Commercial Lines Claims Specialist Job at Brown & Brown UK (Somers)

Remote Medical Accounts Receivable Specialist

We are looking for a remote detail-oriented Medical Accounts Receivable Speciali...

Location

United States , Saint Paul

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience with NX (MyAvatar) or Aura – Sigmund is required
Experience working in medical accounts receivable, medical billing, or denial resolution within a healthcare environment
Demonstrated ability to research and resolve insurance denials, underpayments, and rejected claims across commercial payers
Knowledge of accounts receivable workflows, collections activity, cash applications, and billing functions related to healthcare claims
Familiarity with payer guidelines, appeals processes, and compliance standards governing claim submission and reimbursement
Ability to interpret explanation of benefits information, analyze account discrepancies, and determine appropriate next steps for resolution
Strong written and verbal communication skills with the ability to document follow-up clearly and prepare accurate appeal correspondence

Job Responsibility

Investigate denied, rejected, and partially reimbursed claims to determine the cause of nonpayment and drive timely resolution
Take corrective action on accounts by submitting claim adjustments, preparing reconsiderations, gathering needed documentation, and filing appeals in line with payer requirements
Manage assigned receivables by reviewing aging reports, prioritizing high-risk accounts, and working toward monthly collection and resolution goals
Communicate with insurance carriers to verify claim status, clarify adjudication outcomes, and escalate unresolved issues when additional review is required
Examine differences between submitted charges and payer payments to identify billing inconsistencies, underpayments, and reimbursement discrepancies
Partner with billing, coding, and clinical teams to correct claim edits, address authorization concerns, and resolve denial issues related to coding or documentation
Maintain complete account notes and follow-up records so all activity is accurately documented for audit readiness and operational visibility
Use electronic medical record and revenue cycle systems, including NX (MyAvatar) and Aura – Sigmund, to review account activity, claim history, and supporting encounter information
Prepare and share reporting on denial categories, payer behavior, and accounts receivable performance to help identify trends and support process improvement efforts

What we offer

Medical, vision, dental, and life and disability insurance
Enrollment in company 401(k) plan

Fulltime

Multilingual Customer Service Specialist

Black Swans Exist is supporting a growing international medtech company in the s...

Location

Germany , Hamburg

Salary:

Not provided

Life Science Talent

Expiration Date

Until further notice

Requirements

Fluency in German and English is required
Fluency in one or more additional Northern European languages is highly attractive, particularly Dutch, Danish, Swedish, or Norwegian
Previous experience from customer service, order handling, sales support, administration, or a similar customer-facing role
Strong verbal and written communication skills
Good general IT skills, including Microsoft Outlook, Word, Excel, browsers, and Windows-based systems
Experience with ERP and/or CRM systems is an advantage
Ability to work from the Hamburg area
Availability for standard office hours, with flexibility when business needs require it

Job Responsibility

Acting as a primary contact for customers, partners, users/patients, and field representatives across Northern Europe
Handling customer inquiries by phone and email in a professional, empathetic, and service-oriented manner
Supporting customers with routine and more complex questions related to products, orders, deliveries, repairs, claims, and service processes
Managing inbound orders from receipt to correct processing and release
Handling invoices, administrative documentation, and related coordination with internal stakeholders
Supporting returns, warranty matters, repairs, rental equipment, loss and damage claims, and other service-related processes
Providing first-line technical support after relevant training
Working closely with country sales managers and field-based colleagues to support customers and commercial activities
Maintaining and updating customer records, pricing information, warranty registrations, and relevant customer data
Supporting outbound activities, mailings, product updates, and renewal-related initiatives in collaboration with sales

What we offer

German benefits package including pension contribution, local transport contribution, JobRad/bike leasing support, and access to corporate benefit discounts
Possibility of occasional home office after onboarding and training

Fulltime

Trading Performance Specialist

Location

United Kingdom , London;Leeds;Bristol

Salary:

Not provided

Direct Line Group

Expiration Date

Until further notice

Requirements

Strong business and financial acumen developed through relevant experience, including ownership of budgeting (circa £15m), planning, commercial trading, and P&L across Personal Lines and/or travel insurance
Deep understanding of the insurance sector, including consumer behaviour, competitor dynamics, the commercial market, and the regulatory landscape, with a strong grasp of Consumer Duty
Ability to gather and synthesise insights from customer, market, and competitor data to inform strategy, support decision-making, and drive idea generation and execution
Proven capability to manage complex trade-offs between customer outcomes and commercial objectives while developing robust business cases to support strategic initiatives
Highly effective stakeholder management skills, with experience building and influencing relationships across internal teams and external partners such as regulators, industry bodies, and business partners
Strong collaborative approach, leveraging cross-functional engagement to maximise support for business goals and deliver effective, aligned outcomes

Job Responsibility

Work alongside the Head of Products to align overall insurance vision and strategy with specific squad missions and support delivery of squad outcomes for one of DLG’s insurance products
Lead on financial aspects such as budgeting, planning, commercial trading and business case production, managing trades-offs between customer and commercial outcomes and strategies
Lead trading meetings with matrix managed stakeholders to articulate current trends and potential risks
Identify and drive new product and proposition development opportunities in line with consumer demand and overall DLG strategy
Develop test & learn initiatives to improve squad and product performance
Ensure the squad adapts in line with shifts in consumer behaviour and market forces
Work with key internal stakeholders to drive alignment with key internal interfaces sitting outside of the tribe structure (Operations / Claims / Customer CoE)

What we offer

Employer contributed pension
Annual company bonus
Discounts on Insurance products
Generous holiday allowance
Flexible benefits package including optional health and dental insurance
Buy as you earn share scheme
Employee discounts and cashback

Fulltime

Asia Claims Lead

Our client, a major player in the global insurance sector is looking for a senio...

