NewHealthCare Claims Analyst VillageCareHealthCare Claims AnalystNew York, NY$65,294.40–$72,277 / yearYou will play a critical role in understanding healthcare reimbursement from both financial and operational perspectives, conducting audits, and performing root cause analysis to resolve identified issues with internal teams and third-party administrators (TPAs). To excel as a Full-Time HealthCare Claims Analyst at VillageCare, candidates must possess a Bachelor's Degree in a relevant field such as Computer Science, Mathematics, Statistics, or Engineering, with a Master's degree preferred.
Junior Claims Analyst - Reinsurance Hamilton Insurance Group LtdJunior Claims Analyst - ReinsuranceNew York, NY$60,000–$90,000 / yearBachelor's degree or equivalent work experience preferred 1 to 5 years' experience in claims administration, (re)insurance operations, or a related field preferably within the insurance and/or reinsurance industry Attention to detail with the ability to handle high volumes of data accurately Ability to prioritize and manage deadlines Strong analytical and problem-solving abilities Excellent written and verbal communication skills Willingness to develop varied skills and knowledge within a fast-paced and growing insurance and reinsurance company Proficiency in Microsoft Office suite and database systems, with strong working knowledge of PowerPoint and Excel Knowledge of ImageRight, SICS or a similar claims system is an advantage Ability to incorporate changing processes with AI adoption Strong communications skills Ability to work both independently and collaboratively as part of a team. Triaging: Assess, prioritize, and route incoming claims communications based on urgency and complexity across the reinsurance claims team Setting up first notices of loss Communicate with brokers regarding reinsurance claims Adjust and process daily reinsurance claim activity across a variety of classes based on contract terms Examine new and existing reinsurance claims Evaluate actual and potential exposures, and recommend accurate and timely reserves and payments Collaborate with other functions across the company to provide periodic updates on reinsurance claim matters Prepare reports and communicate findings in regular claim meetings Update and maintain claim records within claims systems to ensure accuracy and completeness.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEAlbany, NYRemoteCompensation 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.
Claims Analyst I Integrated Resources, IncClaims Analyst ISyracuse, New YorkContractorApplies knowledge of claims processing to provide feedback resulting in the improvement of claims processing by identifying configuration improvements and/or when manual interventions and workarounds are required for configuration/system limitations.· These positions have been created to hit a deadline· Interviews: Phone screens first and then face to faceSummary:· Conducts analysis around various claims payment processes to ensure accuracy of system configuration and provider payments.·
Health Plan Claims Analyst I- Environmental Medicine Mount Sinai Health SystemHealth Plan Claims Analyst I- Environmental MedicineNew York, NY$64,526.72–$81,675 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
NewHealthCare Claims Analyst Village CareHealthCare Claims AnalystNew York, NY$65,294.40–$72,277 / yearFull timeYou will play a critical role in understanding healthcare reimbursement from both financial and operational perspectives, conducting audits, and performing root cause analysis to resolve identified issues with internal teams and third-party administrators (TPAs).This position involves identifying gaps in various aspects of claims processing, communicating trends and contract issues to management, and preparing comprehensive narratives and visual aids for leadership presentations. - $72,277**SQL CODING EXPERIENCE REQUIRED** A little about usVillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
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.
Claims Analyst - Early Talent Program 2027 Swiss Re LtdClaims Analyst - Early Talent Program 2027Armonk, NYAbout the Claims Analyst Role: As a Claims Analyst within our Life & Health Claims team, you will develop expertise in assessing and managing claims while supporting Swiss Res commitment to delivering fair, timely, and thoughtful claim outcomes for our clients. As a graduate, youll have the opportunity to learn from experienced claims professionals, build a strong internal network, and gain insight into how claims contributes to Swiss Res broader mission of making the world more resilient.
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.
NewClaims Analyst III, EPL American International Group Inc (AIG)Claims Analyst III, EPLNew York, NY$68,000–$91,000 / yearAs a Claims Analyst III, you will be responsible for handling Employment Practices Liability with opportunity to handle Director & Officers 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.
NewClaims Analyst III - EPL and D&O American International Group Inc (AIG)Claims Analyst III - EPL and D&ONew York, NY$68,000–$91,000 / yearAs a Claims Analyst III, you will be responsible for 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.
