Claims Specialist Job at Robert Half (Duncan)

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

Medical Billing Specialist

Location

United States , Dothan

Salary:

Not provided

RealTime (AL)

Expiration Date

Until further notice

Requirements

Medical Billing Experience
Perform posting charges
Perform completion of claims to payers
Conduct duties in a professional and timely fashion
Submit billing data to the appropriate insurance providers
Process claims
Resolve denial instances
Perform claim follow-up
Achieve maximum reimbursement for services provided
Deploy, maintain and report on various programs

Job Responsibility

Medical billers play a vital role in the connection between health care providers, patients, and insurance companies. At RealTime, we provide excellent Revenue Cycle Management to medical practices across the Southeast and through the Midwest.

What we offer

Training
Competitive pay
Phone allowance
Generous PTO
401(k) with company match
Health & Wellness Benefits including medical, dental, and vision
Company-sponsored events for fun and fellowship

Fulltime

Senior Insurance Specialist – Real Estate

We are supporting our client in finding a Senior Insurance Specialist to manage ...

Location

United Kingdom , London

Salary:

110000.00 - 120000.00 GBP / Year

Lawes Consulting Group

Expiration Date

Until further notice

Requirements

Strong insurance background within real estate
Experience managing global insurance programmes
Real estate investment or private equity experience preferred
Proven team management and leadership experience

Job Responsibility

Oversee global property, construction and W&I insurance programmes
Manage claims, invoicing, and impacts from acquisitions/disposals
Select and oversee global brokers, ensuring SLA compliance
Advise internal teams on insurance requirements and procurement for non-programme properties
Maintain process documentation related to insurance activities
Lead and develop the Insurance Officer
Provide insurance updates to senior management and respond to business queries

Fulltime

Claims Resolution Representative III

The Claims Resolution Representative III is responsible for working across the p...

Location

United States of America , Albany

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate degree and 2 years of related relevant experience
or equivalent combination of education and/or experience
Excellent problem-solving skills
Excellent communication skills
Excellent customer service skills

Job Responsibility

Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable
Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections
Research claims, identify problems, and takes appropriate action to assure claim resolution
Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner
Keeps management informed of changes in billing requirements and rejection or denial codes
Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists

Fulltime

Claims Resolution Representative III

The Claims Resolution Representative III is responsible for working across the p...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate degree and 2 years of related relevant experience
or equivalent combination of education and/or experience
Excellent problem-solving skills
Excellent communication skills
Excellent customer service skills

Job Responsibility

Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable
Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections
Research claims, identify problems, and take appropriate action to assure claim resolution
Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner
Communicates any missing/incomplete information to providers and department administrative support staff to ensure accurate billing
Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of claims
Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies
Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding
Escalates system issues preventing claims submission and follow-up for review and resolution
Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists assigned to pre claim WQ’s to identify opportunities for improvement in clean claims rate

Fulltime

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Claims Specialist

Job Description

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