Senior Claims Processing Representative Job at NTT DATA (Plano)

Insurance Claims Manager

The Claims Department Manager oversees daily operations of the claims function, ...

Location

United States , Burlington

Salary:

Not provided

NATIONAL OnDemand, Inc

Expiration Date

Until further notice

Requirements

Bachelor’s degree in business administration or a related field from an accredited institution
Minimum of four years of directly related experience in claims adjusting, investigations, litigation support, and/or risk management
Professional certification preferred, such as Certified Medical Insurance Specialist (CMIS), Certified Billing & Coding Specialist (CBCS), Associate in Claims (AIC), or associate in general insurance (AINS)
Experience in insurance or risk management, including hands-on responsibility for a variety of claims processes
Strong ability to professionally liaise with insurance carriers and external partners
Demonstrated ability to supervise and develop personnel in a fast-paced environment
Ability to work independently and collaboratively with stakeholders at all organizational levels
Proven ability to maintain confidentiality and handle sensitive information with discretion
Strong professional presence with the ability to represent the organization effectively
Must have reliable transportation and a valid driver’s license

Job Responsibility

Develop and maintain efficient processes and documentation for workers’ compensation and property & casualty claims, ensuring compliance with all applicable policies, procedures, and legislation
Serve as the primary liaison with external agencies, carriers, brokers, and regulatory bodies for claims administration and claimant management
In coordination with the Senior Director of EHS & Compliance, evaluate complex and high-value property and casualty claims to determine liability, damages, and exposure
Assist the Senior Director of EHS & Compliance and Legal in managing third-party claims, including negotiations and settlement
Review and evaluate all work-related accident reports for completeness, accuracy, and regulatory compliance analyze data as needed to identify trends or issues
Investigate, review, and resolve high-severity, complex, or disputed claims
Supervise, coach, and train claims specialists, providing guidance on technical claim matters and ensuring consistent application of claims processes
Determine the appropriateness and value of workers’ compensation claims conduct investigations to assess eligibility and ensure all legal and procedural requirements are met for timely and accurate claim processing
Provide expert advice and counsel to organizational leadership on the interpretation and application of workers’ compensation and property & casualty policies, regulations, and procedures
Coordinate with the organization’s insurance broker and providers to ensure accurate, timely reporting and efficient claims handling

What we offer

paid time off (PTO)
medical
dental
vision
short- and long-term disability
life insurance
Employee Assistance Program (EAP)
401(k)

Fulltime

New

Senior Claims Representative

The Senior Claims Representative manages high priority accounts and catastrophic...

Location

United States , Carmel

Salary:

Not provided

Brown & Brown UK

Expiration Date

Until further notice

Requirements

Associate’s or Bachelor’s degree in business, financial related discipline, or Human Resources (preferred)
Proficient with Microsoft, Windows, Excel, IVOS, etc.
Exceptional telephone demeanor
Ability to maintain a high level of confidentiality
3 – 5 years’ experience in similar position
Insurance and/or Industry certification or designation

Job Responsibility

Maintain a claim inventory as deemed appropriate by management
Verify, research evaluate and make recommendations on appropriate coverage on each claim, using discretionary judgment
Make timely contact with members, injured workers, agents, providers, attorneys, etc.
Investigate claim with phone interviews/emails and obtain appropriate documentation
Evaluate exposure and adjust reserves as required
Conclude claim processing in accordance with company standards
Meet with members, agents, injured workers, attorneys, etc. as deemed necessary
Provide training and act as a mentor for members and other claims personnel
Travel to annual workers compensation conference and/or attend educational seminars
Other job-related projects or assignments as delegated

What we offer

Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
Financial Benefits: ESPP
401k
Student Loan Assistance
Tuition Reimbursement
Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more

Fulltime

New

Senior Workers’ Compensation Claim Representative

This is an on-site, full-time temporary role. The Senior Workers’ Compensation C...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Certification to handle California Workers’ Compensation claims is required
Minimum experience in lost time claims handling or similar fields (healthcare, disability, auto injury, etc.)
Working knowledge of California workers' compensation statutes and compliance regulations
Proficiency in Microsoft Office and familiarity with medical terminology and bill processing
Ability to analyze data and incorporate insights into claim resolution
Strong written and verbal communication skills
Must obtain applicable resident/designated home state adjuster license if not already held

