Manager of Provider Contract Configuration Metroplus Health Plan IncManager of Provider Contract ConfigurationNew York, NYRemote$130,000–$140,000 / yearThis role will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing. Oversight of functions performed by delegated vendor(s) as it relates to provider pricing configuration, claims processing, with emphasis on provider pricing configuration, testing and accuracy.
NewAssistant Director Relationship Management The Hartford Insurance Group IncAssistant Director Relationship ManagementNew York, NYIn this key leadership position, you will champion strategies that strengthen client relationships, drive growth and renewal outcomes, and enhance stewardship efforts. Deliver clear leadership messaging, represent the field perspective to internal partners, and facilitate team huddles and 1:1s.
Regional Sales Manager Core & Main IncRegional Sales ManagerNJAs a specialty distributor with a focus on water, wastewater, storm drainage and fire protection products and related services, Core & Main provides solutions to municipalities, private water companies and professional contractors across municipal, non-residential and residential end markets, nationwide. Provide complete service to established distributor network including: quotations, product training, technical and literary support, product complaint, inventory maintenance, and delivery issues.
Senior Forensic Engineer - Mechanical The Vertex Companies, LLCSenior Forensic Engineer - MechanicalNew York, NY$174,000–$419,000 / yearFull timeThe salary ranges for this role are as follows: $174,000 - $419,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $161,000 - $386,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria) $147,000 - $354,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) $134,000 - $322,000 USD annually (Geographical Tier C - Sample Locations - Atlanta, Charlotte, Cincinnati, Miami) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees). Responsible for supporting assigned manager in meeting or exceeding the defined annual budget for the entire practice area (including proactive creation of work product to meet or exceed defined utilization targets, oversight of execution of profitable technical assignments, and communication with clients as assigned or requested).
Forensic Engineer - Mechanical The Vertex Companies, LLCForensic Engineer - MechanicalBranchburg, NJRemote$146,000–$348,000 / yearFull timeThe salary ranges for this role are as follows: $146,000 - $348,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $134,000 - $322,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria) $123,000 - $295,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) $112,000 - $268,000 USD annually (Geographical Tier C - Sample Locations - Atlanta, Charlotte, Cincinnati, Miami) $107,000 - $255,000 USD annually (Geographical Tier D - Sample Locations - Mississippi, Mobile AL, Bowling Green KY, Tulsa) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees). Responsible for supporting assigned manager in meeting or exceeding the defined annual budget for the entire practice area (including proactive creation of work product to meet or exceed defined utilization targets, oversight of execution of profitable technical assignments, and communication with clients as assigned or requested).
Associate Director - Project Management - Aviation Energy Infrastructure (Cogeneration/CHP) Turner & Townsend LtdAssociate Director - Project Management - Aviation Energy Infrastructure (Cogeneration/CHP)New York, NY$180,000–$260,000 / yearTurner & Townsend is seeking an experienced Associate Director Project Management to support the delivery of aviation energy infrastructure projects, including cogeneration (CHP) plants and central utility systems, across the NY/NJ region. Acting as an Owner's Representative, this role will manage all phases of project delivery from planning and design through construction and commissioning within active airport environments, ensuring successful outcomes aligned with client goals, regulatory requirements, and operational constraints.
NewSpecialty Casualty Claims Assistant Manager EMC Insurance Group Inc.Specialty Casualty Claims Assistant ManagerNY$100,085–$138,285 / yearAs the Specialty Casualty Claims Supervisor, you will provide strategic guidance on complex casualty claims, mentor and develop adjusters, and ensure claims are handled with excellence, consistency, and a strong customer focus. This role is ideal for an experienced specialty casualty claims leader who enjoys solving complex challenges, developing talent, and influencing both operational results and the customer experience.
Manager, Infrastructure Project Advisory (Construction/Engineering) KPMG International CooperativeManager, Infrastructure Project Advisory (Construction/Engineering)New York, NY$110,295–$225,515 / yearClient coordination, subcontractor management for full life cycle construction projects including planning and work breakdown structures, pre-construction services, sourcing and procurement of contracts, contract administration, scheduling, cost estimating, quality management, project reporting, and project closeout. Qualifications: Minimum five years of recent experience in construction management or construction advisory services with increasing roles and responsibilities in major power and utilities, oil and gas, infrastructure, manufacturing, healthcare, or public sector projects.
