CrawlJobs Logo

Claims Associate

https://www.roberthalf.com Logo

Robert Half

Location Icon

Location:
United States , Sunrise, Florida

Category Icon
Category:
Insurance

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided
Save Job
Save Icon
Apply Position

Job Description:

We are looking for a dedicated Claims Associate to join our team on a long-term contract basis in Sunrise, Florida. In this role, you will handle medical claims processing, member communications, and ensure compliance with industry standards. This position offers an opportunity to utilize your expertise in medical claims and billing while providing excellent customer service.

Job Responsibility:

  • Process new claims by setting them up, completing required forms, scanning documents, and ensuring all claims are accurately processed
  • Communicate with healthcare providers to gather additional documentation needed for claim evaluations
  • Assess coverage for submitted claims, verifying details through internal systems and attaching supporting documents
  • Send clear and thorough correspondence to members explaining the claim adjudication process
  • Provide empathetic and detail-oriented customer service, actively listening to member concerns
  • Act as a subject matter expert on benefit coverage and product knowledge, assisting members with inquiries
  • Maintain strict confidentiality and follow data security and authentication protocols when handling sensitive information
  • Organize and prioritize tasks to meet established service standards and benchmarks
  • Collaborate effectively in a fast-paced environment to ensure timely claim resolutions
  • Ensure compliance with relevant policies, procedures, and regulations while managing member and payment information

Requirements:

  • Minimum of 2 years’ experience in medical claims or medical billing within a detail-oriented office setting
  • Strong understanding of medical codes, terminology, billing practices, and procedures
  • Ability to interpret and analyze explanation of benefits (EOB) forms
  • High school diploma required
  • additional college education is a plus
  • Proven customer service experience demonstrating empathy and active listening skills
  • Proficiency in Microsoft Office applications, including Excel, and general computer skills
  • Exceptional organizational and prioritization abilities to meet service benchmarks
  • Comfortable working in a dynamic, fast-paced environment with proactive problem-solving skills
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
February 13, 2026

Icon
Robert Half - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Claims Associate

Claims Associate

Are you looking for a new challenge? Fancy helping us shape the future of motor ...
Location
Location
United Kingdom , London
Salary
Salary:
Not provided
prima.it Logo
Prima
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2-4 years’ experience at a top-tier Consulting firm, Investment Manager, Private Equity firm, or Investment Bank (ideally with exposure to Operations)
  • Ability to mix strong quantitative analytical skills with commercial acumen in order to drive actionable business insights
  • Strong fluency with data is essential
  • Strong interest in Motor Insurance and Technology / AI developments
  • Excellent verbal and written communication skills
  • Strong attention to detail, with a problem-solving attitude
  • Comfortable working in a growing / scale-up business environment
Job Responsibility
Job Responsibility
  • Build a rich and comprehensive suit of Claims Intelligence to support the Head of Claims
  • Translate complex statistical findings into simple, meaningful, and high-impact insights
  • Work with our UK Claims Data Analyst to build early-warning systems for Claims
  • Lead deep-dive pieces of analysis around specific topics, as well as incubating operational improvement initiatives
  • Assume line management responsibility for the UK Claims Data Analyst, providing coaching, mentoring, and a clear roadmap for professional development
What we offer
What we offer
  • Hybrid working
  • Access to learning resources, mentorship and a growth plan tailored to you
  • Private healthcare
  • Gym discounts
  • Wellbeing programs
  • Mental health support
  • Fulltime
Read More
Arrow Right

Senior Associate - Claims

An opportunity to join a growing team delivering defendant clinical negligence w...
Location
Location
United Kingdom , London
Salary
Salary:
Not provided
capsticks.com Logo
Capsticks Solicitors LLP
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Litigation experience
  • Interest in defendant clinical negligence work
  • Understanding the needs of the client base
  • Self-motivated
  • Ambitious
Job Responsibility
Job Responsibility
  • Managing a caseload of claims on instructions from NHS Resolution
  • Assisting other members of the team on higher value or complex claims involving maximum severity injuries
  • Client contact
  • Business development
What we offer
What we offer
  • Competitive Salary & Benefits
  • Good opportunities for advancement
  • Inclusive and supportive working environment
  • Reasonable adjustments to application and interview process
  • Fulltime
Read More
Arrow Right

