account manager

case manager

account coordinator

accountant

auto damage adjuster

claims adjuster

National General Insurance

<div><p>National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers&rsquo; evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.</p><p></p><p><b>
Job Description</b></p>
Responsible for investigating and confirming the facts of loss for the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees.<p></p><p><b>
We&rsquo;re looking for a skilled Bodily Injury Litigation Adjuster with Homeowner Liability or Commercial General Liability experience to join our team! In this role, you&rsquo;ll manage complex injury claims, including fractures, bilateral fractures, fatalities etc. We&rsquo;re open to candidates located in Eastern or Central time zones who are eager to make an impact and grow their career in both Bodily Injury Litigation and Homeowner Liability.
</b></p><p></p><h3 class="jobSectionHeader"><b>Key Responsibilities</b></h3><ul><li>Recognizes and identifies body parts of a vehicle or understanding other potential property damage</li><li>Identifies customer needs and works to meet those needs using appropriate customer service skills</li><li>Determines subrogation or fraud potential and how to handle for the most complex cases</li><li>Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department</li><li>Recommends process improvements</li><li>Applies increased experience in the Sr Adjuster level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, Litigation, etc.)</li><li>For claims involving injuries (if handled), learns how to review, evaluate, and negotiate moderate to complex/Catastrophic injury claims</li><li>Handles investigation regarding all aspects of the most complex auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority</li></ul><p></p><h3 class="jobSectionHeader"><b>
Experience</b></h3><ul><li>3 or more years of experience (Preferred)</li></ul><p></p><h3 class="jobSectionHeader"><b>
Supervisory Responsibilities</b></h3><ul><li>This job does not have supervisory duties.</li></ul><p></p><h3 class="jobSectionHeader"><b>
#LI-KR1</b></h3><p></p><p><b><br>
Skills</b></p>
Auto Insurance Claims, Automobile Accidents, Case Management, Casualty Insurance, Claims Administration, Claims Litigation, Claims Resolution, Claims Review, Commercial General Liability Insurance, Commercial Liability, Complex Claims, Fractures, General Liability Claims, General Liability Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Claim Handling, Insurance Policies, Liability Insurance, Litigation, Negotiation, Personal Injury Claims, Property Damage, Relationship Management<p></p><p><b><br>
Compensation</b></p><p>
Base compensation offered for this role is:</p><p></p><p>
Adjuster Cons II: $56,000 - $82,500</p><p>
Adjuster Sr Cons I: $68,500 - $104,100</p><p>
Adjuster Sr Cons II: $68,500 - $105,140</p><p></p><p>
And is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role.</p><p><b>
Joining our team isn&rsquo;t just a job &mdash; it&rsquo;s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger &ndash; a winning team making a meaningful impact.</b></p><p></p><p>
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.</p><p></p><p>
For jobs in San Francisco, please click &ldquo;here&rdquo; for information regarding the San Francisco Fair Chance Ordinance.</p><p><br>
For jobs in Los Angeles, please click &ldquo;here&rdquo; for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.</p><p></p><p>
To view the &ldquo;EEO Know Your Rights&rdquo; poster click &ldquo;here&rdquo;. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.</p><p></p><p>
To view the FMLA poster, click &ldquo;here&rdquo;. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.</p><p></p><p>
It is the Company&rsquo;s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee&rsquo;s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.</p><p></p><p>
National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A&ndash; (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.</p><p></p><p><b>
Companies &amp; Partners</b></p><p></p><p>
Direct General Auto &amp; Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.</p><p></p><p><b>
Benefits</b></p><p></p><p>
National General Holdings Corp. is an Equal Opportunity (EO) employer &ndash; Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.</p></div>