Location

Singapore , Singapore River

Salary:

Not provided

Randstad

Expiration Date

August 03, 2026

Requirements

Extensive track record in managing claims portfolios within the commercial insurance domain (Property, Engineering, Construction, Marine or Financial Lines)
Proven leadership capabilities with experience guiding and developing a professional team (onshore and offshore team)
Strong knowledge of legal frameworks and the ability to apply complex principles to technical dispute resolutions
Highly sophisticated communication, stakeholder management skills and commercially astute negotiation abilities
Proficiency in digital systems and databases used for scheduling, contact management and corporate reporting

Job Responsibility

Lead and mentor a team of Claims Specialists to provide commercially pragmatic and technically superior outcomes
Oversee the end to end management of complex claims cases, including coverage determination, accurate reserving practices and proactive recovery evaluations
Foster deep technical collaboration with underwriting, actuarial and broader business units to enhance portfolio quality and risk selection
Act as a key market representative to build strong relationships with regional distribution partners and corporate clients
Ensure all claims are managed in accordance with the organisation's values and processes including interpreting policy coverage, establishing, setting and reviewing reserves for indemnity and resolving claims as expeditiously and economically as possible and identifying recovery opportunities

Contract Specialist, Procurement

The Contract Specialist will act as a key member of the Supply Chain (Procuremen...

Location

Malaysia , Kuala Lumpur

Salary:

Not provided

Fugro

Expiration Date

Until further notice

Requirements

Law degree preferred though Business degree with strong contract management experience will be acceptable
Experience in Maritime/ EPC/ Engineering companies is preferred
Project procurement experience (with EPC companies and/or offshore projects) is a plus
Strong negotiation skills and experience
Understand inter-disciplinary relations and requirements
Exceptional communication and presentation skills
Ability to provide open and direct dialogue with stakeholders
High level of integrity and ethics
Ability to handle multiple tasks and changing priorities in a fast-paced environment
Organizational Skills/Time Management

Job Responsibility

Draft, review and negotiate supplier contracts (including sub-contracts) in line with templates provided by Legal and Fugro policies
Act as a key member of the Supply Chain (Procurement) team, participate in commercial and legal discussions with internal stakeholders and suppliers to ensure that contractual risks are identified, properly evaluated, and mitigated
Incorporate contract-flow down clauses from the client contract into the subcontract, in alignment with the Legal team
Ensure proper procurement contract management, comprising negotiating the terms and conditions of contracts
Promote the principles of good procurement and contract management practice throughout the company
Responsible for preparation/review of all relevant contractual correspondence exchanged during project execution to and from the suppliers, subcontractors, and authorities
Monitor all contract deliverables and the contract performance as well as identify risks and opportunities
Support handling of supplier claims
Assumes overall responsibility for all contractual and commercial issues related to the management of change
Works closely with internal stakeholders: Supply Chain (Procurement), Finance, Legal, Insurance, Fleet Services, project managers, operations managers and various business stakeholders

What we offer

Competitive salary with Annual Wage Supplement
Generous paid-leave
Career & training opportunities (international opportunities possible)
Company shuttle from various pick-up at MRT stations across Singapore
Collective health insurance and outpatient benefits
Employee Assistance Programme (EAP)
Long Service Awards
Professional Membership
Weekly fitness-related activities

Fulltime

Prior Authorization Specialist

We are looking for a Prior Authorization Specialist to support front-end revenue...

Location

United States , Chandler

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent is required
At least 6 months of experience handling prior authorization activities in a healthcare setting
Background in front-end healthcare revenue cycle operations, including insurance verification and benefits review
Working knowledge of pharmacy benefits, medication-related coverage considerations, and patient financial estimates
Familiarity with commercial insurance, Medicare, and Medicaid plans and their authorization requirements
Ability to interpret medical terminology, clinical services, and procedural information accurately
Experience using EMR or EHR platforms
Epic experience is required
Proven ability to work effectively in a high-volume, productivity-focused remote environment

Job Responsibility

Evaluate scheduled patient services and coverage details to determine when pre-service authorization or other financial clearance steps are required
Obtain initial approvals and follow-up authorizations within required timeframes to prevent delays in care or claim issues
Verify insurance eligibility, review benefit information, and interpret payer guidelines to support accurate account clearance
Calculate and communicate patient financial responsibility estimates based on plan coverage, benefits, and service details
Document authorization activity, verification findings, and account updates within EMR or EHR systems, preferably Epic
Work across assigned specialty areas such as cardiology, imaging, surgery, or other service lines based on business needs
Participate in daily remote team huddles and maintain productivity standards in a fast-paced, metrics-driven environment
Provide guidance to newer team members when needed on payer requirements, workflow expectations, and revenue cycle-related issues
Support additional work assignments related to financial clearance, insurance review, and pre-service account readiness as needed

What we offer

medical
vision
dental
life and disability insurance
401(k) plan
free online training

AI Product Owner

Beazley’s data reflects the complexity of our business. We are committed to buil...