Claims Associate – Professional Indemnity & Financial Lines

Lawes Consulting Group is currently partnering with a key client who, due to con...
Location
Location
United Kingdom , London
Salary
Salary:
Not provided
https://www.lawesrecruitment.co.uk Logo
Lawes Consulting Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Process and manage claims related to Directors & Officers, Financial Institutions, and Professional Indemnity
  • Analyse claim documents and gather necessary information to make accurate claim assessments
  • Communicate with clients, third-party administrators, and legal teams to gather additional claim information
  • Collaborate with the claims team to ensure timely and accurate claims processing
  • Maintain claim records and documentation in compliance with company standards and regulatory requirements
  • Provide exceptional customer service to clients by addressing claim-related inquiries and concerns in a professional and timely manner
Job Responsibility
Job Responsibility
  • Reviewing and processing incoming claims related to Directors & Officers, Financial Institutions, and Professional Indemnity
  • Communicating with clients, third-party administrators, and legal teams to gather necessary claim information
  • Collaborating with the claims team to ensure efficient and accurate claims processing
  • Maintaining claim records and documentation in compliance with company standards and regulatory requirements
  • Providing exceptional customer service to clients by addressing claim-related inquiries and concerns
  • Fulltime
Read More
Arrow Right

Associate Claims Representative Liability-West

Take charge as a Claims Adjuster at The General, handling NSA claim investigatio...
Location
Location
United States , Nashville, TN; Davenport, IA; Madison, WI; Stevens Point, WI; El Paso, TX
Salary
Salary:
Not provided
sentry.com Logo
Sentry
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree or equivalent work experience
  • Ability to obtain and maintain state specific property and casualty claims licensing as required
  • Previous experience working with Auto Liability Claims strongly preferred
  • Solid knowledge and understanding of each phase of the claim handling process, or other equivalent knowledge
  • Solid knowledge and understanding of policies and endorsements related to casualty coverages, or other equivalent knowledge
  • Demonstrated experience handling moderately complex claims, or other equivalent experience
  • Demonstrated experience handling 1st and 3rd party, multi-line claims across our operating territories, or other equivalent experience
  • Demonstrated experience providing customer-driven solutions, support, or service
Job Responsibility
Job Responsibility
  • Support customers with empathy and understanding, assisting them through difficult situations and effectively communicating the claims process, the ongoing claim status, and decisions, including the reasoning behind them
  • Verify coverage and reasonable payments by thoroughly reviewing the policy, reviewing accident details, and other pertinent information related to the claim
  • Investigative claims by taking and reviewing recorded statements from involved parties and witnesses, reviewing policy reports and other pertinent evidence
  • Apply knowledge to evaluate claims exposure appropriately, establishing timely reserves
  • Comply with industry regulations, legal requirements, and internal company policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim
What we offer
What we offer
  • 401(K) plan with a dollar-for-dollar match on your first eight percent, plus immediate vesting
  • Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program
  • Generous Paid-Time Off plan
  • Volunteer-Time off
  • Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits
  • Well-being and Employee Assistance programs
  • Sentry Foundation gift matching program
  • Fulltime
Read More
Arrow Right

Associate Director – Contingency Claims

To service the claims needs of customers, providing quality customer care, ensur...
Location
Location
United Kingdom , London
Salary
Salary:
50000.00 - 65000.00 GBP / Year
https://www.lawesrecruitment.co.uk Logo
Lawes Consulting Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • English, Maths and or working towards CII qualifications is desirable
  • Working with bespoke London market IT platforms (training provided) within Windows Virtual Desktop application
  • Compliant in using MS Office applications, i.e., MS Word, MS Excel, MS Teams
  • Prior experience in a client facing role of Contingency claims handling and the entertainment market, 10+ years desirable
Job Responsibility
Job Responsibility
  • To service the claims needs of customers, providing quality customer care, ensuring that all issues relating to the claims process are dealt with proactively
  • To support the London Claims Team including fellow Associate Claims Director, management and colleagues throughout the company in their endeavours to achieve and surpass targets and always provide a first-class service whilst adhering to all FCA principles and the specific requirements of:Treating Customers Fairly, Contract Certainty and Conflict of Interest
  • Undertaking those enquiries necessary to obtain sufficient information to establish policy liability and progress claims efficiently
  • Registering new claims accurately on relevant computer systems and updating the records during the life of the claim
  • Ensuring all claims and correspondence, on delegated authority cases, are correctly maintained and to provide a clear and concise history of events, actions, and quantum assessment
  • Obtaining and submitting completed Client claim documentation to Insurers or nominated service providers promptly
  • Answering telephone calls promptly and effectively dealing with all enquiries in a professional and efficient manner
  • Processing incoming post within agreed service standards
  • Dealing with Client enquiries within designated time frames or as otherwise agreed with Client
  • Communicating effectively with Insurers, nominated service providers, engineers and Loss Adjusters etc, using methods appropriate to the circumstances, (including telephone/e-mail/fax, dictation), to ensure the highest levels of customer service are maintained
  • Fulltime
Read More
Arrow Right