Bodily Injury Adjuster - Litigation & Homeowner Liability - National General

USAA

<div><b>Location</b> New York, New York
<div><div><div><b>Job ID</b></div><div>
R0116375</div></div>
<div><div><b>Date posted</b></div><div>
03/27/2026</div></div>
</div><div><p><b>Why USAA?</b></p><p>
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.</p><p></p><p>
Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.</p><p></p><p><b>
The Opportunity</b></p><div><p>
As a dedicated Property Adjuster Specialist, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle complex property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members&rsquo; life events, as appropriate.</p><p></p><p>
Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses within your locally assigned territory. Field Adjusters may travel outside of their local territory to respond to claims in other regions when needed. This is an hourly, non-exempt position with paid overtime available.</p><p></p><p>
This is a <b>field-based role in the New York City area</b>. Candidates who are willing and able to work in this area are encouraged to apply.</p></div><p></p><p><b>
What you'll do:</b></p><div><div><div><div><ul><li><p>
Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability.</p></li><li><p>
Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.</p></li><li><p>
Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.</p></li><li><p>
Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing information involving complex policy terms and contingencies.</p></li><li><p>
Determines and negotiates complex claims settlement within authority limits. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.</p></li><li><p>
Maintains accurate, thorough, and current claim file documentation throughout the claims process.</p></li><li><p>
Advance knowledge of estimating technology platforms and virtual inspection tools. Utilizes platforms and tools to prepare claims estimates to manage complex property insurance claims.</p></li><li><p>
Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.</p></li><li><p>
May be assigned CAT deployment travel with minimal notice during designated CATs.</p></li><li><p>
Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.</p></li><li><p>
Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience.</p></li><li><p>
Adjusts complex claims with attorney involvement.</p></li><li><p>
Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.</p></li><li><p>
May require travel to resolve claims, attend training, and conduct in-person inspections.</p></li><li><p>
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</p></li></ul><p></p><p><b>
What you have:</b></p><ul><li><p>
High School Diploma or General Equivalency Diploma.</p></li><li><p>
2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.</p></li><li><p>
Advanced knowledge of estimating losses using Xactimate or similar tools and platforms.</p></li><li><p>
Proficient knowledge of residential construction.</p></li><li><p>
Proficient knowledge of property claims contracts and interpretation of case law and state laws and regulations.</p></li><li><p>
Proficient negotiation, investigation, communication, and conflict resolution skills.</p></li><li><p>
Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.</p></li><li><p>
Ability to travel 50-75% of the year (local &amp; non-local) and/or work catastrophe duty when needed.</p></li><li><p>
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.</p></li><li><p>
Successful completion of a job-related assessment may be required.</p></li></ul><p></p><p><b>
What sets you apart:</b></p><ul><li><p>
Hands-on experience in the field handling high-severity and complex property claims such as fire, water damage, vandalism, malicious mischief, foreclosures, earth movement, collapse, and liability.</p></li><li><p>
Residential property field adjusting experience with dwelling, structure and additional living expenses.</p></li><li><p>
Experience working directly for a standard insurance carrier handling claims from start to finish (first notice of loss, reviewing policy, making coverage decisions)</p></li><li><p>
Proficient in using estimating platforms and virtual inspection tools like Xactimate, ClaimXperience and XactAnalysis</p></li><li><p>
Insurance industry designations such as AINS (Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims), or SCLA (Senior Claims Law Associate) or actively pursuing</p></li><li><p>
Active Property &amp; Casualty adjuster license</p></li><li><p>
Currently reside in the New York City area, enabling quicker response times for local claims and a better understanding of regional risks</p></li><li><p>
US military experience through military service or a military spouse/domestic partner</p></li></ul><p></p><p><b>
Physical Demand Requirements:</b></p><ul><li><p>
May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces.</p></li><li><p>
May need to meet all USAA safe driving requirements including verification of driving record through MVR &amp; possession of valid driver&rsquo;s license.</p></li><li><p>
May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.</p></li><li><p>
May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.</p></li></ul><p></p><p><b>
Compensation range: </b>The salary range for this position is: $85,050 - $130,410.</p><p></p><p><b>
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
</b></p></div></div></div></div><p><b>Compensation:</b> USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
</p><p></p><p>Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.</p><p></p><p>
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.</p><p></p><p><b>
Benefits:</b> At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.</p><p></p><p>
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com</p><p></p><p><i>
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
</i></p><p></p><p><i>USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.</i></p></div></div>

