Claims Specialist Job at 360 Resourcing Solutions (Reading)

Claims Experience Specialist

The Claims Experience team is responsible for providing premium support for our ...

Location

Canada

Salary:

63000.00 CAD / Year

Airbnb

Expiration Date

Until further notice

Requirements

5+ years in a fintech or customer experience role
Minimum of 1+ years experience handling insurance claims, preferably including first and third party property damage claims
Proficiency in both English and in French (must be able to handle technical claims discussions in French)
Critical thinking skills with a proven track record in solving challenging customer problems and making claims decisions with consistency and fairness whilst adhering to policy terms and workflows
Strong verbal and written communication skills with experience interacting with customers through multiple channels including email, messaging and phone
Active listening skills to understand user needs and provide personalized recommendations and assistance
Ability to explain complex and sensitive issues to customers with confidence and clarity
Analytical skills with the ability to organize and work independently with rapidly changing priorities
Negotiation skills to ensure customer issues are resolved in a timely and efficient manner
Solution and outcome-oriented with an ability to balance fraud prevention alongside a positive user experience

Job Responsibility

Evaluate, investigate and resolve claims submitted across our AirCover products (including but not limited to Host Damage Protection claims) including claims of high value and complexity that require complex investigation and negotiations to reach satisfactory outcomes
Closely monitor for fraud detection and mitigate risks associated with bad actors to protect the Airbnb brand and community
Verify all relevant facts and evidence to determine case resolution outcomes whilst following internal policies and workflows
Go above and beyond to create personalized interactions and exceptional premium support throughout the end-to-end claims process, tailoring the experience offered whilst ensuring each user’s needs and preferences are met with the highest level of care and attention
Provide continuous education and guidance for users about our Aircover products, terms and policies to enable the seamless resolution of their requests
Work closely with stakeholders and third party claims administrators to align on case strategies and ensure a timely resolution is reached for our users
Communicate regularly with Supervisors and Manager to provide feedback on the status of claims
Maintain high levels of confidentiality whilst conducting investigations
Identify gaps in workflow, process or policy whilst striving to provide upward feedback as required to further improve the experience for our customers
Act as subject matter expert for change initiatives and/or cross functional projects taking place across the Aircover Scaled Ops and Optimization org, including assisting internal stakeholders to test, refine, ideate, and deploy new internal products and processes

What we offer

bonus
equity
benefits
Employee Travel Credits

Fulltime

Property Claims Specialist

We’re working with a global broker known for handling complex risk. They’re look...

Location

United Kingdom , Leeds

Salary:

40000.00 GBP / Year

Lawes Consulting Group

Expiration Date

Until further notice

Requirements

Proven track record of managing claims end-to-end
Familiar with domestic and/or commercial property policies
Experience with CMS platforms and Microsoft Office

Job Responsibility

Manage a portfolio of property claims from notification to resolution
Accurately assess policy coverage and determine liability
Liaise with loss adjusters, contractors, and customers
Ensure claims are settled efficiently, fairly, and within SLA
Maintain clear, accurate, and professional documentation
Escalate complex cases as needed, supporting a team-focused approach
Handle incoming claims and guide policyholders through the process
Investigate commercial property damage claims
Communicate regularly with stakeholders to keep claims moving
Collaborate with internal teams (underwriting, risk, customer care)

Fulltime

Construction Engineer (Construction Claims Specialist)

The Honolulu Authority for Rapid Transportation (HART) is the public transit aut...

Location

United States , Honolulu

Salary:

72520.00 - 103210.00 USD / Year

Honolulu

Expiration Date

Until further notice

Requirements

Bachelor's degree in Engineering from an accredited college or university. Degrees in related disciplines demonstrating equivalent knowledge may also be considered
Minimum of 10 years' experience in construction management
At least 3 years of experience demonstrating substantive knowledge of contract management, change orders, or construction fieldwork
Experience on major public transit construction projects or within legal departments/law firms is preferred but not required
Strong written and oral communication skills
Proficiency in Microsoft Office applications (Word, Excel, PowerPoint)
Candidates must meet the health and physical condition standards necessary to perform the essential duties of this position effectively

