NewCare Manager Registered Nurse - Field- Essex County, New Jersey CVS HealthCare Manager Registered Nurse - Field- Essex County, New JerseyTrenton, NJ$66,575–$142,576With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. • Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
NewCare Manager Registered Nurse - Field- Bergen County, New Jersey CVS HealthCare Manager Registered Nurse - Field- Bergen County, New JerseyTrenton, NJRemote$66,575–$142,576With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
Case Manager Registered Nurse - Field (Morris County, NJ) CVS HealthCase Manager Registered Nurse - Field (Morris County, NJ)Livingston, NJ$66,575–$142,576With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. • Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
Case Manager Registered Nurse - Field (Passaic/Sussex Counties, NJ) CVS HealthCase Manager Registered Nurse - Field (Passaic/Sussex Counties, NJ)Passaic, NJ$66,575–$142,576With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. • Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
Case Manager Registered Nurse - Field (Ocean County, NJ) CVS HealthCase Manager Registered Nurse - Field (Ocean County, NJ)North Bergen, NJ$66,575–$142,576With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. • Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
Case Manager Registered Nurse - Field (Monmouth/Ocean) County, NJ CVS HealthCase Manager Registered Nurse - Field (Monmouth/Ocean) County, NJMontclair, NJRemote$66,575–$142,576With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
NewProduct Innovation Manager AtriumProduct Innovation ManagerUnion City, NJ$60–$72 / hourBy applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners. This role is highly cross-functional, working closely with teams across the organization to bring new products to market.
NewEssential Plan Account Manager, NY UnitedHealth GroupEssential Plan Account Manager, NYNew York, NY$19–$38 / hourFunction identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth.
NewBilingual Account Manager, Field Based UnitedHealth GroupBilingual Account Manager, Field BasedNew York, NY$19.23–$38.46 / hourFunction identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales/Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth.
NewManager Life Event Team Mitchell MartinManager Life Event TeamNew York, NY$56.35–$80.50 / hourBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. The position requires strong leadership in a client-focused environment and proficiency in generic office software.
NewReinsurance Financial Systems Lead JobotReinsurance Financial Systems LeadJersey City, NJRemote$150,000–$200,000 / yearWorking within an agile delivery environment, they will collaborate closely with business leaders, technology partners, and development teams to define requirements, improve workflows, and implement technology solutions that support Finance, Accounting, Claims, Reserving, and Underwriting Operations. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
NewTravel Nurse RN - Case Manager - $2,274 per week in New York City, NY Cynet HealthTravel Nurse RN - Case Manager - $2,274 per week in New York City, NYNew York City, NY$2,273.64Must-Have: - Healthcare Management - RN License - Managed Care Description: The primary goal of the Care Manager is to optimize members' health care and enhance the delivery of care experience. In collaboration with the member's care team, a plan of care with individualized goals and interventions will be developed, implemented, and outcomes evaluated.
Manager, Forecasting & Business Analytics Daiichi Sankyo, Inc.Manager, Forecasting & Business AnalyticsBasking Ridge, NJ$140,400–$210,600 / yearFull timeExtensive understanding of major pharmaceutical market events such as US drug formulary, pricing, inventory challenges and market access implications including knowledge of key issues and current developments in the pharmaceutical and healthcare industries. Facilitate the discussion on various analytics and activities required to accurately and efficiently support performance analysis and forecasts update in order to provide necessary reporting for various business stakeholders and management.
NewBrand Manager JouléBrand ManagerNeptune City, NJ$85,000–$100,000 / yearSupport the execution of the innovation roadmap aligned with brand and portfolio growth strategies, identifying whitespace opportunities through trend analysis and consumer insights. Lead go-to-market planning including positioning, claims, packaging, pricing, and launch activation, coordinating with Sales, Creative, Media, Digital, and Shopper teams.
NewGrants and Budget Manager CFSGrants and Budget ManagerNew York, NY$125,000–$135,000 / yearStep into a high-impact Finance Director role where you’ll partner directly with the CFO and help shape the financial strategy of one of NYC’s most mission-driven organizations. This is a rare opportunity to combine leadership, Medicaid revenue cycle expertise, and executive visibility.
Corporate Vice Pres, Dir, AI/Agentic Experience Strategy and UX Architecture - Consumer Journeys New York Life Insurance CompanyCorporate Vice Pres, Dir, AI/Agentic Experience Strategy and UX Architecture - Consumer JourneysNew York, NY$119,000–$200,000 / yearThe ideal candidate brings deep knowledge of how consumers and clients engage with life insurance, financial planning, retirement, and wealth management products and services across their lifecycle, combined with working fluency across AI and agentic technology domains, and a track record of moving beyond advisory work into hands-on concept development and experimentation. Maintain working fluency across key AI and agentic domains, including generative AI and LLMs, agentic and multi-step task automation, predictive and next-best-action models, conversational AI and virtual assistants, and RAG-based knowledge systems, sufficient to engage credibly with technical partners and evaluate capability claims.