Location

United Kingdom , Birmingham

Salary:

Not provided

Social Value Portal Ltd

Expiration Date

Until further notice

Requirements

Stakeholder influence, structured problem-solving, commercial acumen, clear communication, and change leadership
Domain Expertise: Strong understanding of the specialist area (Ops/Reg, Dist/Marketing, or Policy/Claims) and adjacent functions (pricing, risk, finance)
Detailed knowledge of business and technology issues / opportunities related to insurance, data and AI
Strong understanding of data management principles, data governance, and analytics
Experience in Agile product development and backlog management
Degree in Data Science, Computer Science, Business Analytics, or related field
advanced degree desirable
Demonstrable experience of AI product delivery / ownership within insurance or financial services
Strong understanding of AI/ML concepts, model lifecycle, and MLOps
Knowledge of ethical AI principles and regulatory frameworks

Job Responsibility

Define and communicate the vision, goals, and roadmap for AI products
Align AI initiatives with business strategy and regulatory compliance
Work with Head of AI to establish AI CoE and drive platform / product capability in collaboration with federated analytics teams in Finance, Underwriting, Actuarial and Claims
Own and prioritize the AI product backlog, balancing short-term delivery with long-term strategic goals
Translate business problems into AI use cases with clear actionable user stories and acceptance criteria
Ensure delivery practices (Agile/Scrum/Kanban), NFRs (performance, governance, resilience, privacy-by-design), and control frameworks (quality, metadata, lineage) are embedded
Drive delivery of AI products through agile ceremonies (sprint planning, reviews, retrospectives)
Monitor KPIs and value metrics to ensure AI products deliver measurable outcomes (e.g., loss ratio improvement, leakage reduction, NB premium, campaign ROI uplift, cycle-time reduction)
Maintain product-level scorecards and dashboards tracking usage, quality, SLA performance, and business impact
Manage seamless AI product integration into Value streams (martech/Claims, etc) and Change initiatives (Modernisation, Underwriting Transformation, etc.)

What we offer

Attractive base compensation and discretionary performance related annual bonus
Private medical insurance coverage for both you and your dependents
Company paid life assurance and long term disability insurance
Pension with 10% employer contribution, plus a further matched contribution up to 2.5%
25 days of annual leave (prorated for 1st calendar year of employment), plus public holidays, with the ability to flex the religious bank holidays to suit your religious beliefs, subject to approval
Additional annual leave purchase is also available up to a maximum of five additional days per year
Up to 2.5 days matched paid leave for volunteering at a charity of your choice and 5 days paid leave to provide or arrange care for a dependent with a long term care need annually
Up to £550 reimbursement towards home office setup
Free in-office lunch and monthly lifestyle allowance
Monthly travel allowance or annual season ticket

Fulltime

Insurance Specialist

You will join our team as an Insurance Specialist and will have the opportunity ...

Location

Italy , Rome

Salary:

Not provided

AlmavivA Group

Expiration Date

Until further notice

Requirements

Master’s degree in Economics, Law, or related fields
At least 3 years of experience in the insurance field (corporate environments, insurance companies, or brokers), preferably in sectors related to IT
Good knowledge of public and private contracts and insurance regulations
Knowledge of main insurance lines (liability, property, employee benefits)
Excellent command of English (written and spoken) and proficiency in Microsoft Office
Strong organizational, planning, and deadline management skills, with high attention to detail and reliability
Good interpersonal and teamwork skills, with a proactive and problem-solving mindset

Job Responsibility

Analyze and optimize the Group’s insurance coverage, ensuring alignment with risks, business strategies, and market trends, and proposing improvements or enhancements
Manage and coordinate international insurance programs
Assess insurance requirements in tenders and contracts
Manage operational relationships with brokers and insurance companies
Support internal functions (business, legal, commercial) in defining and interpreting insurance clauses
Arrange and manage ad hoc insurance coverage or extensions based on specific needs (e.g. events, new locations)
Contribute to the annual renewal process of the Group’s insurance program (liability, property, transport, employee benefits), including data collection and coordination with internal stakeholders
Prepare budgets and monitor forecasted insurance costs
Oversee administrative and accounting activities related to policies (premiums, deadlines, renewals, allocations, and intercompany recharges), ensuring proper documentation filing
Monitor and manage claims end-to-end, coordinating with brokers, loss adjusters, insurers, and legal advisors

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Commercial Lines Claims Specialist

Job Description

Job Responsibility

Requirements

What we offer

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