Serious Injury Associate

This is an exciting opportunity to join a top tier, modern firm with a strong pr...
Location
Location
United Kingdom , Southampton
Salary
Salary:
53000.00 - 65000.00 GBP / Year
https://www.douglas-scott.co.uk Logo
Douglas Scott
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 1-5 years PQE
  • strong previous experience of working on such claims
Job Responsibility
Job Responsibility
  • Work alongside top Serious Injury lawyers on a caseload of complex matters including brain injuries, orthopaedic claims, and fatal matters
What we offer
What we offer
  • private medical cover
  • flexible/hybrid working
  • generous bonus scheme
  • income protection
  • Fulltime
Read More
Arrow Right

Construction Disputes Senior Associate

A top 50 leading UK law firm is seeking a talented Senior Associate to join thei...
Location
Location
United Kingdom , Greater London
Salary
Salary:
95000.00 - 120000.00 GBP / Year
https://www.douglas-scott.co.uk Logo
Douglas Scott
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • A strong academic background and at least 4 years of PQE in construction disputes or professional indemnity claims
  • Experience in policy interpretation and a solid understanding of court and dispute resolution processes
  • Excellent drafting, negotiation, and communication skills
  • A proactive, team-focused approach and an enthusiasm for client engagement and business development
Job Responsibility
Job Responsibility
  • Defend professional indemnity claims against construction professionals, main contractors, and other professionals
  • Advise clients on insurance policy coverage and interpretation, including complex wording issues
  • Provide specialist advice on claims defense strategies and scope of policy cover
  • Work closely with experienced partners and a dynamic team in a collaborative environment
What we offer
What we offer
  • A competitive salary and comprehensive benefits package
  • Recognition as one of the UK’s best workplaces for over 20 years, with Platinum Investors in People status
  • Opportunities for professional growth, flexible working arrangements, and a strong emphasis on work-life balance
  • A firm-wide commitment to diversity, sustainability, and innovation
  • Fulltime
Read More
Arrow Right

Construction Disputes Senior Associate

A top 50 leading UK law firm is seeking a talented Senior Associate to join thei...
Location
Location
United Kingdom , Greater London
Salary
Salary:
95000.00 - 120000.00 GBP / Year
https://www.douglas-scott.co.uk Logo
Douglas Scott
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • A strong academic background and at least 4 years of PQE in construction disputes or professional indemnity claims
  • Experience in policy interpretation and a solid understanding of court and dispute resolution processes
  • Excellent drafting, negotiation, and communication skills
  • A proactive, team-focused approach and an enthusiasm for client engagement and business development
Job Responsibility
Job Responsibility
  • Defend professional indemnity claims against construction professionals, main contractors, and other professionals
  • Advise clients on insurance policy coverage and interpretation, including complex wording issues
  • Provide specialist advice on claims defense strategies and scope of policy cover
  • Work closely with experienced partners and a dynamic team in a collaborative environment
What we offer
What we offer
  • A competitive salary and comprehensive benefits package
  • Recognition as one of the UK’s best workplaces for over 20 years, with Platinum Investors in People status
  • Opportunities for professional growth, flexible working arrangements, and a strong emphasis on work-life balance
  • A firm-wide commitment to diversity, sustainability, and innovation
  • Fulltime
Read More
Arrow Right
Jobs by Category
Art and Entertainment Jobs Banking Jobs Call Center Jobs Construction Jobs Consulting Jobs Customer Service Jobs Education Jobs Energy Jobs Finance Jobs Gastronomy Jobs Health and Beauty Jobs Hospitality and Tourism Jobs Human Resources Jobs Insurance Jobs IT - Administration Jobs IT - Software Development Jobs Legal Jobs Logistics Jobs Manufacturing Jobs Marketing, Digital Marketing, SEO, SEM Jobs Media Jobs Nursing Jobs Office Administration Jobs Pharmacy Jobs Physical Work Jobs Public Relations Jobs Public Sector Jobs Purchasing Jobs Quality Control Jobs Real Estate Jobs Research and Development Jobs Sales Jobs
Job Positions Jobs by Country
United States Jobs United Kingdom Jobs India Jobs Canada Jobs Australia Jobs Germany Jobs Ireland Jobs Poland Jobs
Company
Blog About Us Contact
Follow Us
Facebook
X (Twitter)
LinkedIn
Instagram
CrawlJobs Group
ITFlashcards AllDevBlogs
© 2026 CrawlJobs Ltd. All Rights Reserved
Terms & Conditions Privacy Policy