Property Adjuster Specialist - Field

Crum & Forster

<div>Crum &amp; Forster Company Overview:
<p><b>
Crum &amp; Forster (C&amp;F)</b>, with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&amp;F enjoys a financial strength rating of &quot;A+&quot; (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.</p><p><br>
</p><p>Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the <b>2025 Great Place to Work</b><b>&reg;</b><b> Award</b> for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.</p><p><br>
</p><p>C&amp;F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum &amp; Forster, please visit our website: www.cfins.com.</p>
Job Description:
<div>
Seneca&rsquo;s Property Claims Intern will have the opportunity to build skills in a professional work environment, work directly with our managers and claims team, and gain valuable work experience toward employment in the insurance industry.</div><div></div><div><b><br>
What you will do for C&amp;F:</b></div><ul><li>
Learn the claim adjuster process
</li><li>Establish contact with agents, insureds and claimants under guidance from co-workers.
</li><li>Interpret policies.
</li><li>Investigate claims and policy coverage.
</li><li>How to make recommendations to authorize or deny payment of claims within established authority levels and Company guidelines.
</li><li>Investigative skills needed for claims processing</li><li>
Learn how to manage your time effectively as you prioritize your workload.</li><li>
As our Property Claims Intern during the summer of 2026, you will work with our claims adjusters, both inside, and outside adjusters investigating property claims in the tristate area.
</li><li>You may also have an opportunity to interact with Underwriting and Operations Professionals for a complete insurance industry learning experience.
</li><li>The day-to-day functions of this internship may change based on storm season claims, and you will have other projects and duties as assigned.
</li><li>The candidate for this intern position will need a strong work ethic, multi-tasking, organizational and communication skills.</li></ul><div><b>
What you will bring to C&amp;F:</b></div><ul><li>
The candidates for this intern position will need a strong work ethic, have excellent customer service skills, strong multi-tasking skills; have excellent organizational and communication skills.
</li><li>Be a quick learner and able to learn basic understanding of property insurance policies.
</li><li>Needs to be PC literate and able to effectively use our systems.</li><li>
Familiarity with Outlook, Microsoft Word and Excel is preferred.</li></ul>
What C&amp;F will bring to you:
<div>
At C&amp;F you will BELONG</div><div></div><div><br>
If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know</div><div></div><div><br>
 For California Residents Only: Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/ for more information.</div><div></div><div><br>
Crum &amp; Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. 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. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $16.00 to a maximum of $25.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee&rsquo;s contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.</div></div>

Claims Intern

GEICO

<div><p><b>At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.</b></p><p><b>
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers&rsquo; expectations while making a real impact for our company through our shared purpose.</b></p><p></p><p><b>
When you join our company, we want you to feel valued, supported and proud to work here. That&rsquo;s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.</b></p><p></p><p><b>
Experienced Auto Damage Adjuster- Bronx, NY</b><br>
<b>Salary: Starting pay rate varies based upon position and location. Ask your Recruiter for details!
</b></p><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>Sign on bonus: $1,500 for candidates who hold an</b><b> </b><b>adjusters license that is active and in good standing.</b></p></div></div></div></div></div></div></div></div></div></div></div><p></p><p>
We are looking for talented Auto Damage Adjusters to join our team in <b>Bronx</b><b>, NY. </b>As an experienced Adjuster, you should have a minimum of 12 months of Auto Damage experience and demonstrated a track record of success delivering excellent customer service while promptly and accurately settling claims. The ideal candidate will have the ability to handle complex claims using their technical and industry knowledge.</p><p></p><p><b>
Qualifications &amp; Skills:</b></p><ul><li><p>
Motor Vehicle Damage Adjuster/Appraiser's License <b>*required*</b></p></li><li><p>
Valid driver&rsquo;s license (must meet company underwriting guidelines) and the ability to maintain applicable state and federal certifications and permits</p></li><li><p>
Willingness to be flexible with primary work location &ndash; position may require either remote/field/in-office work</p></li><li><p>
Solid computer, mechanical aptitude, and multi-tasking skills</p></li><li><p>
Effective attention to detail and decision-making skills</p></li><li><p>
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities</p></li><li><p>
Minimum of high school diploma or equivalent</p></li></ul></div></div></div></div></div></div></div></div></div><p></p><p><b><br>
Annual Salary</b></p>
$36.63 - $57.49<p>
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate&rsquo;s work experience, education and training, the work location as well as market and business considerations.</p><br>
<p></p>
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.<p></p><p><b><br>
The GEICO Pledge:</b></p><p></p><p><b>
Great Company:</b> At GEICO, we help our customers through life&rsquo;s twists and turns. Our mission is to protect people when they need it most and we&rsquo;re constantly evolving to stay ahead of their needs.</p><p>
We&rsquo;re an iconic brand that thrives on innovation, exceeding our customers&rsquo; expectations and enabling our collective success. From day one, you&rsquo;ll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people&rsquo;s lives.</p><p></p><p><b>
Great Careers:</b> We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career &ndash; and your potential &ndash; in mind. You&rsquo;ll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.</p><p></p><p><b>
Great Culture:</b> We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.</p><p>
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.</p><p></p><p><b>
Great Rewards:</b> We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.</p><ul><li>
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family&rsquo;s overall well-being.</li><li>
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.</li><li>
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.</li><li>
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.</li></ul><p></p><p>
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.</p><p></p><p>
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.</p></div>