NewClaims Analyst Iii, EPL American International GroupClaims Analyst Iii, EPLNew York, NY$68,000–$91,000 / yearAs a Claims Analyst III, you will be responsible for handling Employment Practices Liability with opportunity to handle Director & Officers 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.
NewClaims Analyst III - EPL And D&O American International GroupClaims Analyst III - EPL And D&ONew York, NY$68,000–$91,000 / yearAs a Claims Analyst III, you will be responsible for 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.
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.
Sr. Claims Analyst, Primary Construction UAN Allied World National Assurance CompanySr. Claims Analyst, Primary ConstructionNew YorkHeadquartered 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. •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.
Claims Analyst Integrated Resources, IncClaims AnalystSyracuse, New YorkContractorTesting categories include but are not limited to the following: Benefit, Contract, and Fee Schedule Configuration, System Enhancements, Report Validation, Validation of electronic file loads. Investigates problem claims to determine root cause of problem and/or error to address both individual claim resolution and improvement to process to avoid issues from occurring in the future.
Epic PB Analyst with claims experiance ClinDCastEpic PB Analyst with claims experianceAlbany, AlabamaAs a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.
AVP, Senior Claims Analyst RenaissanceReAVP, Senior Claims AnalystNew YorkTheAVP, Senior Claims Analystis responsible for, but not limited to analysing, and processing claims under the applicable (re)insurance contracts, performing claims audits, providing analysis to underwriters and reserving actuaries, and participate in and lead collaborative projects in support of other areas of the company, includingfinance, actuarial, operations and technology. In addition, candidates are required to have detailed knowledge and understanding both of technical claims matters and legal aspects for those jurisdictions where it anticipated claims will arise (US/Continental Europe/UK/Asia Pacific - dependent upon role location).
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.
Reinsurance Claims Analyst Starr InsuranceReinsurance Claims AnalystNew YorkEvaluate large sets of loss data to identify claims with a potential impact on Starr’s reinsurance program; draft and distribute reinsurance reports containing a thorough summary of loss details and relevant facts. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
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.
Claims Review Analyst EmblemHealth IncClaims Review AnalystNew York, NY$48,600–$83,160 / yearIdentify potential/actual claims problems (single or recurring/trending) and document root cause analysis; present findings to management. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines.
Senior Business Analyst, Claims and Vendor Data EmblemHealth IncSenior Business Analyst, Claims and Vendor DataNew York, NY$68,040–$118,800 / yearProven ability to apply quantitative and/or qualitative research and data analysis techniques to improve operational processes; and to identify and interpret trends, patterns, and anomalies within complex datasets of trend information required. Analyze and interpret claims, payment, and vendor data to identify, prevent, and recover overpayments, as well as to drive process improvements and cost containment.
Claims Module Senior Business Analyst Conduent IncClaims Module Senior Business AnalystNY$85,470–$111,000 / yearThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. Should be able to run queries and perform basic system analysis, RCA etc., Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestones, track and close feedback from such demos.
Claims And Credentialing Analyst Centerlight Management ServicesClaims And Credentialing AnalystNew YorkPrepare analysis on network provider performance through the development of monthly provider scorecard, working with other key stakeholders to ensure providers are meeting their contractual requirement and identify areas for improvement. Audio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information from patients, community members, co-workers, clients, providers, etc., and intake information through audio processing with accuracy.
Business Analyst, Claims (Onsite 3 Days/Week) VNS HealthBusiness Analyst, Claims (Onsite 3 Days/Week)New York, New York$66,300–$79,800 / yearFull timeWorking closely with Claims Operations and cross-functional teams, this role identifies root causes, supports system enhancements, and helps ensure claims are processed accurately, efficiently, and in compliance with regulatory requirements. Effective oral and written communication skills, consulting and analytical skills and ability to work with clients, IT management, staff, consultants and vendors required.
Business Analyst, Claims VNS HealthBusiness Analyst, ClaimsNew York, NY$66,300–$79,800 / yearWorking closely with Claims Operations and cross-functional teams, this role identifies root causes, supports system enhancements, and helps ensure claims are processed accurately, efficiently, and in compliance with regulatory requirements. 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.