Job Responsibility

Review contracts, project documentation, and correspondence to identify potential claims issues
Analyze contractor claims for validity and prepare detailed reports with findings and recommendations
Interpret terms and conditions in proposals, awards, and contracts
Communicate with HART project managers and staff to gather project documentation and facts relevant to claims
Prepare reports, chronologies, summaries, and other documents to support HART's position on claims
Collaborate with construction management staff and experts to evaluate and monitor claims
Develop correspondence, task orders, and other claims-related documents
Create reports using Word, Excel, PowerPoint, and other software as required
Organize claims materials and files to ensure appropriate access for all stakeholders
Strategize with project managers, corporate counsel, or other involved parties to provide litigation support for claims

What we offer

Medical, prescription drug, vision, dental, and life insurance plans
Generous vacation and sick leave, earning up to 21 days per year
13 paid holidays annually (14 days during election year)
Retirement plan contributions through the Employees' Retirement System (ERS)
Deferred compensation options to invest pre-tax income for retirement
Flexible spending accounts for health and dependent care expenses
Pre-tax transportation benefits, including TheBus and vanpool options
Access to confidential counseling services through the Employee Assistance Program (EAP)
Additional perks include training opportunities and employer-funded Holo Card for eligible employees to use on public transit
Eligibility for the public Service Loan Forgiveness (PSLF) program, supporting employees dedicated to public service

Fulltime

Claims Experience Specialist

The Claims Experience team is responsible for providing premium support for our ...

Location

Japan

Salary:

Not provided

Airbnb

Expiration Date

Until further notice

Requirements

5+ years in a fintech or customer experience role
Minimum of 1+ years experience handling insurance claims, preferably including first and third party property damage claims
Critical thinking skills with a proven track record in solving challenging customer problems and making claims decisions with consistency and fairness whilst adhering to policy terms and workflows
Strong verbal and written communication skills with experience interacting with customers through multiple channels including email, messaging and phone
Active listening skills to understand user needs and provide personalized recommendations and assistance
Ability to explain complex and sensitive issues to customers with confidence and clarity
Analytical skills with the ability to organize and work independently with rapidly changing priorities
Negotiation skills to ensure customer issues are resolved in a timely and efficient manner
Solution and outcome-oriented with an ability to balance fraud prevention alongside a positive user experience
Calm and Empathetic with ability to adapt to any situation by personalizing responses and educating our community whilst remaining level headed in challenging situations

Job Responsibility

Evaluate, investigate and resolve claims submitted across our Aircover products (including but not limited to Host Damage Protection claims) including claims of high value and complexity that require complex investigation and negotiations to reach satisfactory outcomes
Closely monitor for fraud detection and mitigate risks associated with bad actors to protect the Airbnb brand and community
Verify all relevant facts and evidence to determine case resolution outcomes whilst following internal policies and workflows
Go above and beyond to create personalized interactions and exceptional premium support throughout the end-to-end claims process, tailoring the experience offered whilst ensuring each user’s needs and preferences are met with the highest level of care and attention
Provide continuous education and guidance for users about our Aircover products, terms and policies to enable the seamless resolution of their requests
Work closely with stakeholders and third party claims administrators to align on case strategies and ensure a timely resolution is reached for our users
Communicate regularly with Supervisors and Manager to provide feedback on the status of claims
Maintain high levels of confidentiality whilst conducting investigations
Identify gaps in workflow, process or policy whilst striving to provide upward feedback as required to further improve the experience for our customers
Act as subject matter expert for change initiatives and/or cross functional projects taking place across the Aircover Scaled Ops and Optimization org, including assisting internal stakeholders to test, refine, ideate, and deploy new internal products and processes

Fulltime

Employee Relations Specialist

As an Employee Relations Specialist, you will be leveraging your skills in Claim...

