Claims Integrity & Compliance Lead (Workers' Comp)
City of New York
The City of New York seeks an Administrative Investigator to lead the Claims Integrity & Compliance function. You will develop and oversee a comprehensive program to detect and prevent fraud, analyze claims data, and coordinate investigations with oversight bodies. Responsibilities include investigations into suspected fraud, training delivery, and improving regulatory compliance across the department. NYC residency is often required for appointment. #J-18808-Ljbffr City of New York
$150k - $200k
...seeking a proactive, commercially minded Workers Compensation Regulatory Compliance Manager to join our dynamic and... ...Legal, Operations, Profit Centers, Claims, IT, etc.). Manage the... ...level of personal accountability and integrity, with a solutions-oriented mindset....ClaimsFull timeWork at officeWorldwide- The City of New York’s Law Department seeks an Administrative Investigator to lead the Claims Integrity & Compliance program. Working under the Deputy Division Chief, you will design, implement, and supervise processes for detecting and deterring fraud, while coordinating...Claims
- Argo Group in the United States is seeking a Senior Claims Account Manager to lead runoff workers’ compensation claims from our Albany, Chicago, Los Angeles... .... You will collaborate with actuarial, legal, compliance, and operations teams to drive performance. #J-18808...ClaimsWork at office
- Great American Insurance Group's Strategic Comp unit seeks an experienced Senior Claims Specialist to manage New Jersey workers' compensation claims. This remote role requires expertise in NJ statutes, aggressive claims strategies, and servicing our insureds with professionalism...ClaimsRemote job
$250k
Berkley Industrial Comp in New Jersey seeks an Associate Underwriter... ..., quoting and retention for workers’ compensation business. You... ...service. The role handles claims across jurisdictions with exposure... ...costs while maintaining compliance and professional standards....Claims$150k - $200k
...Brandon J. Broderick, Personal Injury Attorney at Law, is looking for a dedicated Workers' Compensation Attorney to lead the New York office. The role includes representing clients in claims and overseeing all aspects of litigation. Applicants should hold a Juris Doctor...ClaimsWork at office- ...clients to differentiate and scale business growth.You Are:The Integration Lead Architect playing a pivotal role in ensuring that diverse... ...Underwriting, Policy Administration, Servicing, Billing & Payments, Claims, Illustrations & Quotes, Advisor/Distributor workflows, and...ClaimsFull timeWork experience placementLive inWork at officeLocal area
- ...solutions provider is seeking a Remote Sr. Workers' Compensation Subrogation Specialist.... ...expertise in managing complex subrogation claims while mentoring team members. Candidates... .... Join a dynamic team that values integrity and teamwork. #J-18808-Ljbffr Latitude Subrogation...ClaimsRemote job
$74.49k - $93.11k
Zenith is a team of Workers' Compensation Specialists committed to... ...collaboration, work-life balance, and integrity are placed at the center of... ...'s liability concerning Claims and attempt to effect... ...protected characteristic. In compliance with California law, we are committed...ClaimsWork experience placementFlexible hours$131k - $169k
...in.Who You AreAs a Senior Claims Manager of Workers Comp (WC), you will work collaboratively... ..., and state-specific compliance requirements.Maintain... ...with a positive attitude.Integrity - Simply put, do what you... ...words with your actions while leading by example. Simplicity -...ClaimsCasual workWork at officeLocal area$80k - $92k
...million people worldwide through leading employers, health plans, and... ...is actively seeking a Payer Integration Manager to join our Health... ...mitigation, and operational compliance of our health plan and carrier... ...Assurance: Drive high first-pass claim acceptance rates by...ClaimsRemote jobFull timeWork experience placementWorldwideSleeping nights- ...fully remote, immersive learning experience provides real-world exposure, mentorship, and a clear long-term career path in commercial claims. You will shadow experts, complete simulations, and participate in licensing and education opportunities, with a January 2027 start...ClaimsRemote jobTraineeshipJanuary start
$125k - $150k
...Perini Corporation is a leading civil, building, and... ...Company that believes integrity, teamwork, and a collaborative... ...coverage and claim settlements.Review owner... ...general liability, workers’ comp, auto, builders’ risk,... ...setup, management, and compliance of controlled insurance...ClaimsFull timeContract workFor contractorsFor subcontractorWork at officeVisa sponsorship$120k - $150k