Account Manager - Personal Lines Relation Insurance Services, IncAccount Manager - Personal LinesBrooklyn, NY$44,000–$80,000 / yearThe Account Manager, Small Business Unit manages the overall client relationship by providing strategic advice on coverage, risk management and business needs, ensuring that the client's insurance program aligns with long-term goals and growth plans. 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.
Program Manager, LaGuardia Redevelopment Port Authority of NY & NJProgram Manager, LaGuardia RedevelopmentFlushing, New YorkFollowing the successful opening of Terminals B and C, LaGuardia Airport is entering the next critical phase of its redevelopment focused on the replacement of the existing Terminal A and preservation and integration of the historic Marine Air Terminal (MAT), collectively referred to as the Terminal A Program. The Program Manager supports the delivery of the Terminal A and MAT Program by managing assigned projects, workstreams and interfaces in alignment with Capital Plan objectives including established governance, controls, and reporting requirements.
NewEverHealth - Revenue Cycle Management (RCM) Manager ( Remote, US) EverCommerce IncEverHealth - Revenue Cycle Management (RCM) Manager ( Remote, US)NYRemote$60,000–$70,000 / yearAs a leading service commerce platform, our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals in the areas of Home & Field Services, Health Services, and Wellness industries. The RCM Manager provides strategic leadership for the Claims Management Specialist team by establishing priorities, driving performance, and ensuring the team delivers actionable insights that improve client financial outcomes.
Change Manager Mace Group LtdChange ManagerNew York, NYThe busiest rail connection between New York, New Jersey, and the Northeast Corridor, the Hudson Tunnel Project will improve capacity, reliability, and resiliency of commuter and intercity rail transit serving 800,000 daily passengers from Washington, D.C. to New York and New England. The Project: Mace, as part of MPA delivery partner joint venture of Mace-Parsons-Arcadis, have been selected as the Gateway Development Commissions partners of choice to support the GDC across the Gateway Program in New York, inclusive of the Hudson Tunnel Project.
Manager, IT Data Operations Specialist Department: Global IT - Job ID: 1978 Ascendis PharmaManager, IT Data Operations Specialist Department: Global IT - Job ID: 1978Princeton, NJ$140,000–$150,000 / yearAs we are taking new steps towards developing best-in-class therapeutics for patients with rare diseases we are looking for people who possess an entrepreneurial mindset who can handle ambiguity, analyze, and create clarity and desire to be part of an organization where everything isn’t set in stone. This role serves as a key liaison between business stakeholders, internal IT teams, and external vendors to ensure data issues are identified, investigated, documented, and resolved efficiently.
Medical Director Clinical Strategy Cohere Health Technologies LLCMedical Director Clinical StrategyNYRemote$250,000–$300,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. Provide physician leadership in the creation of comprehensive research packages, investigating specific clinical areas/offerings and strategic partners of interest to strengthen the offering, then execute on cultivating any external partnerships and/or vendor relationships as necessary.
Workers' Compensation Claim Supervisor CCMSIWorkers' Compensation Claim SupervisorWall Township, New Jersey$85,000–$100,000 / yearResponsibilities: When we hire supervisors at CCMSI, we look for people-leaders who recognize that every claim impacts a real person’s livelihood, hold themselves and their teams accountable for results, and approach challenges as opportunities to develop others and drive excellence. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Director of Strategic Accounts QumisDirector of Strategic AccountsNew York City, New YorkThis role is ideal for someone with strong P&C insurance domain expertise (broker, producer, account manager, or underwriter) eager to bring that knowledge into high-growth tech, or a proven enterprise SaaS farmer/expansion seller ready to become a category expert in insurance tech. You'll drive expansion revenue within existing accounts, close five and six-figure expansion deals, and ensure our customers achieve transformational outcomes that lead to renewals and advocacy.
