Compliance and Claims Manager Job at Robert Half (Scottsdale)

Manager, Claims Compliance

Uber is home to one of the largest and most unique Claims programs in the world....

Location

United States , Phoenix, Arizona; San Francisco, California; Chicago, Illinois

Salary:

Not provided

Uber

Expiration Date

Until further notice

Requirements

5+ years of professional experience in claims or risk operations, including at least 3 years dedicated to audit, SOX, or regulatory compliance within a P&C or gig-economy claims environment
3+ years people management experience
Bachelor's degree in related field

Job Responsibility

Lead and develop a team of in-house claims quality & compliance professionals
Design, test, and continuously improve QA methodologies, scorecards, and root-cause analysis for FNOL quality issues
Build and maintain control matrices, narratives, and evidence repositories
prepare walkthroughs and remediation plans
drive timely control testing and deficiency closure
Represent Claims in SOX, statutory, and carrier audits
articulate control design and operating effectiveness to Financial Risk management and auditors
developing responses to ad hoc audit requests and inquiries
Provide input on compliance control design and adequacy
Partner with internal & external operational leaders to identify opportunities to improve processes, training programs, and compliance adherence

Fulltime

Manager, Benefits Operations and Compliance

SiriusXM and its brands (Pandora, SiriusXM Media, AdsWizz, Simplecast, and Siriu...

Location

United States , Washington; New York; Maryland; Virginia

Salary:

103000.00 - 137800.00 USD / Year

SiriusXM

Expiration Date

Until further notice

Requirements

5+ years of experience in benefits, total rewards, or HR operations, including hands-on program administration and vendor partnership
Bachelor's degree in Human Resources, Business Administration, Finance, or a related field (or equivalent practical experience)
Strong experience in benefits administration and plan operations, including renewals, open enrollment support, and vendor coordination
Working knowledge of key benefits regulations and compliance practices (ERISA, ACA, HIPAA, COBRA) and ability to partner effectively with Legal and HR on compliance execution
Proficiency with benefits administration systems and HRIS platforms (e.g., Workday, Benefitsolver, or similar), including requirements gathering and UAT/testing support
Strong analytical skills and comfort working with data (Excel
experience with AI and Tableau/Power BI a plus) to develop insights and recommendations
Clear communication skills for both technical and non-technical audiences
ability to translate benefits concepts into employee-friendly and stakeholder-ready outputs
Strong project management fundamentals (planning, prioritization, risk tracking) with ability to execute independently and escalate appropriately

Job Responsibility

Own the annual operating cycle for assigned benefits programs (e.g., medical, dental, vision, life, disability, and retirement), including contract renewals, plan changes, and vendor coordination
Conduct benefits analyses (cost, utilization, engagement/satisfaction, and competitive benchmarking) to identify opportunities for plan improvements, cost containment, and employee experience enhancements, present findings and recommendations to stakeholders
Coordinate vendor selection activities and ongoing vendor management for assigned programs (RFP support, contract renewals support, service issue resolution, and performance monitoring)
Support compliance for benefit programs by maintaining documentation, tracking regulatory changes (ERISA, ACA, HIPAA, COBRA), and partnering with Legal/HR on implementation of required updates
Support internal and external audits by preparing materials, responding to requests, and tracking remediation actions to closure
Build and maintain dashboards and recurring reports for benefits KPIs (participation, utilization, claims trends where available, vendor performance, and employee feedback) and provide insights to inform decisions
Lead discrete benefits projects end-to-end (e.g., vendor transitions, process improvements, communications refreshes, or system enhancements), including timelines, risks, testing, and change communications
Directly responsible for assigned benefits programs, driving decision-ready recommendations on plan design tradeoffs, vendor performance actions, and cost/experience improvements
Lead cross-functional workstreams (HR, Legal, Finance, People Ops, and vendors) through renewals and open enrollment milestones, ensuring dependencies, risks, and decisions are surfaced and closed on time
Develop and maintain vendor scorecards (SLAs, responsiveness, quality, participant experience) and run recurring performance reviews to drive measurable improvements

Fulltime

Manager Compliance - Compliance

The Compliance and Privacy Manager will execute CHRISTUS’ Corporate Compliance a...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Bachelor's degree preferred in business, accounting, health care administration, or legal.
Knowledge of healthcare legal/regulatory compliance practices
Knowledge of HIPAA Privacy Rule, False Claims Act, Stark Law & Anti-kickback statutes
Working knowledge of hospital operation processes
Knowledge of audit and investigation techniques
Minimum 5 years of general healthcare experience with knowledge of hospital operations/compliance programs.
Prefer 4 years of experience in regulatory research and knowledge of federal and state law
Registered Nurse licensure in the state of employment preferred.
CHC and CHPC preferred

Job Responsibility

Under the direction of the CHRISTUS Regional Compliance & Privacy Director executes the annual Compliance Work Plans.
Manages auditing and monitoring of business units to determine compliance with applicable laws and regulations.
Work with business units to identify compliance and privacy gaps and deficiencies.
Participate in the development of appropriate workflows and corrective actions to address identified gaps and deficiencies.
Develop compliance and privacy risk assessments for gaps identified and make recommendations for improvements
Work with business units to develop monitoring metrics, identify and provide input on department-level policies and procedures, as appropriate, and assist in developing/delivering specialized operational training for department Associates
Maintain current knowledge of federal and state laws applicable to healthcare providers
Serve as a resource for questions regarding application of relevant laws and regulations and the compliance and privacy program policies and procedures.
Research relevant compliance and privacy regulations as needed or requested and provide written guidance to affected parties.
Develop and deliver course content for targeted training initiatives as directed by the annual work plan or as identified through operational reviews or leadership requests.