...Development Manager to drive growth by cultivating relationships with insurance brokers interested in advanced computer vision solutions for workers' compensation. This remote position requires 25-50% travel primarily within the Central Region. The ideal candidate will have a...Remote job$150k - $210k
...About the job Workers' Compensation Attorney Pay: $150,00... ...New York. This is a workers' comp role and not a litigation-side... ...plaintiff-side law firm built on integrity, compassion, and relentless... ...supporting documentation to advance claims Negotiate settlements and...ClaimsFull timeSummer workWork at office- AmTrust Financial Services Inc. is seeking a Director of Workers’ Compensation Claims Operations focused on Operational Analytics & Continuous Improvement... ...-time reporting, hypothesis testing with field SMEs, and leading multi-functional problem solving to #J-18808-Ljbffr...Claims
- CopperPoint Insurance Companies is seeking a Workers Compensation Production Underwriter in... ..., and strong customer service. You will lead new business development, risk selection,... ...collaborates with underwriting leadership, claims, loss control, and operations to execute...Claims
- Gradient AI is seeking a driven Senior Sales Executive to launch and scale our predictive analytics solution for workers’ compensation claims management. This is a true hunter role, building your pipeline from zero and educating buyers to close deals. You will own the...ClaimsRemote job
- ...medical products is seeking an experienced Workers' Compensation Paralegal to join its... ...handling all aspects of workers' compensation claims from intake through resolution while... ...Track case status and ensure timely compliance with all procedural deadlines. Maintain...ClaimsFull timeWork at office
- King's Insurance Staffing seeks a Workers' Compensation Claims Consultant for its New York City team. You will oversee the claims process by collaborating with TPAs, carriers, and brokers while providing guidance on all workers' compensation matters. Responsibilities include...Claims
- AF Group is seeking an intermediate level workers' compensation claims handler in New York. Handles moderate to difficult claims, exercises discretion in determining compensability and reserves, and negotiates settlements within authority. You will work with managers on...Claims
- Con Edison’s Law Departments in New York seeks a Clerical Assistant to provide administrative support for the workers compensation claims process, handling forms, documentation, and confidential information. The role requires the ability to learn multiple software programs...Claims
- Sedgwick is seeking a Workers Compensation Claims Adjuster to analyze mid- and higher-level workers' compensation claims, determine benefits due, and ensure adjudication aligns with company standards. The role includes managing subrogation and settlements while coordinating...ClaimsFlexible hours
- CitiMed is seeking a Workers’ Compensation Claims Associate who will independently evaluate and resolve assigned claims in line with statutory... ...of WC billing experience, strong knowledge of NY regulations, and familiarity with HIPAA compliance. #J-18808-Ljbffr CitiMedClaims
- Zenith Insurance Company is seeking a Workers' Compensation Claims Specialist in Georgia to investigate, analyze, and determine liability for claims. The role involves settlements with claimants, interviewing medical professionals, and maintaining case files with strict...Claims
- Sedgwick is seeking a Claims Examiner for Workers’ Compensation to analyze claims for our clients, determining benefits due while ensuring adjudication aligns with service expectations and client requirements. Ideal candidates will have strong experience in claims management...ClaimsRemote jobFlexible hours
- Acrisure is seeking a Workers’ Compensation Claims Examiner to manage lost time workers’ compensation claims from assignment through resolution while ensuring timely, accurate, and compliant claim handling. The adjuster will investigate claims, evaluate liability and exposure...ClaimsRemote job
$95k - $110k
A reputable insurance staffing firm is seeking a Senior Workers Compensation Claims Specialist to join their remote team. The role involves handling moderate to complex California Workers Compensation Lost Time claims, conducting investigations, and negotiating settlements...ClaimsRemote job- Argo Group is seeking a highly capable Workers' Compensation Claims Adjuster for a temporary assignment with an estimated end date of 2026-10-09. Work from anywhere in the United States, adjudicating CA indemnity claims of higher technical complexity. Only government mandated...ClaimsRemote jobTemporary work
- SCI Summit Consulting, LLC is seeking an experienced Property & Casualty Claims Specialist to manage and investigate claims, determine liability and settlements, and maintain detailed files. This on-site role in Gainesville, GA offers a hybrid schedule (4 days in office...ClaimsWork at officeRemote work
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