Contract Manager Integrated Resources, IncContract ManagerNewark, New JerseyFull timeKnowledge/Skills/Abilities:• Must be proficient and possess advanced skills in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Outlook; Should be knowledgeable in the use of intranet and internet applications.• Requires knowledge of Group Health products lines including Managed Care.• Requires knowledge of rating and policy renewal practices.•
Deputy Director of Pharmacy Operations Metroplus Health Plan IncDeputy Director of Pharmacy OperationsNew York, NY$175,000–$183,909 / yearAdditionally, this position is responsible for ensuring fraud, waste and abuse risks are identified and addressed through internal monitoring and partnering with the PBM, MPH Special Investigation Unit (SIU) and oversight of the Restricted Recipient Program (RRP). This position engages with senior leaders and key stakeholders to ensure the optimal utilization of technology and resources, to support the implementation of enterprise-wide pharmacy systems and processes, including large-scale operational projects.
Pre-Litigation Case Manager Brandon J. BroderickPre-Litigation Case ManagerHackensack, New Jersey$65,000–$75,000 / yearE-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Compensation: The base salary or hourly range for this position will be determined during the interview process and will vary based on multiple factors, including but not limited to; prior relevant experience, business needs and market factors.
Senior Sales Manager, Oracle (Enterprise Sales) DXC Technology CoSenior Sales Manager, Oracle (Enterprise Sales)Morristown, NJRemote$107,900–$200,400 / yearLead and own sales execution for DXC's Oracle offerings across strategic enterprise accounts and priority new-logo pursuits • Drive end-to-end sales strategy for complex Oracle opportunities, from early discovery and value definition through deal close and handoff to delivery • Build, manage, and govern a high-quality enterprise pipeline, applying rigorous qualification, prioritization, and deal inspection discipline • Lead executive-level discovery sessions, translating Oracle use cases (ERP/HCM/SCM transformation, OCI migration, data modernization, managed services) into measurable business and financial outcomes • Partner with Oracle and DXC leadership on joint account planning, co-selling motions, executive alignment, and go-to-market initiatives • Orchestrate large, cross-functional deal teams including presales, solution architects, delivery leaders, product teams, and alliance partners • Establish trusted advisor relationships with C-suite and senior executive stakeholders (CIO, CFO, CHRO, COO, Line-of-Business leaders) • Provide deal leadership and mentorship to junior sellers and extended account teams where applicable • Maintain strong forecast accuracy and sales governance: CRM hygiene, deal reviews, close plans, and proactive risk mitigation. • Bachelor's degree or equivalent combination of education and experience • 7+ years of enterprise technology sales experience, including ownership of complex, multi-stakeholder deals • Proven experience selling Oracle-based solutions, including Oracle SaaS (ERP, HCM, SCM), OCI, application modernization, or managed services • Demonstrated success leading consultative, outcome-driven sales cycles at the executive level • Strong ability to lead cross-functional teams and drive alignment across sales, presales, delivery, and partners.
Account Executive QumisAccount ExecutiveNew York City, New YorkThis role is ideal for someone with strong P&C insurance domain expertise (broker, producer, account manager, or underwriter) eager to bring that knowledge into high-growth tech, or a proven enterprise SaaS seller ready to become a category expert in insurance tech. We're building the leading vertical AI platform for insurance knowledge work, trusted by top brokers, carriers, and claims professionals to analyze complex policies, compare terms, and generate law-firm-quality insights in seconds.
Business System Analyst Level 3 Integrated Resources, IncBusiness System Analyst Level 3Pennington, New JerseyContractorRequires strong ability to apply structure to loosely defined complex problems· Demonstrates understanding of core business functionsSkills:· Requires skillful configuration execution experience and knowledge· Requires excellent verbal and written communication skills· Requires strong organizational and analytical skills· Requires strong MS Office and technical system skills.· This position is responsible for gathering requirements from internal and external clients, providing business and technical expertise in support of the business area, providing configuration expertise during design/build sessions to find the most appropriate solution as well as ensuring that the proposed solutions support and enhance business operations.
EverHealth - RCM Lead Service Manager EverCommerce IncEverHealth - RCM Lead Service ManagerNY$60,000–$70,000 / yearThe Lead RCM Service Manager plays a critical role in identifying at-risk clients, driving operational consistency, and ensuring alignment across Service Managers, Claims Management, and Vendor teams. As a leading service commerce platform, our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals in the areas of Home & Field Services, Health Services, and Wellness industries.
EverHealth - RCM Service Manager (Remote, US) EverCommerce IncEverHealth - RCM Service Manager (Remote, US)NYRemote$50,000–$60,000 / yearAs a leading service commerce platform, our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals in the areas of Home & Field Services, Health Services, and Wellness industries. The RCM Service Manager partners closely with internal billing, claims, coding, vendor, and operations teams to ensure timely and accurate revenue cycle execution.