Finance Director (Grants) Vaco LLCFinance Director (Grants)New York, NY$120,000–$135,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. This leadership role will partner closely with executive management to ensure financial compliance, support strategic decision-making, and maintain the integrity of the organization's funding and reimbursement processes.
Consultant - Risk Consulting AxelonConsultant - Risk ConsultingMorristown, NJImplement strategic plans and advanced technology to maximize clients’ insurance recoveries for mass tort and complex claims such as toxic tort, environmental, pollution, asbestos, sexual assault, concussion, and other high-value claims. Leverage advanced knowledge of industry trends in risk management to generate actionable insights tailored to clients’ business and risk environments.
Claims Specialist Medical Malpractice Diedre Moire Corp.Claims Specialist Medical MalpracticeUnion, NJ$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Manage total claim costs for highly complex or severe injury medical malpractice claims while negotiating to resolution and providing high levels of customer service.
NewChief Engineer Johnson Service GroupChief EngineerNew Rochelle, NYThis role oversees engineering planning, constructability, design coordination, technical risk management and value engineering for projects such as highways, bridges, transit systems, utilities, site civil work, and other public infrastructure improvements. The Chief Engineer provides technical and strategic leadership for civil infrastructure projects and supports the safe, compliant, and profitable delivery of work across the organization.
NewRegistered Nurse (RN) - Occupational Health - $10-11 per hour Confluent HealthRegistered Nurse (RN) - Occupational Health - $10-11 per hourIrvington, NJ$10–$11 / hourWe’re a family of physical therapy and occupational therapy companies transforming healthcare by strengthening private practices, developing and educating highly effective clinicians, and lowering healthcare costs through workplace wellness and injury prevention. With 1,650+ sites of care and 4,500+ workplace injury prevention programs across the country, we’re creating better access to care and better careers for clinicians at every stage.
Network Outreach Specialist AxelonNetwork Outreach SpecialistHopewell, NJRemote$17–$18.66 / hourContact provider offices to encourage ongoing education and dialogue on data management best practices to service member/patient needs and to attend scheduled orientation sessions and other educational and outreach activities. Makes outbound validation calls to providers in order to assure of demographic practitioner detail for each practice location for all client networks.
Sr. Director, Global Brand & Portfolio Management CSLSr. Director, Global Brand & Portfolio ManagementSummit, NJ$287,000–$352,000Oversees and guides continued global launch planning for aTIVc, including maximizing the portfolio opportunity across Fluad and aTIVc, refining the launch sequencing strategy, advancing business cases for key investments, and leveraging the Glocal brand marketing model (global to local division of activities) to drive efficiencies. Working in close partnership with R&D and cross-functional stakeholders, the role ensures alignment from research through commercialization, advances high-value strategic investments, and drives portfolio decisions that maximize mid- to long-term growth, value creation, and public health impact.
Head of Commercial Operations Aquestive Therapeutics Inc.Head of Commercial OperationsWarren, NJGroup and project leadership (interaction with cross-functional partners, conflict resolution, and consensus-driving) and project management (planning, prioritization, objective setting, meeting management, and plan execution) with history of working and delivering on multiple projects simultaneously, with tight deadlines and changing priorities. • Demonstrated leadership focused on driving results and building successful team culture, a record of people management/development accomplishment, experience leading teams and cross-functional projects, and strong interpersonal, communications and presentation skills.
NewProject Manager - Environmental Site Remediation Page GroupProject Manager - Environmental Site RemediationHamilton Township, NJ$110,000–$150,000 / yearFull timeThe company specializes in soil and groundwater remediation, dewatering and mobile groundwater treatment systems, hazardous waste handling, underground storage tank removals, industrial decontamination, emergency response services, and environmental site restoration throughout the Mid-Atlantic region. The Project Manager will be responsible for managing project safety, schedules, budgets, client relationships, subcontractors, and regulatory compliance while ensuring projects are completed efficiently and profitably.
Legal & Claims Manager, Professional Services Group Aon CorporationLegal & Claims Manager, Professional Services GroupNew York, New York$135,000–$175,000 / yearExcellent written and verbal communication skills comma with the ability to explain complex coverage and claim issues to non-lawyers and build trusted relationships with senior stakeholders. As a Legal & Claims Manager you will lead complex claim advocacy and collections for PSP clients, helping them achieve optimal outcomes on high‑impact claims.