Epic PB Analyst with claims experiance ClinDCast LLCEpic PB Analyst with claims experianceAlbany, ALFull timeWe are seeking an experienced Epic PB (Professional Billing) Analyst with strong Epic PB Claims expertise to support the implementation, optimization, and maintenance of Epic Resolute Professional Billing. The ideal candidate will have hands-on experience with claims processing, reimbursement workflows, revenue cycle operations, and Epic system configuration.
Data Exchange Analyst - Claims Operations Capital Rx, Inc.Data Exchange Analyst - Claims OperationsNew York, NY$96,800–$121,000 / yearThis role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Sr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY) HF Management ServicesSr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY)New York, New YorkThis role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting that supports operational excellence, compliance, and payment accuracy. Demonstrated ability to develop innovative solutions to complex problems, leveraging advanced problem-solving skills and sound judgment to make critical, independent decisions within area of responsibility.
Data Analyst - Claims & Cost Containment ArloData Analyst - Claims & Cost ContainmentNew York, New YorkWe are seeking a Claims Data Analyst who will be responsible for reviewing stop-loss claims, identifying cost-containment opportunities, and generating insights that drive proactive intervention for members and employers. This role bridges analytics, risk management, and operations — ensuring Arlo’s plans perform efficiently while maintaining outstanding member outcomes.
Data Analyst - Claims & Cost Containment Railway Health IncData Analyst - Claims & Cost ContainmentNew York, NY$100,000–$150,000 / yearWe are seeking a Claims Data Analyst who will be responsible for reviewing stop-loss claims, identifying cost-containment opportunities, and generating insights that drive proactive intervention for members and employers. This role bridges analytics, risk management, and operations - ensuring Arlo's plans perform efficiently while maintaining outstanding member outcomes.
NewClaims & Risk Analyst HelloFresh SEClaims & Risk AnalystNew York, NY$68,400–$81,000 / yearThis position offers the opportunity to gain broad exposure across corporate risk management, including claims oversight, data analytics, return-to-work programs, insurance renewals, and continuous process improvement. Monitor and support claims throughout the lifecycle by handling routine follow-ups, identifying aging or high-risk claims, and coordinating with adjusters to ensure timely progression.
Business Analyst (Claims), Senior Acentra HealthBusiness Analyst (Claims), SeniorNY$95,360–$119,200 / yearThis role would review, evaluate, and recommend solution for various business requirements; would provide a fully integrated solution ensuring accomplishment of business requirements; would collaborate with customers and stakeholders and use business modeling techniques to deliver effective "to be" operating models and roadmaps; and work to develop an integrated view of the solution and align project with the strategic business vision. Job Summary: Business Analyst, Specialist is responsible for logical design and functional behavior of the solutions involving complex information systems under no supervision for one or more systems including: Provider Enrollment, Claims, and Prior Authorization.
Sr Data Analyst, Healthcare Claims Audit And Compliance (Hybrid NY) HealthfirstSr Data Analyst, Healthcare Claims Audit And Compliance (Hybrid NY)New York, NY$83,100–$120,360 / yearThis role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting that supports operational excellence, compliance, and payment accuracy. Demonstrated ability to develop innovative solutions to complex problems, leveraging advanced problem-solving skills and sound judgment to make critical, independent decisions within area of responsibility.
Sr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY) HealthfirstSr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY)New York, NY$83,100–$120,360 / yearThis role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting that supports operational excellence, compliance, and payment accuracy. Demonstrated ability to develop innovative solutions to complex problems, leveraging advanced problem-solving skills and sound judgment to make critical, independent decisions within area of responsibility.
231 Senior Healthcare Data Analyst - Claims Dataspace231 Senior Healthcare Data Analyst - ClaimsNew York, NY, New York$105,000–$120,000 / yearWe expect submissions to demonstrate effective written communication skills, including having no more than six concise bullet points on any particular assignment. Our client, a very successful healthcare management consulting firm out of New York, needs to beef up their analytics team.