Sr. Partner Strategy Manager - Datacenter SHI International CorpSr. Partner Strategy Manager - DatacenterSomerset, NJ$110,000–$150,000 / yearAs the strategic connector across datacenter sales, solution leadership, partner management, and marketing, this individual drives alignment through annual planning, quarterly business reviews (QBRs), executive reviews, and joint partner strategy development with key datacenter ecosystem partners. This role is responsible for defining and developing partner marketing strategy for SHI''s Datacenter business, translating datacenter solution priorities into measurable partner marketing plans, growth plays, and strategic initiatives aligned with SHI sellers, datacenter specialists, and solution leaders.
Senior Manager, Accounting, Financial Systems Brex Inc.Senior Manager, Accounting, Financial SystemsNew York, NYRemote$210,000–$263,250 / yearBy combining global corporate cards and banking with intuitive spend management, bill pay, and travel software, Brex enables founders and finance teams to accelerate operations, gain real-time visibility, and control spend effortlessly. The primary responsibility involves owning the business roadmap for our core FinSys environment, ensuring that our systems, configurations, workflows, and data structures support scalable, accurate, and well-controlled financial operations.
VP, Logistics & Warehousing US Remote Fictiv IncVP, Logistics & Warehousing US RemoteNYRemote$30,000–$55,000 / yearReporting directly to the Senior Vice President of Operations & Supply Chain, the Vice President of Logistics & Warehousing will serve as a senior executive responsible for the full lifecycle of inbound and outbound logistics, warehousing operations, carrier partnerships, trade compliance, import operations, and distribution network strategy across MISUMI Americas. The ideal candidate brings deep experience in logistics, warehousing, import operations, carrier management, and global supply chain execution, along with a strong ability to lead teams, manage large budgets, and drive operational excellence through data, technology, AI, and continuous improvement.
Associate Manager, Paid Social New Engen, Inc.Associate Manager, Paid SocialBrooklyn, NY$75,000–$85,000 / yearAll legitimate job openings will be posted directly on our careers page, and all communication about these roles will come exclusively from Recruitment outreach, conducted via email through our ATS, Greenhouse, and never through unsolicited text messages or the @newengen.online domain. Others tap into specialized solutions-like Donut Studios, our in-house creative studio for platform-native and short-form content, or Acorn Creator Suite, our influencer marketing solution built for retail impact.
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.
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.
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.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteNYRemote$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.
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.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerFlorham Park, NJ$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.
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.
Senior Business Development Manager (Partnerships ) NexxenSenior Business Development Manager (Partnerships )New York, NY$115,000–$150,000 / yearWhat You'll Do: As the Senior Manager, Business Development, you will support the Senior Director, Business Development to build and nurture strategic partnerships across a portfolio of solutions to ensure Nexxen has innovative partner-powered products to offer our customers. Please be advised that Nexxen will never request payment (whether in cash, cryptocurrency, or any other form) as a condition of employment, offer positions that require you to invest in vague or dubious financial schemes, or promote roles that resemble get-rich-quick opportunities.
Agency Manager - State Farm Agent Team Member Erin Misurelli - State Farm AgentAgency Manager - State Farm Agent Team MemberRandolph, NJFull timeWe are seeking a motivated Agency Manager to provide leadership within the office and oversee business development, customer engagement, and operational processes. You’re motivated by goals and growth , and you know how to turn needs-based conversations into confident buying decisions that truly help customers.
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.
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.
NewWorkers Compensation Claims Adjuster Interstate Waste ServicesWorkers Compensation Claims AdjusterTeaneck, New JerseyOverview: Interstate Waste Services is the most progressive and innovative provider of solid waste and recycling services in the greater New York, New Jersey and Connecticut markets with a rail-served landfill in Ohio. Essential Job Summary: We are seeking a detail-oriented and customer-focused Workers’ Compensation Claims Adjuster to manage a caseload of claims across New Jersey, New York, and Connecticut.