Legal & Claims Manager, Professional Services Group Aon PlcLegal & Claims Manager, Professional Services GroupNew York, NY$135,000–$175,000 / yearSkills and experience that will lead to success Minimum 10 years of insurance‑related experience with a strong focus on claims, coverage and/or litigation involving: Lawyers professional liability / legal malpractice (E&O) and/or other professional services E&O; and One or more of: accountants E&O, management consultants E&O, cyber liability, EPL, or D&O/management liability or Property and Casualty (P&C) Demonstrated experience advocating on complex or disputed claims, including direct negotiation with insurers. We help clients design and place Professional Liability, Cyber Liability, Employment Practices Liability (EPL), Management Liability (D&O), Fiduciary, and Property and Casualty (P&C) coverages As a Legal & Claims Manager you will lead complex claim advocacy and collections for PSP clients, helping them achieve optimal outcomes on high‑impact claims.
Claims Manager I Aon PlcClaims Manager INY$68,000–$72,000 / yearQualifications Possess active State insurance adjuster's license Excellent communication and customer service skills Preferred Qualifications 3+ years of claims adjudication experience Travel Insurance experience a plus Strong organizational, problem solving, and analytical skills Change champion; Process Improvement experience Education Bachelor's Degree or equivalent work experience How we support our colleagues: In addition to our comprehensive benefits package, we encourage an inclusive workforce. Aon is looking for a Claims Manager I Aon Affinity''s Travel Practice is a leader in the provision of customized travel insurance and protection programs for many of the world''s most renowned travel companies.
Claims Manager, D&O Starr CompaniesClaims Manager, D&ONew York, NY$170,000–$190,000 / yearThe successful candidate will be required to evaluate coverage, draft coverage correspondence, undertake claims investigations, manage defense counsel and legal spend, assess liability and financial exposure, and effectively negotiate cost effective, good faith claims resolutions. The 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.
Claims Manager - Excess Casualty Claims AXIS Capital Holdings LtdClaims Manager - Excess Casualty ClaimsPrinceton, NJ$160,000–$190,000 / yearClose collaboration with the Specialty Complex Claims team with regard to coverage disputes, including litigation and arbitration matters initiated by Axis issuing companies and when Axis issuing companies are parties to such litigation; Collaborating across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims handling. Identifying, liability and coverage trends and issues with both individual and portfolio impact and formulating the processes and strategies for handling such claims as well as ensuring accurate and consistent claims management across impacted underwriting segments and lines of business.
Legal & Claims Senior Manager, Professional Services Group Aon CorporationLegal & Claims Senior Manager, Professional Services GroupNew York, New York$167,000–$210,000 / yearAs Senior Vice President, you will be a senior leader and subject matter expert for PSP’s claims advocacy offering, independently leading our most complex and sensitive claims and shaping advocacy strategy, data insights and best practices across the practice. Act as a senior leader within PSP, partnering with Practice Leaders and product leaders on client strategies and go‑to‑market plans, supporting major new business and retention efforts, and mentoring VP‑level and junior colleagues.
Claims Mgr Court Prep Torts Metropolitan Transportation AuthorityClaims Mgr Court Prep TortsBrooklyn, NY$120,000–$125,000 / yearOther Information: Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the "Commission"). Manage staff assignments and evaluate results to ensure that discovery, trial preparation and assistance during trial are completed timely, efficiently and effectively to promote desired litigation outcomes.
Complex Casualty Claims Manager EMC Insurance Group Inc.Complex Casualty Claims ManagerNY$103,954–$149,372 / yearKnowledge, Skills & Abilities: Excellent understanding of casualty claims techniques and a current knowledge of knowledge of various jurisdictions, good faith claims handling requirements and legal environments. In this role, you'll provide strategic guidance on coverage, liability, valuation, and resolution, ensure accurate reserving, and partner with counsel and internal stakeholders to control costs and maintain compliance.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteNJRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
Legal & Claims Senior Manager, Professional Services Group Aon PlcLegal & Claims Senior Manager, Professional Services GroupNew York, NY$167,000–$210,000 / yearSkills and experience that will lead to success 15+ years of progressively responsible experience in professional and financial lines insurance with significant emphasis on complex claims and coverage, including: Lawyers professional liability / legal malpractice (E&O) and/or other professional services E&O; and One or more of: accountants E&O, management consultants E&O, cyber, EPL, D&O/management liability; experience with Property & Casualty programs is strongly preferred but not required. How this opportunity is different As Senior Vice President, you will be a senior leader and subject matter expert for PSP's claims advocacy offering, independently leading our most complex and sensitive claims and shaping advocacy strategy, data insights and best practices across the practice.