Job Responsibility

Manage workers' compensation lost time claims from start to closure
Conduct comprehensive investigations and evaluate compensability
Communicate claim decisions to insureds, claimants, and attorneys
Administer statutory medical and indemnity benefits throughout claim lifecycle
Set and adjust reserves within authority limits
Collaborate with attorneys on hearings and litigation strategies
Direct nurse case managers, rehabilitation vendors, and telephonic case managers
Ensure compliance with all statutory filing requirements
Pursue subrogation opportunities where applicable
Maintain detailed file notes and participate in claim reviews

What we offer

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

Fulltime

Billing Representative Senior

The department ensures that patient accounts are accurately reviewed and prepare...

Location

United States , Los Angeles

Salary:

43680.00 - 65062.00 USD / Year

Children's Hospital Los Angeles

Expiration Date

Until further notice

Requirements

2+ years related experience, including 1 year as a Billing Representative
Knowledge of payer policies, and claim submission processes
Problem-solving skills to identify and address potential billing issues proactively
Strong attention to detail and organizational skills to manage multiple priorities
Familiarity with hospital billing systems
Great communication preferred
High school diploma or an equivalent combination of related education and work experience

Job Responsibility

Verify documentation and confirm payer information
Address potential claim denials
Collaborate with various departments to ensure seamless billing processes
Prepare and administer the department’s revenue cycle
Analyze billing data, keep statistics, and generate reports
Handle more complex billing issues
Troubleshoot, resolve or escalate problems and concerns to management

What we offer

Competitive compensation package
Robust benefits program

Fulltime

Global Claims Handler

Proactive and detail-oriented Claims Adjuster to join their Global Markets team ...

Location

United Kingdom , Glasgow

Salary:

33000.00 GBP / Year

Lawes Consulting Group

Expiration Date

Until further notice

Requirements

Demonstrated experience in claims handling
Knowledge of end-to-end claims processes
Experience building and managing relationships with brokers, clients, and external stakeholders
Strong negotiation and analytical skills
Clear and professional written and verbal communication skills
Proven ability to manage caseloads effectively
Customer-centric mindset
Professional qualifications such as ACII (or progress towards it) are advantageous

Job Responsibility

Oversee the full lifecycle of claims including coverage assessment, investigations, and evaluation
Negotiate fair settlements with policyholders, brokers, solicitors, and other stakeholders
Manage an individual caseload efficiently
Work with third-party vendors and service providers
Represent the company in internal and external meetings
Build and maintain strong client relationships
Provide support to senior adjusters, managers, and underwriters

Fulltime

Insurer Partnerships Manager

The Partnerships team holds responsibility for overseeing, managing, and advanci...

Location

United Kingdom , South Wales

Salary:

50000.00 - 55000.00 GBP / Year

Lawes Consulting Group

Expiration Date

Until further notice

Requirements

Proficient in rapidly establishing rapport, forging trusted connections with stakeholders internally and externally across all levels
Brings a wealth of experience in partnership management within global MGA/Delegated Authority frameworks, whether as an intermediary or carrier, preferably within the realm of general insurance
Demonstrates expertise in owning and supervising delegated authority activities, including technical performance, claims management, underwriting, processing, governance, and reporting
Possesses sound knowledge of key risk management and general insurance principles
Skilled in negotiation and persuasion, able to make decisive decisions under pressure
Exhibits excellent verbal and written communication skills
Approaches problem-solving with pragmatism and rationality, paying meticulous attention to detail
Proficient in Microsoft Office applications
Possession of formal insurance qualifications (e.g., DipCI, CertCI) is highly desirable