Auto Damage Adjuster

MetroPlusHealth

<div><p><b>Job Ref: </b>133786<br>
<b>Category: </b>Claims<br>
<b>Department: </b>CLAIMS<br>
<b>Location: </b>50 Water Street, 7th Floor, New York, NY 10004
<br>
<b>Job Type: </b>Regular<br>
<b>Employment Type: </b>Full-Time<br>
<b>Salary Range: </b>$48,791.00 - $50,593.00<br>
</p><p></p><div><h2 class="jobSectionHeader"><b>Empower. Unite. Care.</b></h2><p><b>
MetroPlusHealth</b> 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.</p><div><div><div><h2 class="jobSectionHeader"><b>
About NYC Health + Hospitals</b></h2><div><div><p>
MetroPlus<b>Health</b> 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 subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus<b>Health</b>'s network includes over 27,000 primary care providers, specialists and participating clinics. For more than 40 years, MetroPlus<b>Health</b> has been committed to building strong relationships with its members and providers.</p><p><b>
Position Overview</b></p><p>
As a Claims Adjustment Specialist I, this individual will be responsible for analyzing standard to complex post-paid healthcare claims that require in depth research to determine accuracy and mitigate payment errors. The Claims Adjustment Specialist I will also be responsible for adjusting medical claims that result in overpayment or underpayment due to claim processing system issues, contract amendments, processing errors, or other issues. This position will be responsible for responding to inquiries from providers whose claims may be paid incorrectly and performing accurate data entry and maintenance accurate records and files.</p></div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Work Shifts</b></h2><div><div><p><b>
7:00 A.M &ndash; 3:30 P.M</b><br>
<b>8:00 A.M &ndash; 4:00 P.M</b><br>
<b>8:30 A.M &ndash; 4:30 P.M</b><br>
<b>9:00 A.M &ndash; 5:00 P.M</b><br>
<b>10:00 A.M &ndash; 6:00 P.M</b></p></div></div></div></div><div><div><h2 class="jobSectionHeader"><b><br>
Duties &amp; Responsibilities</b></h2><div><div><ul><li>
Research and analyze medical claims adjustment requests along with related documentation to determine payment accuracy and adjust/adjudicate as needed using multiple systems and platforms.</li><li>
Ensure that the proper payment guidelines are applied to each claim by using the appropriate tools, processes, and procedures (e.g., claims processing P&amp;P&rsquo;s, grievance procedures, state mandates, CMS/Medicare/Medicaid guidelines, benefit plans, etc.)</li><li>
Research claims that may have paid incorrectly and communicate findings for adjustment; Adjust claims based on findings (i.e., correct coding, rates of reimbursement, authorizations, contracted amounts etc.) ensuring that all relevant information is considered.</li><li>
Advise business partners of findings outcome if their input is needed to help fix the issue.</li><li>
Communicate through correspondence with providers regarding claim payment or additional required information in a clear and concise manner.</li><li>
Process the adjustment of claims in a timely manner, according to established timelines.</li><li>
Remain current with changes/updates in claims processing, as well as updates to coding systems.</li><li>
Maintain accurate records of all claims processed, including notes on actions taken.</li><li>
Generate reports on claim activity as requested.</li><li>
Respond to audits of claims processed.</li><li>
Able to work independently and exercise good judgment<br>
</li></ul></div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Qualifications</b></h2><div><div><ul><li>
High School Degree or evidence of having passed a High School Equivalency Program required. Associate degree preferred.</li><li>
Minimum 2 years of claims operations experience in a healthcare field, with knowledge of integrated claims processing required.</li><li>
Experience using a PC and claim adjudication system(s)</li><li>
Experience using Customer Relationship Management (CRM) software; Salesforce is a plus.</li><li>
Experience working with large data and spreadsheets.</li><li>
Knowledge of medical terminology, CPT, ICD-10, and Revenue Codes</li><li>
Processing of Medical Claim Forms (HCFA, UB04)</li><li>
Knowledge of Medical Terminology</li><li>
Knowledge of HIPPA Guidelines regarding Protected Health Information</li><li>
Data Entry of Provider Claim/Billing information</li><li>
Experience handling or familiarity with Medical Claim inquiries from provider sites personnel including physicians, clinical staff, and site administrators.</li></ul><p><b>
Professional Competencies</b></p><ul><li>
Integrity and Trust</li><li>
Customer Focus</li><li>
Functional/Technical skills</li><li>
Written/Oral Communication</li><li>
Strong Analytical Skills</li><li>
Knowledgeable in MS Word and Excel</li></ul><p>
#LI-Hybrid</p><p>
#MHP50</p></div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Benefits</b></h2><div><div><p>
NYC Health and Hospitals offers a competitive benefits package that includes:</p><ul><li>
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week</li><li>
Retirement Savings and Pension Plans</li><li>
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts</li><li>
Loan Forgiveness Programs for eligible employees</li><li>
College tuition discounts and professional development opportunities</li><li>
College Savings Program</li><li>
Union Benefits for eligible titles</li><li>
Multiple employee discounts programs</li><li>
Commuter Benefits Programs</li></ul></div></div></div></div></div></div></div><p></p>

