Claims Adjustor Job at Robert Half (Des Moines)

Claims Bordereaux Technician

To manage Claims Bordereaux for a portfolio of delegated accounts and perform co...

Location

United Kingdom , Birmingham

Salary:

Not provided

Social Value Portal Ltd

Expiration Date

Until further notice

Requirements

Degree or equivalent in any discipline – preferred but not essential
A minimum of 3 A ‘Levels’
Able to harness technical knowledge of a system to respond effectively to business needs
Able to work with a large amount of detailed information whilst retaining focus and achieving consistent quality and accuracy
Strong attention to detail and a proactive approach to working
Strong organisational skills
Ability to think creatively to both anticipate and solve problems
Ability to clearly document and communicate operating process and procedures
Excellent excel skills are required for this role
Strong organizational skills

Job Responsibility

Review, reconciliation, and agreement of claims bordereaux (BDX)
Agreement of fee/settlements within authority
Management of data associated with BDX processing on internal Claims database, ClaimCenter
Liaise with claims managers, brokers and Delegated Claims Adjustors (DCA’s) to resolve BDX issues that arise
Escalation of DCA over authority claims to Claims Managers
BDX review and activities to be completed in line with team performance SLA’s
Liaise with Claims Managers to ensure smooth transition of new accounts into the team
Take ownership of the BDX format and processing on Delegated Data Manager for accounts owned
Take ownership of the recovery of Loss Funds for managed accounts and oversee the process for getting the Loss Funds returned promptly
Take initiative to identify and resolve problems as they arise to facilitate the smooth running of the team’s core processes

Fulltime

Claims Lead

As the Claims Lead, you’ll be leading a high-performing claims team ensuring all...

Location

United Kingdom , Borehamwood

Salary:

Not provided

Brown & Brown UK

Expiration Date

Until further notice

Requirements

Proven claims or case handling experience
Cert CII qualification
Strong understanding of insurance products, particularly Property and General Commercial, FCA regulations and Lloyd’s markets
Excellent inter-personal and telephone skills with the ability to communicate clearly and precisely with others
Good organisational skills and the ability to adapt to changing circumstances in a fast-moving environment
Excellent attention to detail ensuring that high standards of quality are consistently maintained
Ability to resolve problems and provide solutions
Excellent level of written and spoken English and Mathematical skills
Sound knowledge of Microsoft Office packages and the ability to learn new systems and processes as needed
Ability to meet deadlines, and prioritise own workload

Job Responsibility

Daily line management Claims Team
Setting and monitoring work allocations, maintaining adequate staff cover
Compiling and delivering monthly reporting relating
Training, guiding and supporting the claims account handers in their development and to ensure quality
Monitoring the progress of a claim, making sure customers and other relevant parties (internal and external) are kept informed of the progress of claims where appropriate and any issues that may arise, ensuring that life cycle reports are provided to the Manager
Negotiating, settling and/or repudiating claims within delegated limits of authority and to refer all claims above delegated authority to underwriters with recommendations
Supporting Key clients in the handling of high value or contentious claims, attending meetings where necessary
Liaising directly with Insurers and Loss Adjustors on complex claims and complaints, providing feedback and reports to them
Liaising with Sales Managers on wording/policy issues
Working with Marketing Team to provide Claims content and knowledge, ensuring correct information is delivered to the audience

What we offer

28 days holiday + UK bank holidays
Life assurance
Private health care for you and dependents
Employee assistance programme, including GP line, cashback for treatments, advice line
Season ticket loan
Rental deposit loan
Annual leave purchase scheme
As part of the HFIS Group, access to discounted personal insurance is available
Financial support for studying towards professional qualifications plus study time
Wide variety of high-quality in-house and external training

Fulltime

Clinical Risk Management Analyst

Location

United States , Aurora

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

If RN, Active, unrestricted registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services
Graduate of a Board of Nursing approved nursing education program
Typically requires 5 years of experience in healthcare, quality and/or risk management, which includes experience in risk management principles, and continuous quality improvement tools and concepts
Knowledge of federal, state and other external health care regulations and standards and ability to research those regulations
Knowledge of evidence based, best practice resources to promote efficiency and effective outcomes
Working knowledge of process improvement methods and statistical tools
Effective conflict management and resolution skills
Basic working knowledge of medical terminology, clinical concepts and disease management
Intermediate computer skills including experience in using Microsoft Office (Excel, Word, Power Point, Access) or similar products
Strong written and oral communication skills including good presentation skills

Job Responsibility

Collaborates with claims adjustors and defense counsel in managing claims including assessment of liability, ensuring establishment of appropriate reserves, maintaining complete and up-to-date case files, and assisting in procurement of medical records and documents necessary for evaluation and defense of cases
Facilitates timely response and investigation of adverse and significant events
Collects and evaluates data concerning incident reports, aggregates data summaries, and develops monthly and quarterly risk management reports that provide a summary of current claims and litigation, to include an analysis of trends
Shares reports with appropriate leadership and advises and recommends actions for process improvement
Maintains an accurate, up-to-date database reflecting the status and essential elements of current claims and litigation
Analyzes patient concerns or complaints to determine the root of the matter, identifies any trends, and determines how best to address the concern or complaint
Reviews and gathers pertinent information from patient records
Collaborates with other risk staff in the prompt, equitable resolution of claims
Provides consultative and resource support to staff regarding all aspects of risk management
Coordinates, facilitates, implements and participates in care management and quality improvement initiatives

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Litigation Paralegal

Join an industry leader! Our manufacturing client is seeking a highly skilled Li...