Job Responsibility

Be recognised as the foremost representative of the company, and a certified senior manager overseeing their panel of carrier partners
Spearhead the formulation and implementation of strategies to allocate premiums among carriers
Ensure the ongoing satisfaction of each carrier with the technical, financial, and operational performance of their partnership
Lead regular steering and review meetings to secure buy-in and, when necessary, persuade carriers to support their endeavours in achieving their commercial goals
Ensure the maintenance of existing underwriting capacity and, whenever feasible, its expansion to support our clients’ corporate objectives
Supervise the timely renewal of Delegated Authority Agreements (DAA) contracts
Lead initiatives aimed at augmenting underwriting capacity to encompass new products or markets
Take ownership of and supervise all processes associated with onboarding new carriers
Exercise oversight and assume ultimate responsibility for ensuring that all activities under delegated authority, including carrier processing, underwriting and technical outcomes, claims management, document issuance, and complaint handling, are conducted in accordance with the terms of their DAA contracts
Lead or facilitate scheduled or ad-hoc audits of carriers

Fulltime

New

Senior Director, Associate General Counsel - Litigation

Due to GEICO’s continued growth and transformation, we have an exciting senior-l...

Location

United States , Chevy Chase, MD; Cleveland, OH; New York City, NY; Chicago, IL

Salary:

210000.00 - 350000.00 USD / Year

Geico

Expiration Date

Until further notice

Requirements

Juris Doctor (JD) from an accredited U.S. law school
Active license to practice law in at least one U.S. jurisdiction
Current or recent experience operating at the Senior Director level or above (or equivalent), with demonstrated accountability for enterprise-level outcomes and leadership of managers
12+ years of legal experience, including significant experience in insurance-related litigation, claims, or complex commercial litigation
Legal experience working for a Property & Casualty insurance company preferred
Demonstrated experience managing attorneys who handle litigation, with the ability to operate through layers while staying close to the work
Strong understanding of litigation risk, insurance coverage issues, and the regulatory and legal environment impacting the insurance industry
Exceptional analytical, problem-solving, and communication skills, with the ability to translate complex legal issues into clear, actionable guidance for business partners
Proven ability to balance legal risk with business priorities in a fast-paced, highly regulated environment

Job Responsibility

Serve as a senior legal leader for GEICO’s Claims litigation portfolio
Manage the team handling all phases of litigation (discovery, motions, trial, appeal) and investigations
manage outside counsel, budgets, and fee negotiations
Partner with Claims leadership to help design, build, and scale a litigation support model aligned to the expansion of GEICO’s commercial claims business
Partner with Claims and Product leadership to help design, implement, and refine claims processes and procedures that support the launch and scaling of new commercial insurance product lines
Oversee and drive continuous improvement of litigation operations, including legal intake processes, workflows, metrics, and reporting
Translate company strategy and executive leadership goals into practical, executable legal priorities
Develop cost-effective strategies for claims related litigation, identify risks, and implement procedures for legal service delivery
Lead and support enterprise transformation initiatives
Provide counsel to business partners on escalated disputes, integrate legal considerations into business decisions, and advise on risk

What we offer

Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family’s overall well-being
Financial benefits including market-competitive compensation
a 401K savings plan vested from day one that offers a 6% match
performance and recognition-based incentives
and tuition assistance
Access to additional benefits like mental healthcare as well as fertility and adoption assistance
In office and remote opportunities, as well as our signature GEICO Flex program, offering the ability to work remotely for up to four weeks per year

Fulltime

Senior Human Resources Manager

The Sr. HR Manager- STAR Relations directs and works with Human Resources and Op...

Location

United States

Salary:

85000.00 - 112000.00 USD / Year

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

High school diploma or GED
4 years’ experience in the human resources, management operations, or related professional area
OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major
2 years’ experience in the human resources, management operations, or related professional area

Job Responsibility

Leading and Monitoring Recruitment and Hiring Activity
Assists in the interviewing and hiring of Human Resource employee team members
Establishes and maintains contact with external recruitment sources
Attends job fairs
Networks with local organizations
Oversees/monitors candidate identification and selection process
Provides subject matter expertise to property managers regarding selection procedures
Partners with vendor partners
Performs quality control on vendor partner’s performance
Administering and Providing Education Related to Employee Benefits

Fulltime

Senior Claims Processing Representative

NTT DATA

Location:
United States , Plano

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 20, 2026

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