Claims Adjustment Specialist I

Arch Capital

<div><div>With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.</div><div></div><div><b>
Position Summary</b></div><div>
Arch Insurance Group, AIGI, is looking for an experienced claims professional to join its Major Case Unit as a Complex Claims and Coverage Specialist. This position will focus primarily on claims from our Programs, National Accounts, Alternative Markets, and Construction Business Units. In this role you will deal with sophisticated litigation and complex coverage issues, including long-tail bodily injury exposures, claims arising under Coverage B of Primary/Excess CGL policies, as well as environmental and toxic tort claims. You will handle claims involving Multi-District Litigation, Class Action lawsuits, complex coverage matters, claims against the company and Insurance Department Complaints. The successful candidate will have significant coverage experience as well as GL (Bodily Injury and Property Damage) and Auto Liability complex/large exposure claim handling experience, a passion for achieving excellent claim results and for delivering exceptional customer service. Responsibilities include, actively managing large exposure and complex general/auto liability claims (primary, umbrella and excess) handled by Third-party Administrators (&ldquo;TPA&rsquo;s&rdquo;) and supporting Arch business stakeholders. The successful candidate will work closely with the Arch Legal Department on a variety of matters.</div><div></div><div><b>
Responsibilities</b></div><ul><li>
Deliver industry leading technical claim handling/management, claim outcomes, business support and customer service. Make claim services an Arch competitive advantage.</li><li>
Collaborate with TPA team members, Arch Claim Account Managers (&ldquo;CAM&rsquo;s&rdquo;) and other claim professionals to proactively develop and effectively execute on appropriate claim resolution strategies</li><li>
Work closely with underwriters, Legal, Operations, claim professionals, and other Arch functions, to ensure timely and effective communication consistent with Arch Claims&rsquo; Procedures; striving to achieve optimum claim outcomes.</li><li>
Effective and timely communication with insureds and brokers; making exceptional customer service a top priority</li><li>
Coverage analysis, investigation, liability and damage evaluation, timely and accurate indemnity and expense reserving (within specific granted authority), litigation management, vendor management, settlement negotiations, including use of structure settlements where appropriate, and claim resolution</li><li>
Effective claim file documentation, claim coding and diary management</li><li>
Retain and work closely with defense and coverage counsel to create and execute on litigation/coverage strategies and budgets. Analyze and pay legal bills, consistent with claims specific strategy/budget and Arch Claims Litigation Management Guidelines</li><li>
Effective and timely claim reporting (verbal and written) to other claim professionals/management and business stakeholders, per Arch Claims Procedures</li><li>
Attend mediations, trials, other proceedings and meetings</li><li>
Assist CAM&rsquo;s and others with TPA management and oversight to include:<ul><li>
TPA claim staff training relating to Arch processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service and other topics that may arise</li><li>
Sharing of claim handling/customer service best practices</li><li>
Assistance with claim file reviews and claim audits</li><li>
Regular meetings with TPA claims staff</li></ul></li><li>
Maintain all required state adjustor licenses</li></ul><div></div><div><b>
Qualifications</b></div><ul><li>
Minimum of 10 years&rsquo; commercial general/auto liability claim handling experience, including responsibility for complex and large exposure claims or insurance defense/coverage practicing attorney with similar law firm experience</li><li>
Significant experience handling claims involving contractual risk transfer, including making and responding to contractual indemnity and Additional Insured tenders</li><li>
TPA management/oversight experience is a plus</li><li>
Excellent customer service skills and service minded</li><li>
Strong analytical and problem-solving skills</li><li>
Strong negotiation skills</li><li>
Exceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills to effectively develop productive working relationships both within and outside Arch</li><li>
Demonstrated ability to process large amounts of complex information, distill it down to key issues and decision points and concisely communicate the information verbally and in writing</li><li>
Demonstrated ability to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations</li><li>
Demonstrated ability to work well independently and in a highly collaborative team environment</li><li>
Adaptable and able to succeed in a rapidly changing environment</li><li>
Strong Microsoft Excel, PowerPoint and Word skills</li><li>
Willing and able to travel up to approximately 10-15% of time</li><li>
This will be a hybrid role in office 3 days a week</li></ul><div></div><div><b>
Education</b></div><ul><li>
Juris Doctorate required</li></ul><div></div><div>
#LI-SW1</div><div>
#LI-HYBRID</div><div></div><div>
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.</div><div></div><div>
$145,700 - $175,000/year</div><ul><li><div>
Total individual compensation (base salary, short &amp; long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope &amp; responsibilities of the role, qualifications, talent availability &amp; specialization as well as business needs. The above pay range may be modified in the future.</div></li><li><div>
Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&amp;D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click <div>here</div> to learn more on available benefits.</div></li></ul><div></div><div><br>
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn&rsquo;t the right fit but you&rsquo;re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our <div>talent community</div> to share your preferences directly with Arch&rsquo;s Talent Acquisition team.</div><div></div>
14400 Arch Insurance Group Inc.</div>

