Claims Manager

Job DescriptionJob DescriptionKey Responsibilities:Personally investigate and/or supervise outsourced investigations of CGL insurance claims and lawsuits, both bodily injury and property damage, arising out of construction projects in the greater New York City metropolitan area within New York State. Obtain necessary information from every possible source,...

We are looking for experienced adjusters to handle daily claims for our carriers in Nebraska. A Daily Claims Adjuster determines and communicates the extent of loss or damage associated with commercial/residential claims, assisting the insurer in fulfilling its obligation to policyholders and helping to safeguard the insurer’s reputation and...

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...

Job DescriptionJob DescriptionEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health +...

Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...

We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managing and adjudicating complex insurance claims, ensuring accuracy, efficiency, and adherence to company policies and regulatory guidelines. The ideal candidate will possess a strong background in claims processing, exceptional analytical...

- The Claims Specialist will be responsible for reviewing claims processed by the outside vendor, including resolving provider appeals/disputes. Performs root cause analysis for all provider projects to identify areas for provider education and/or system (re)configuration. Initiates and follows through with resolution of all pended claims, (re)pricing,...

- The Claims Specialist will be responsible for reviewing claims processed by the outside vendor, including resolving provider appeals/disputes. Performs root cause analysis for all provider projects to identify areas for provider education and/or system (re)configuration. Initiates and follows through with resolution of all pended claims, (re)pricing,...

- The Claims Specialist will be responsible for reviewing claims processed by the outside vendor, including resolving provider appeals/disputes. Performs root cause analysis for all provider projects to identify areas for provider education and/or system (re)configuration. Initiates and follows through with resolution of all pended claims, (re)pricing,...

- The Claims Specialist will be responsible for reviewing claims processed by the outside vendor, including resolving provider appeals/disputes. Performs root cause analysis for all provider projects to identify areas for provider education and/or system (re)configuration. Initiates and follows through with resolution of all pended claims, (re)pricing,...

Job DescriptionJob DescriptionCompany DescriptionThe Vertex Companies, LLC (VERTEX) is a leading multidisciplinary engineering and consulting firm that provides forensic consulting, engineering design, construction management, claims & dispute resolution, and environmental solutions to contractors, insurance carriers, sureties, law firms, real estate owners,...

A healthcare company in New York City is looking to add a new Claims Compliance Remediation Analyst to their growing team. In this role, the Claims Compliance Remediation Analyst will be responsible for supporting the Director of Claims Support to ensure claims rules, guidelines, documents, policies and procedures, reporting, job aides, training, and other...

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly owned...

Job DescriptionJob DescriptionEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health +...

Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...

If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything...

Hybrid. Interested in the legal/dispute side of construction projects? CPMI is seeking Financial Forensic Claims Managers and Senior Managers. These team members will work closely with Principals of the firm in preparation and evaluation of financial construction claims on a variety of construction projects. Responsibilities include developing...

Department: Claim Advocacy & ConsultingJob SummaryResponsible for providing high level support, including technical knowledge to the claim consulting team in the daily advocacy and consulting service to the commercial insurance lines division’s customers. Provide prompt and courteous service to customers, team members and insurance companies regarding...

Department: Claim Advocacy & ConsultingJob SummaryResponsible for providing high level support, including technical knowledge to the claim consulting team in the daily advocacy and consulting service to the commercial insurance lines division’s customers. Provide prompt and courteous service to customers, team members and insurance companies regarding...

Reinsurance Claims Analyst New York City - Remote OpportunityProperty and Casualty Insurance IndustryCome join the global reinsurance claims team with a “best in class” insurer and reinsurer!!! Our client is seeking an accomplished claims professional to technically manage an assigned workload of global Property and Casualty multi-line reinsurance...