Fulltime

Claims Manager - International Financial Lines

An independent claims handler who will manage and oversee the end-to-end claims ...

Location

United Kingdom , London

Salary:

Not provided

Social Value Portal Ltd

Expiration Date

Until further notice

Requirements

University degree
Three of more years' experience handling commercial liability insurance claims, preferably under management liability and financial institution policies
Adjuster license(s) may be required
Legal training or claims experience, including assessing liability and negotiating settlements
Functional expertise includes: claims management procedures, knowledge of both US and international insurance markets, familiarity with US and global legal and regulatory frameworks, as well as alternative dispute resolution methods
Analytical skills: Problem solving, analysis of financial statements, financial assessments of claims, data analysis and decision-making
Work management skills: Time and workload management, self-starter, planning, achievement orientation, productivity focused
Interpersonal skills: Ability to influence others, client and broker management skills, purposeful communication, flexibility, active listening

Job Responsibility

Proactively manage a diverse portfolio of management liability, employment practice, professional indemnity and crime claims
Handle claims from first notice of loss through resolution, assessing severity, complexity, and direct financial loss
Evaluate policy coverage in line with underwriting intent, draft clear and well-reasoned coverage position letters
Manage portfolio of medium to high severity claims
Establish appropriate and timely case reserves
Develop, iterate, document, and execute claims strategies
Ensure the management of claims conforms to agreed standardized processes
Communicate any material claims to Reinsurance and Finance
Working with Reinsurance to effect claims recoveries
Understand and implement Beazley’s Conduct Risk Policy

Fulltime

New

Senior Non-Motor Claims Manager

Our client is a leading regional insurance provider operating across the Middle ...

Location

United Arab Emirates , Dubai

Salary:

Not provided

Carter Murray

Expiration Date

August 30, 2026

Requirements

Bachelor's degree in Law, Insurance, or a related field
Minimum 15 years of experience in non-motor claims across Property, Casualty, Engineering, Marine, and Liability lines
Strong knowledge of insurance policies, regulatory frameworks, and claims handling processes
Proven ability to manage complex and high-value claims with strong technical judgment
Strong negotiation skills, particularly in settlements involving legal stakeholders
Excellent leadership and team management capabilities
Strong stakeholder management and cross-functional collaboration skills
Excellent communication skills, both written and verbal
Professional certifications such as ACII are advantageous
Proficiency in MS Office tools, including Excel and Power BI, is preferred

Job Responsibility

Lead and manage the Non-Motor Claims team, driving performance, technical capability, and governance standards
Oversee end-to-end claims management across multiple lines including Property, Engineering, Marine, and Liability
Exercise final decision-making authority on complex and high-value claims, ensuring sound judgment and compliance
Provide technical oversight and guidance to regional teams to ensure consistency and quality
Build and maintain strong relationships with brokers, legal firms, loss adjusters, and external providers
Collaborate with underwriting, finance, legal, and reinsurance teams to improve portfolio performance
Drive recovery strategies including subrogation and salvage to optimize claims cost management
Ensure compliance with regulatory frameworks, audit requirements, and internal governance policies
Oversee reserving practices, ensuring accuracy and alignment with actuarial standards
Monitor claims processes, identify gaps, and implement continuous improvements

Fulltime

Marketing Compliance Manager

To ensure all marketing, advertising, and customer communications for both resid...

Location

United Kingdom , London

Salary:

Not provided

Community Fibre

Expiration Date

Until further notice

Requirements

Strong knowledge of ASA/CAP Code and UK advertising regulations
Experience in telecoms, broadband, or a highly regulated industry preferred
Ability to interpret complex regulations and translate them into practical guidance
Excellent attention to detail and strong judgement
Confident stakeholder management and communication skills
Experience reviewing multi-channel campaigns (digital, broadcast, print)
A relevant qualification in law, marketing compliance, or regulatory affairs is desirable but not essential

Job Responsibility

Campaign & Content Review: Review all marketing campaigns, promotional messaging, Press releases, Social Media and advertising creative prior to release
Ensure compliance with ASA/CAP Code, particularly in pricing claims, promotional claims
Approve, reject, or recommend amendments to ensure messages are accurate, clear, and not misleading
Regulatory Compliance: Act as the subject matter expert on ASA advertising standards and telecom-specific advertising rules
Propose and identify appropriate supporting evidence to substantiate marketing claims
Interpret and apply regulatory updates to ongoing and future campaigns
Maintain a compliance framework aligned with ASA and Ofcom requirements
Stakeholder Collaboration: Work closely with Marketing, Brand and Product teams to ensure compliance is embedded in campaign development
Provide clear, pragmatic guidance that balances compliance with commercial objectives
Support campaign planning by advising on compliant positioning and claims early in the process

What we offer

25 days holiday, increasing by 1 day for each year of service up to 28 days
Birthday leave
Cycle to work scheme
Flexible WFH policy
Private Health Cover

Senior Professional Billing And Claims Analyst

Our client is seeking a Senior Professional Billing and Claims Consultant for a ...