Manager, Schedule Delay Claims The Vertex Companies, LLCManager, Schedule Delay ClaimsNew York, NY$85,000–$202,000 / yearFull timeThe salary ranges for this role are as follows: $85,000 - $202,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $78,000 - $186,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria) $72,000 - $171,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) 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). The Vertex Companies, LLC (VERTEX) is a $180M global consulting firm that integrates strategic advisory, project management, and dispute resolution services for organizations facing complex challenges in a world of risk.
Liability Claims Manager Coterie Applications IncLiability Claims ManagerNYRemote$100,000–$120,000 / yearThe incumbent will work closely with internal departments, external legal counsel, insurance adjusters, and claimants to achieve timely and cost-effective resolution of claims while minimizing financial exposure and reputational risk. Key Responsibilities: Claim Investigation: Conduct thorough investigations into liability claims, gathering evidence, interviewing witnesses, and analyzing relevant documentation to determine the validity and extent of liability.
eCommerce Manager Delivery Claims & Incidents Hermes International SAeCommerce Manager Delivery Claims & IncidentsManhattan, NY$88,746–$99,839 / yearThe Opportunity: As eCommerce Manager - Delivery Claims and Incidents, you will work closely with internal and external business partners to maintain and improve all day-to-day processes including delivery claims and order incident resolutions. The freedom to create, the constant search for beautiful materials, the transmission of a savoir-faire of excellence, and the aesthetic of functionality define the singularity of Hermès, a house dedicated to making highly-crafted, beautiful objects made to stand the test of time.
Manager - Construction Claims Markel Group IncManager - Construction ClaimsRed Bank, NJ$97,520–$134,090 / yearThis 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 Manager, Workers'' Compensation Claims Justworks, Inc.Senior Manager, Workers'' Compensation ClaimsNew York, NY$131,000–$169,000 / yearAs a Senior Claims Manager of Workers Comp (WC), you will work collaboratively within Justworks' Workers Compensation Team as well as cross-functionally with teams across Justworks including: Customer Success, Technology, Engineering & Product, Accounting, Business Intelligence, Onboarding, Legal, and Finance. Good judgment - the exercise of critical thinking, analyzing and assessing problems and implications, identifying patterns, making connections of underlying issues, understanding risks and developing mitigation strategies, and taking ownership of the outcome.
Manager, Claims Litigation Management Morristown, NJ or Remote Crum & Forster Holdings Corp.Manager, Claims Litigation Management Morristown, NJ or RemoteMorristown, NJRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
Manager, Claims Litigation Management - Morristown, NJ or Remote Crum & ForsterManager, Claims Litigation Management - Morristown, NJ or RemoteMORRISTOWN, New JerseyRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
Claims Manager, D&O Starr International Co IncClaims Manager, D&ONew York, NY$170,000–$190,000 / yearThe successful candidate will be required to evaluate coverage, draft coverage correspondence, undertake claims investigations, manage defense counsel and legal spend, assess liability and financial exposure, and effectively negotiate cost effective, good faith claims resolutions. The 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.
Manager, Claims & Litigation Summit Health, Inc.Manager, Claims & LitigationNew Providence, NJ$111,000–$155,000 / yearOur primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
Agency Claims Manager Alera GroupAgency Claims ManagerManasquan, New JerseyBe a claims advocate for clients; take claim calls, assist clients with claims submission to carriers, aid with claims service issues and obtain / provide claim status updates . Form relationships with carriers and TPAs, working closely with adjusters and other claims personnel on claims handling, ensuring proper and efficient claims resolution.
NewData Exchange Manager - Claims Operations Capital Rx LLCData 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.
Claims Manager, SDI AXA SAClaims Manager, SDIMorristown, NJ$139,300–$219,300 / yearClaims Manager - SDI Chicago, IL | Hartford, CT | Exton, PA | New York, NY | Morristown, NJ| Boston, MA | USA As the SDI Claims Manager, you will play a pivotal role in leading a team that handles high-exposure Subcontractor Default Insurance (SDI) claims for some of the largest construction contractors in the industry. By 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.
Senior Claims Adjuster, Specialty LotSolutions, Inc.Senior Claims Adjuster, SpecialtyIselin, NJ$90,000–$150,000 / yearPart timeAs 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. Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address.
Senior Manager, Workers' Compensation Claims JustworksSenior Manager, Workers' Compensation ClaimsNew York, NY$131,000–$169,000 / yearAs a Senior Claims Manager of Workers Comp (WC), you will work collaboratively within Justworks' Workers Compensation Team as well as cross-functionally with teams across Justworks including: Customer Success, Technology, Engineering & Product, Accounting, Business Intelligence, Onboarding, Legal, and Finance. Good judgment - the exercise of critical thinking, analyzing and assessing problems and implications, identifying patterns, making connections of underlying issues, understanding risks and developing mitigation strategies, and taking ownership of the outcome.
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.