Senior Claims Adjuster - Casualty Coverage and Mass TortParsippany, NJ$86,000–$106,000 / yearAs an experienced professional, in this role you'll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, construction defect, as well as environmental and toxic tort claims. You'll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment.
Mass Tort and Complex Casualty - Complex Claims Director American International Group Inc (AIG)Mass Tort and Complex Casualty - Complex Claims DirectorJersey City, NJ$96,000–$129,000 / yearYou'll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment. As a seasoned industry professional, in this role you'll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, as well as environmental and toxic tort claims.
Mass Tort And Complex Casualty - Senior Claims Adjuster American International GroupMass Tort And Complex Casualty - Senior Claims AdjusterJersey City, NJ$76,000–$100,000 / yearAs an experienced professional, in this role you'll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, construction defect, as well as environmental and toxic tort claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Mass Tort And Complex Casualty - Complex Claims Director American International GroupMass Tort And Complex Casualty - Complex Claims DirectorJersey City, NJ$96,000–$129,000 / yearYou'll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment. As a seasoned industry professional, in this role you'll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, as well as environmental and toxic tort claims.
Senior Claims Adjuster - Casualty Coverage And Mass Tort American International GroupSenior Claims Adjuster - Casualty Coverage And Mass TortParsippany, NJ$86,000–$106,000 / yearAs an experienced professional, in this role you'll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, construction defect, as well as environmental and toxic tort claims. You'll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address the rapidly evolving risk environment.
Senior Claims Adjuster, TPA Oversight The Fortegra Group IncSenior Claims Adjuster, TPA OversightIselin, NJ$100,000–$130,000 / yearThe Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.
Senior Claims Examiner Markel Group IncSenior Claims ExaminerRed Bank, NJRemoteThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
NewExpress Claims Advocate Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)Express Claims AdvocateNYRemote$60,000–$80,000 / yearYou will join a team of experienced claims professionals and will investigate and resolve general liability claims within your authority to provide the best possible claim outcome and employ best efforts to ensure that the customers' interests are protected while adhering to our claims philosophy and policies. Communicate with policyholders, witnesses, and claimants in order to gather information regarding claims, refer tasks to auxiliary resources as necessary, and advise as to proper course of action Respond to various written and telephone inquiries including status reports.
Employment Practices Liability Claims Analyst The Hartford Insurance Group IncEmployment Practices Liability Claims AnalystNew York, NY$82,800–$124,200 / yearCandidates should demonstrate the following competencies: Excellent oral and written communication skills; Strong strategic thinking abilities and execution skills; An ability to communicate thoughts clearly and concisely, and to influence and persuade others; Superior interpersonal skills, with an ability to work well as part of a team and/or in supporting roles. Experience, education and skills: Bachelor's degree required; professional designation and/or legal degree a plus; Insurance company (or law firm) experience a plus; Basic knowledge/understanding of professional lines, and/or litigated coverage and liability exposure desired; EPL a plus.
Senior Claims Account Manager Argo Group International Holdings IncSenior Claims Account ManagerNew York City, NY$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
Senior Claims Account Manager Argo Group International Holdings Ltd.Senior Claims Account ManagerNew York, NY$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
Claims Executive The IMA Financial Group IncClaims ExecutiveHarrison, NY$110,000–$150,000 / yearIn addition to our robust benefits package, the final offer amounts will depend on a variety of factors, including the candidate's geographic location, prior relevant experience, and their knowledge, skills, and abilities. Our plans are cost-effective, convenient and provide progressive ways for staying healthy, protecting loved ones, pursuing financial security and living a full and balanced life.
NewCoverage & Complex Claims Lead Selby Jennings LtdCoverage & Complex Claims LeadMorristown, NJContribute to TPA oversight through training, audits, and best practice sharing, and support key proceedings such as mediations and trials while maintaining required licensing. This role will be responsible for handling bad faith suits filed against the major case unit while working heavily with coverage counsel and legal.