Location

United States , Des Moines

Salary:

50.00 - 55.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

5+ years of Epic Professional Billing and/or Claims experience in a healthcare environment
Strong understanding of Charge Router, payments & remittance workflows, claims processing, denial management, and revenue cycle operations
Experience supporting new Epic site implementations and go-live activities, including workflow validation, build review, and operational readiness
Knowledge of Rural Health billing, Critical Access Hospital Method II billing, and Provider-Based billing
Experience supporting Epic upgrades, including review and analysis of Nova Notes, system testing, and workflow impact assessments
Proven ability to troubleshoot and resolve complex ticketing and workflow issues
Experience mentoring or leading junior staff members, providing knowledge transfer and workflow guidance
Strong communication, organizational, and stakeholder management skills
Epic Professional Billing and Claims Certifications

Job Responsibility

Provide senior-level support for Epic Professional Billing and Claims operations, including configuration, troubleshooting, and optimization of Charge Router and related billing workflows
Support payments and remittance workflows, including payment posting, reconciliation, denial analysis, and remittance troubleshooting
Investigate and resolve complex billing, claims, and revenue cycle tickets within established SLA timelines
Partner with operational and technical teams, as well as third-party vendors, to improve billing efficiency, claims accuracy, and reimbursement outcomes
Support new Epic site implementations, including pre-implementation planning, workflow validation, build review, operational readiness, integrated testing, defect resolution, and end-user support during go-live stabilization
Assist with cutover planning and post-go-live optimization activities
Provide subject matter expertise in Rural Health Clinic (RHC) billing, Critical Access Hospital (CAH) Method II billing, and Provider-Based Billing workflows
Ensure workflows and configurations align with regulatory and reimbursement requirements, supporting operational teams in identifying compliance risks and reimbursement optimization opportunities
Participate in Epic upgrade activities, including review and analysis of Nova Notes, system testing and validation, workflow impact assessments, and coordination of upgrade-related changes
Recommend system enhancements and operational improvements based on Epic best practices and organizational needs

What we offer

Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
401k plan with company match fully vested after eligibility
Paid time off, sick time, and paid company holidays
Employee Assistance Program (EAP) providing virtual counseling, financial services, legal services, life coaching

Fulltime

Risk, Control & Compliance Manager

By integrating and applying risk and compliance framework into the Ikano Retail ...

Location

Mexico , Naucalpan de Juárez

Salary:

Not provided

IKEA

Expiration Date

Until further notice

Requirements

Work together with relevant stakeholders to: To ensure business process compliance, i.e. standard operating procedures compliance
To identify the business unit or country-specific safety & security hazards, and process gaps and incorporate preventive, protective, and control measures, and programs to address identified risks
To define, establish, and implement operating procedures, and standards that are properly connected with the relevant local authorities, IKEA requirements, and working routines
To ensure the safety and security operating systems are developed, designed, and installed to meet IKEA requirements and local legislation
To ensure the adaption of internal and national requirements to meet IKEA's safety & security intended level of protection
Take an active role in the design and build-up stage or rebuild of the store to support the implementation of the IKEA safety & security requirements
Provide expertise on and responsible for the development of training materials for co-workers and external partners to meet IKEA's risk appetite
Responsible for the education and training administration of risk knowledge, and working methods, including audits, reports, and maintaining/filing records as required
To lead and drive risk topics regarding potential operational challenges in the units including implementation of the crowd management plan, traffic plan, process gaps, and risk exposure
To ensure the unit is meeting compliance requirements by achieving positive results for all internal and external audits such as Sec Check, insurance review, Wecheck, process audit, and authorities' inspections

Job Responsibility

By integrating and applying risk and compliance framework into the Ikano Retail process, not only do we do it right from the start, but we also secure a more efficient and risk-aware organization resulting in better performance
The Risk and Compliance Manager leads and inspires the store team, co-workers, and external security guard service to optimize safety, security, and compliance in the store for both the customer, and co-workers, using the knowledge of IKEA Safety and Security Manual, Rules, and Standard operating procedures
To lead the deliverables of the Risk and Compliance agenda to ensure a healthy working environment, where risks are mitigated and functions are supported in identifying, assessing, and proactively handling risks to ensure compliance with IKEA Safety and Security rules and local (country and regional) legislation

Fulltime

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Compliance and Claims Manager

Job Description

Job Responsibility

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