Location

United States , Beaverton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least three years of experience in an Employee Relations Specialist role or a similar position
Proficiency in Claim Administration
Excellent Communication skills
Demonstrated experience in Complaint Handling
Familiarity with Compliance procedures and regulations in employee relations
Proven ability in Disciplining Employees in a fair and consistent manner
Experience in conducting Employee Relations Investigations
Experience in designing and delivering Employee Training programs
Experience in dealing with Union Grievances
Knowledge of NeoGov software is a plus

Job Responsibility

Conduct thorough investigations related to employee relations matters
Address and resolve employee relations issues efficiently
Provide expert guidance on labor and employment matters
Support in developing innovative workforce policies related to employee relations
Assist in the creation and implementation of training programs for employees
Handle complaints and administer claims related to employee relations
Ensure adherence to compliance and disciplinary measures
Manage and resolve union grievances
Use NeoGov for efficient process management
Prepare and maintain detailed investigation reports

What we offer

Medical, vision, dental, and life and disability insurance
Eligibility to enroll in company 401(k) plan

Fulltime

Ancillary Specialist

The Ancillary Specialist will review and adjudicate claims for our GAP product. ...

Location

United States

Salary:

Not provided

DriveTime Automotive Group

Expiration Date

Until further notice

Requirements

High School diploma required
Bachelor or Associate degree is preferred
Knowledge of GAP and/or Insurance Claims background preferred
Passionate and goal-oriented
Excellent verbal and written communication skills
Agile in a fast-paced environment
Works well in a time crunch
Fantastic problem solver
Positive emotional resilience
Plays well with others

Job Responsibility

Review and adjudicate claims for our GAP product
Verify multiple documents to ensure the correct amount is applied to the loan or returned to the customer

What we offer

Medical, dental, and vision
401(K)
Company paid life insurance policy
Short and long-term disability coverage
Growth Opportunities
Tuition Reimbursement
Wellness Program
Competitive pay
Consistent Work Schedule
Game Room

Fulltime

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to join a team i...

Location

United States , King of Prussia

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in medical billing, claims, or collections
Proficiency in accounting software systems and electronic health record (EHR) systems
Familiarity with Medicaid processes and commercial insurance claims
Strong understanding of accounts receivable, denial management, and appeals
Experience working with billing and authorization functions
Ability to accurately input and manage billing data
Excellent communication skills to collaborate with team members and external payors
Knowledge of compliance policies related to medical billing and collections

Job Responsibility

Process and submit primary and secondary claims for both commercial insurance and Medicaid
Investigate and resolve claim denials, performing appeals as necessary to ensure proper reimbursement
Manage accounts receivable by following up on claims through resolution, including correcting billing errors and addressing rejections
Input and review billing data for accuracy, ensuring compliance with company policies and procedures
Collaborate with the Billing Manager and clinic teams to ensure accurate and timely billing
Track and verify Medicaid status for clients while maintaining relationships with payors to facilitate successful claims processing
Assist intake teams with Medicaid documentation for new clients and those requiring reassessment
Utilize various insurance portals and systems, including Waystar, to handle denial responses and claims follow-ups
Ensure adherence to compliance standards in all billing and collections activities
Perform other tasks as assigned by the Billing Manager or Director

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan

Fulltime

Medical Reimbursement Specialist

We are in search of a Medical Reimbursement Specialist to join our team. Station...

Location

United States , Princeton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 3 years of experience in a similar role
Proficient in benefit functions
Demonstrated expertise in billing functions
Experience in claim administration
Familiarity with collection processes
Ability to handle and resolve medical denials
Comprehensive knowledge of Medicare

Job Responsibility

Analyze and categorize outstanding claims based on payer, denial reason, and claim value
Investigate and take corrective action on unpaid, denied, or underpaid claims
Collaborate with internal teams to obtain missing documentation and expedite claim resubmission
Evaluate common denial reasons and address them accordingly, such as coding errors, medical necessity, and prior authorization
Submit corrected claims and formal appeals as required
Communicate with insurance payers to resolve aged claims and escalate unresolved claims as necessary
Maintain comprehensive records of all payer interactions
Identify the root causes of denials and implement best practices to prevent future issues
Suggest changes to workflow to enhance claim submission accuracy and speed
Conduct training for in-house billing teams on claim recovery strategies

What we offer

medical, vision, dental, and life and disability insurance
eligibility to enroll in company 401(k) plan

Fulltime

Claims Specialist

360 Resourcing Solutions

Location:
United Kingdom , Reading

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 16, 2026

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360 Resourcing Solutions

Location:United Kingdom , Reading

Category:Insurance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:January 16, 2026

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

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Location:
United Kingdom , Reading

Category:
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Contract Type:
Not provided

Job Posted:
January 16, 2026