Analyst - Claims Management IberdrolaAnalyst - Claims ManagementRochester, New YorkThe selected candidate must manage claim files through conclusion in a diligent and professional manner, be detail oriented in maintaining file records and documents that have the potential to be used in litigation, and proactive in advising management of high-risk claims, incidents and trends relevant to business operations and risk. This is applicable to employees that will work in electric transmission, operations, and cyber security business areas in Connecticut, Maine, Massachusetts, and New York within Avangrid Network and Corporate business areas.
Manager Claims Healthcare VillageCareManager Claims HealthcareNew York, NY$118,135.58–$132,902.53 / yearExperience: This position requires a minimum of 5 + years' experience in claims analytics performing increasingly complex data analysis and report/dashboard development, in a healthcare setting, and at least 2 years' experience managing and training staff. VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
Data Exchange Analyst - Claim Ops (Tpa) Capital Rx, Inc.Data Exchange Analyst - Claim Ops (Tpa)New York, NY$96,800–$121,000 / yearKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Position Summary: The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx - JUDI Health and its various partners, including employers, providers, and other TPAs.
Data Exchange Analyst - Claims Operations Capital Rx LLCData Exchange Analyst - Claims OperationsNew York, NY$96,800–$121,000 / 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. This role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients.
Data Exchange Analyst - Claim Ops TPA Capital Rx LLCData Exchange Analyst - Claim Ops TPANew York, NY$96,800–$121,000 / yearKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Judi 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.
Claims Examiner HarrisClaims ExaminerNew YorkThe candidate must possess a curiosity and willingness to actively adopt and leverage emerging AI tools to improve workflows, solve problems, and drive efficiency along with being comfortable using a range of AI-enabled tools (such as copilots, chat-based AI, and automation solutions) as part of everyday work Overview: As a Claims Analyst specializing in Accident, Critical Illness, Short-Term Disability, and Hospital Indemnity lines of business, you will be responsible for accurately assessing and processing claims related to these insurance products.
Claims Management Specialist UMC Health SystemClaims Management SpecialistNYINTERACTION WITH OTHER DEPARTMENTS AND OTHER RELATIONSHIPS: This position requires interaction with most other UMC Health System departments, medical staff, and technical personnel at Texas Tech University Health Sciences Center and Physician Network Services. Mainframe computer skills, basic accounting, detailed clerical skills and good customer relation skills are required.
TSIB 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.
NewClaims Representative Appraiser Plymouth Rock Management Company of New JerseyClaims Representative AppraiserUniondale, NY$62,000–$84,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Comfortable completing inspections of damaged vehicles including but not limited to crawling under and around vehicles, inspecting vehicles in tight quarters at body shops and salvage yards, etc.
NewSr. Claims Representative Appraiser Plymouth Rock Management Company of New JerseySr. Claims Representative AppraiserUniondale, NY$74,000–$100,000 / yearThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. Comfortable completing inspections of damaged vehicles including but not limited to crawling under and around vehicles, inspecting vehicles in tight quarters at body shops and salvage yards, etc.
Data Exchange Manager - Claims Operations Capital Rx, Inc.Data Exchange Manager - Claims OperationsNew York, NY$150,800–$188,500 / yearThe 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. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
IT Product Owner / Lead Business Analyst (Staff) - Incurred Cost Claim Lockheed Martin CorpIT Product Owner / Lead Business Analyst (Staff) - Incurred Cost ClaimOwego, NY$114,700–$198,720 / yearPay Rate: The annual base salary range for this position in California, Massachusetts, and New York (excluding most major metropolitan areas), Colorado, Hawaii, Illinois, Maryland, Minnesota, New Jersey, Vermont, Washington or Washington DC is $99,700 - $175,835. You will be responsible for system design, development, configuration, spec generation, unit testing, and operational assessment readiness; scrum master tasks; and the following: Authoring functional specifications for enhancements, conversions, interfaces, reports, and custom transactions.
SIU Claims Director Plymouth Rock Management Company of New JerseySIU Claims DirectorUniondale, NY$137,000–$200,000 / yearReporting to the Vice President of Claims, the Director of Special Investigative Unit (SIU) provides strategic leadership for Plymouth Rock's enterprise fraud program across the Personal Lines Property & Casualty Claims organization. Provide oversight of fraud investigations involving Auto Physical Damage, Homeowners, Casualty, PIP, Appraisal, provider fraud, organized fraud rings, staged accidents, and Major Case initiatives.