Executive Specialist, Claims Remote or Hybrid/Any C&F Location Crum & Forster Holdings Corp.Executive Specialist, Claims Remote or Hybrid/Any C&F LocationMorristown, NJRemoteWhat you will do for C&F: Accountable for the full handling and control of all claims/losses assigned, including: timely coverage analysis and letter writing; investigation; incident response; evaluation; reserve adequacy and timeliness; diary maintenance; management of counsel and other vendors; reinsurance reporting; and claim disposition. Particularly, the Executive Specialist must analyze and resolve claims from a coverage determination through resolution-including to assess potential exposure in a timely and accurate manner, and handle the Incident Response, coverage investigation, regulatory investigations, litigation and/or negotiation following cyber incidents.
Executive Specialist, Claims - Remote or Hybrid/Any C&F Location Crum & ForsterExecutive Specialist, Claims - Remote or Hybrid/Any C&F LocationMORRISTOWN, New JerseyRemoteParticularly, the Executive Specialist must analyze and resolve claims from a coverage determination through resolution—including to assess potential exposure in a timely and accurate manner, and handle the Incident Response, coverage investigation, regulatory investigations, litigation and/or negotiation following cyber incidents. Accountable for the full handling and control of all claims/losses assigned, including: timely coverage analysis and letter writing; investigation; incident response; evaluation; reserve adequacy and timeliness; diary maintenance; management of counsel and other vendors; reinsurance reporting; and claim disposition.
MBU Program Claims Leader Eatontown, NJ or Remote Crum & Forster Holdings Corp.MBU Program Claims Leader Eatontown, NJ or RemoteEatontown, NJRemoteInformation about the Role, Line of Business and Team: The successful candidate will work as part of the Operations team to proactively manage a team of claims professionals including the Claims Program Management teams, Training & Development team, and oversight of Stop Loss and Travel vertical operations. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
Director Configuration, Benefit Administration HF Management ServicesDirector Configuration, Benefit AdministrationNew York, New YorkThis role implements the configuration structure within Healthfirst’s technology platforms to administer benefits taking in coordination with Provider Contracting, Claims Operations, Provider Data Management, Clinical Operations, Payment Integrity, and Information Technology. The objective of this role is to ensure that the benefit structure implementation delivers the intended experience through claim adjudication, including benefits, authorizations, reference data, claims editing, regulatory requirements, payment policies, and overall claim system functionality.
Claims & Litigation Associate (Remote) Stanford Health CareClaims & Litigation Associate (Remote)NYRemote$100.03–$132.51 / hourInvestigates pre-suit claims, reviews medical records, interviews providers, retains consultants when necessary, communicates with patients and/or families, and directly negotiates settlements when warranted. Oversees legal defense strategy, retains outside counsel, coordinates support for investigation, reviews attorney invoices, and monitors counsel's compliance with litigation management guidelines.
Product Director, Healthcare Claims Payments-Executive Director JPMorgan Chase & CoProduct Director, Healthcare Claims Payments-Executive DirectorJersey City, NJAs a leader on the team, you leverage your advanced capabilities to challenge traditional approaches, remove barriers to success, and foster a culture of continuous innovation that helps inspire cross-functional teams to create groundbreaking solutions that address customer needs. Morgan Payments, we connect consumers, providers, payers, and health tech companies across every healthcare payment transaction, creating a faster, simpler experience for all.
Commercial Property Claims Representative - Complex Loss biBerk Business Insurance IncCommercial Property Claims Representative - Complex LossNY$75,000–$100,000 / yearbiBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.
Sr. Claims Advocate Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)Sr. Claims AdvocateNYRemote$81,000–$110,000 / yearYou can find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission's website ( https://consumer.ftc.gov/articles/job-scams ), or you can contact your local law enforcement agency. We're doing that by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience.
NewClaims Quality Assurance Specialist - Property and Casualty Insurance - Base Salary to 100k/year - Great Neck, NY AllSearch Professional StaffingClaims Quality Assurance Specialist - Property and Casualty Insurance - Base Salary to 100k/year - Great Neck, NYGreat Neck, NY$70,000–$100,000 / yearThe Claims Quality Assurance Specialist will analyze claim trends, identify root causes, recommend process improvements, support operational reporting and KPI development, and collaborate on claims system enhancements and cross-functional initiatives to improve efficiency and strengthen claims operations. Our client, a large and growing insurance carrier, is seeking a Claims Quality Assurance Specialist who will work with departmental and team leaders to ensure claims operations comply with regulatory requirements, Fair Claims Settlement Practices, and industry best practices.