Complex Claims and Coverage Specialist

The Hartford

<div>ASR Outside - CA09CN<p>
We&rsquo;re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals &ndash; and to help others accomplish theirs, too. Join our team as we help shape the future.<br>
</p><p></p><p><b>This is a field appraiser position, candidate will be required to live between Putnam and Albany County, New York.</b></p><p>
The selected Auto Service Representative (ASR) is responsible for the accurate and timely completion of assigned auto damage appraisals. They will operate within claim standards to provide the most economical means of repair or replacement and at times work to establish Total Loss values. Our candidate will triage and utilize multiple estimating channel options quickly and efficiently in the assigned territory assuring that training, quality standards and customer service requirements are met. They will work on the reinspection of repaired vehicles and the assessment of repair costs. Additional accountabilities include assessing indemnity and expense exposure, providing outstanding customer service, operating within a team environment, and continuous self-development.</p><p><b>
Requirements:</b></p><ul><li><p>
Minimum of 4 years of prior damage estimating experience and auto claim handling experience highly preferred.</p></li><li><p>
Experience/background working in a prior service industry is a plus!</p></li><li><p>
Bachelor&rsquo;s degree or equivalent work experience.</p></li><li><p>
Demonstrated ability to establish and maintain strong relationships with customers building</p></li><li><p>
Operate with integrity at all times to allow for trusted credible client interactions</p></li><li><p>
Self-motivated and able to keep on task with minimal direct supervision</p></li><li><p>
Flexibility to travel when required to attend meetings and catastrophe duty</p></li><li><p><b>
Must hold or be willing to acquire the applicable state's adjuster's license as required by the state</b></p></li></ul><p><b>
Additional Information:</b></p><ul><li><p><b>
A Hartford company car is provided.</b></p></li><li><p><b>
As a condition of your employment, you are required to reside in your assigned territory. Failure to adhere to this requirement could lead to disciplinary action up to and including termination.
</b></p></li></ul><p><b>How We Focus on Your Wellbeing:</b>
</p><ul><li><p>Medical, Dental, Vision, Life and Disability Insurance, 401K. Effective day 1.
</p></li><li><p>25 days paid time off in your first full year and Paid Holidays.</p></li><li><p>
Click on this link to learn more about our comprehensive benefits package and award-winning well-being program: https://www.thehartford.com/careers/benefits</p></li><li><p>
Paid volunteer opportunities</p></li></ul><p><b>
Tuition reimbursement </b>- up to $5,250 (undergraduate) and $6,000 (graduate) for tuition and registration fees for degree programs that support your career development (subject to additional requirements).</p><p><b>
Student Loan Paydown Program </b>&ndash; eligible to participate after 6 months of service. The Hartford will make a direct contribution of $125 per month &ndash; with a lifetime maximum up to $10,000 &ndash; as a supplemental payment towards your student loan in order to help you manage the stress of student debt and help you pay down your student loan faster.</p><p><b>
Compensation</b></p><p>
The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford&rsquo;s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:</p>
$62,480 - $93,720<p>
Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age</p></div>

Auto Service Representative Outside - Albany, NY

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