Location

United States , Bayport

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Associate degree with 2-7 years of experience as a paralegal or in claims management
Experience in claims management, litigation, or related roles such as insurance adjustor or customer service representative
Strong writing and communication skills with the ability to articulate complex information clearly
Excellent organizational and coordination abilities to manage multiple tasks effectively
Proven ability to build positive interpersonal relationships and work collaboratively
Demonstrated flexibility and adaptability to changing priorities
Customer-focused mindset to address claims and negotiate resolutions
Proficiency in case management software, Microsoft Office Suite, and other litigation tools such as Relativity and Legal Files

Job Responsibility

Manage claims and lawsuits related to specific business units or product lines
Collaborate with internal teams to gather necessary information and provide updates on litigation progress
Partner with insurance providers and adjustors to address claims effectively
Collect, analyze, and organize internal and external documents required for legal proceedings
Coordinate with outside counsel, witnesses, and experts while aligning with the Legal Manager and Assistant General Counsel
Negotiate settlements and prepare relevant documentation
Draft responses to inquiries from federal, state, and local agencies
Assist with various legal projects based on the department's needs
Maintain meticulous records and ensure compliance with legal standards
Support the litigation team in trial preparation and case management activities

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan
Free online training

Fulltime

Traffic Management CAD Technician

FM Conway is currently recruiting a Traffic Management CAD Technician to join ou...

Location

United Kingdom , Ipswich

Salary:

Not provided

360 Resourcing Solutions

Expiration Date

July 04, 2026

Requirements

Strong knowledge of Traffic Management operations
experience using CAD, BricsCAD and Cone 11 software
ability to read and translate blueprints and technical drawings
ability to work well under pressure, prioritise tasks effectively and have excellent attention to detail
M7 Lantra qualification is highly desirable, but not essential

Job Responsibility

Working within a team of Traffic Management development designers and Project Engineers to ensure that drawings are to a high and legal standard
Producing clear drawings, signage placement layouts and diversion route strategies
Developing safe and efficient traffic management plans for work sites and road network
Carrying out on site assessments as required
Designing sites in accordance with Chapter 8 TSM
Engaging with Project Teams & Engineers to respond effectively to working methods that require traffic Management designs that conform to a legal standard

What we offer

Career and professional development
23 days holiday plus bank holidays
Life assurance
Opportunities for internal and external training
Access to a wide range of shopping discounts through Rewarding Great People platform
Health and well-being benefits including 24-hour advice lines
Support from in-house mental health first aiders

Fulltime

Registered Nurse, CVOR

Baptist Downtown is hiring a Registered Nurse for our Cardiovascular Operating R...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

1-2 years Operating Room Nursing Experience Required
Basic Life Support (BLS) Required
Advanced Cardiac Life Support (ACLS) Required
Licensed Registered Nurse Required
Associate of Science, Nursing
Registered Nurse (RN) - State Nursing Boards
Driver's License - DMV
Basic Life Support (BLS) - AHA
Advanced Cardiac Life Support (ACLS) - AHA

Job Responsibility

Providing for patient needs as recognized through use of the nursing process
Supervision of care provided by supportive personnel and coordination of care provided by ancillary services
Including patients and significant others (SO)/families in developing an individualized plan of care
Education of patients/SO/families to their disease process and plan of care
Coordinating and preparing assigned operating room/case
Assessment of patient care needs and the anticipation of needs of the case
Circulating, scrubbing, assisting on Cardiothoracic and vascular procedures

Fulltime

Pediatric Occupational Therapist

Wolfson Children's Hospital Rehab Services is hiring a Pediatric Occupational Th...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

Bachelor's degree (or higher) in Occupational Therapy Required
Licensed Occupational Therapist from FL Department of Health Required
Basic Life Support (BLS) certification from the American Heart Association Required
Pediatric Occupational Therapy in the outpatient setting is strongly preferred

Job Responsibility

Evaluates and treats patients with developmental, neurological, orthopedic, and medical diagnoses
Extensive patient/family education
Works with multidisciplinary team care

What we offer

$1,000 Sign on Bonus

Nursery Manager

Join the Kindred Family – Lead, Inspire, and Make a Difference. Are you an exper...

Location

United Kingdom , Hauxton

Salary:

34000.00 - 36000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Proven experience in leading and managing a team within early years
Strong written and verbal communication skills
Excellent organisational skills and attention to detail
Outstanding customer service and time management
Full and relevant Early Years Level 3 Childcare Qualification or higher
Sound knowledge of EYFS and OFSTED guidelines

Job Responsibility

Lead the Deputy Manager, Third in Charge, and Room Leaders to ensure high standards of Early Years care and education
Maintain an organised, safe, and stimulating nursery environment
Keep accurate records and ensure procedures are followed across the nursery
Build and maintain a reputation as the nursery of choice for children and staff
Model and monitor best practice in line with regulatory guidelines
Inspire and support your team, overseeing inductions, mentoring, and ongoing development
Ensure the nursery runs efficiently, meets KPIs, budgets, and targets, and is prepared for audits and inspections
Oversee the day-to-day operations of the nursery
Lead by example, modelling good practice and creating a shared vision
Supervise, support, and allocate tasks to your team

What we offer

Birthday Off
6 Fully Paid Sick Days
Cashback Healthcare Plan
Retail Discounts
Recognition & Reward Scheme
50% Childcare Discount
24/7 Virtual GP Access
24/7 Counselling Support
Discounted Gym Membership
Personal Financial Advisor Access

Fulltime

Select Country

Claims Adjustor

Job Description

Job Responsibility

Requirements

What we offer

Looking for more opportunities?

Claims Adjustor

Claims Bordereaux Technician

Claims Lead

Clinical Risk Management Analyst

Litigation Paralegal

Traffic Management CAD Technician

Registered Nurse, CVOR

Pediatric Occupational Therapist

Nursery Manager

Our AI answers in your language