CrawlJobs Logo
Brown & Brown UK Logo Brown & Brown UK · Insurance

Senior Claims Representative

United States, Carmel · Job Posted February 20, 2026
Apply Position
Job Link Share

Job Description

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

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
  • The Sr. Claims Representative will maintain and uphold a high standard for customer service

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

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
Brown & Brown UK - All Job Offers

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Suggested Tags: Frontend Developer Secretary Talent Manager Salesforce Administrator Data Analyst
Similar Jobs for

Senior Claims Representative

8 matching positions

Property and Motor Senior Claims Handler

On behalf of our client, a leading insurer, we are seeking a skilled Property an...
Location
Location
United Kingdom , London
Salary
Salary:
50000.00 - 60000.00 GBP / Year
https://www.lawesrecruitment.co.uk Logo
Lawes Consulting Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum 5 years in a claims-handling role
  • Strong expertise in property claims
  • motor and liability experience is a plus
  • Proven track record in managing complex claims to successful resolution
  • Familiarity with relevant insurance regulations and best practices
  • Strong communication and stakeholder management skills
  • Detail-oriented with solid organisational and documentation abilities
  • Commercial awareness and sound negotiation skills
  • Proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint)
  • Self-motivated, accountable, and able to work both independently and as part of a team
Job Responsibility
Job Responsibility
  • Manage end-to-end claims, from notification to settlement
  • Set up claim files and gather all necessary documentation
  • Appoint and liaise with external experts (e.g.loss adjusters, engineers, solicitors)
  • Handle broker, policyholder, and third-party queries professionally
  • Maintain regular communication with stakeholders and negotiate fair settlements
  • Support the Departmental Manager on high-impact claims
  • Ensure accurate record-keeping within the internal claims system
  • Participate in internal/external meetings and represent the company when required
  • Assist other teams as necessary and act in the company’s best interest
  • Triage new claims and take appropriate early action
  • Fulltime
Read More
Arrow Right

Clinic Patient Representative Senior - Podiatry

Greets, instructs, directs and schedules patients and visitors. Serves as a liai...
Location
Location
United States , Tyler
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • Knowledge of managed care preferred
  • Ability to operate 10 key calculator by touch, telephone, computer, copier, and fax machine
  • Excellent interpersonal and communication skills and good math knowledge essential
  • Some College Preferred
  • Three or more years of experience in a health care organization
  • ICD9 and CPT coding (advanced skills) Preferred
  • Experience with charge posting or collections Preferred
Job Responsibility
Job Responsibility
  • Maintains flow of patient check-in, verifies demographic and insurance information and enters into computer database
  • Assures that information in patient account is accurate
  • Assists with answering phones, taking messages and assisting with patient and staff inquiries
  • Responds to CBO requests for patient account corrections and/or maintenance, in a timely manner
  • Schedules appointments for patients in accordance with physician guidelines
  • Collects time of service payment amounts
  • collects prior balance amounts and/or arranging payment plans as requested
  • Checks in patients, verifies and updates necessary information in the medical record
  • Assists patients with completing all necessary forms
  • Scheduled appoints according to clinician template and follows office scheduling policies
  • Fulltime
Read More
Arrow Right

Patient Financial Representative Senior

The associate is responsible for the duties and services that are of a support n...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • HS Diploma or equivalent years of experience required
  • 3-5 years of experience preferred
  • Experience working within a multi-facility hospital business office environment preferred
  • Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
  • College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience
Job Responsibility
Job Responsibility
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
  • Ensures PFS departmental quality and productivity standards are met
  • Collects and provides patient and payor information to facilitate account resolution
  • Responds to all types of account inquiries through written, verbal, or electronic correspondence
  • Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
  • Maintains working knowledge of all functions within the Revenue Cycle
  • Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
  • Meets or exceeds customer expectations and requirements, and gains customer trust and respect
  • Compliant with all CHRISTUS Health, payer, and government regulations
  • Fulltime
Read More
Arrow Right

Clinic Patient Representative Senior - Rheumatology

Greets, instructs, directs and schedules patients and visitors. Serves as a liai...
Location
Location
United States , Tyler
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • Knowledge of managed care preferred
  • Ability to operate 10 key calculator by touch, telephone, computer, copier, and fax machine
  • Excellent interpersonal and communication skills and good math knowledge essential
  • Some College Preferred
  • Three or more years of experience in a health care organization
  • ICD9 and CPT coding (advanced skills) Preferred
  • Experience with charge posting or collections Preferred
Job Responsibility
Job Responsibility
  • Maintains flow of patient check-in, verifies demographic and insurance information and enters into computer database
  • Assures that information in patient account is accurate
  • Assists with answering phones, taking messages and assisting with patient and staff inquiries
  • Responds to CBO requests for patient account corrections and/or maintenance, in a timely manner
  • Schedules appointments for patients in accordance with physician guidelines
  • Collects time of service payment amounts
  • collects prior balance amounts and/or arranging payment plans as requested
  • Checks in patients, verifies and updates necessary information in the medical record
  • Assists patients with completing all necessary forms
  • Scheduled appoints according to clinician template and follows office scheduling policies
  • Fulltime
Read More
Arrow Right

Clinic Patient Representative Senior - Specialty Cardiology

Greets, instructs, directs, and schedules patients and visitors. Serves as a lia...
Location
Location
United States , Longview
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • Knowledge of managed care preferred
  • Ability to operate 10 key calculator by touch, telephone, computer, copier, and fax machine
  • Excellent interpersonal and communication skills and good math knowledge essential
  • Some College (preferred)
  • Three or more years of experience in a health care organization
  • ICD9 and CPT coding (advanced skills) (preferred)
  • Experience with charge posting or collections (preferred)
Job Responsibility
Job Responsibility
  • Maintains flow of patient check-in, verifies demographic and insurance information, and enters into the computer database
  • Assists with answering phones, taking messages, and assisting with patient and staff inquiries
  • Responds to CBO requests for patient account corrections and/or maintenance in a timely manner
  • Schedules appointments for patients in accordance with physician guidelines
  • Collects time of service payment amounts
  • collects prior balance amounts, and/or arranges payment plans as requested
  • Checks in patients, verifies, and updates necessary information in the medical record
  • Assists patients with completing all necessary forms
  • Schedules appointments according to the clinician template and follows office scheduling policies
  • Assists front office lead/supervisor with other administrative duties such as front-end duties, denials, workques and correct any errors to ensure clean claims
  • Fulltime
Read More
Arrow Right

Clinic Patient Representative Senior - Eye Care

Greets, instructs, directs and schedules patients and visitors. Serves as a liai...
Location
Location
United States , Longview
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • Knowledge of managed care preferred
  • Ability to operate 10 key calculator by touch, telephone, computer, copier, and fax machine
  • Excellent interpersonal and communication skills and good math knowledge essential
  • Some College Preferred
  • Three or more years of experience in a health care organization
  • ICD9 and CPT coding (advanced skills) Preferred
  • Experience with charge posting or collections Preferred
Job Responsibility
Job Responsibility
  • Maintains flow of patient check-in, verifies demographic and insurance information and enters into computer database
  • Assures that information in patient account is accurate
  • Assists with answering phones, taking messages and assisting with patient and staff inquiries
  • Responds to CBO requests for patient account corrections and/or maintenance, in a timely manner
  • Schedules appointments for patients in accordance with physician guidelines
  • Collects time of service payment amounts
  • collects prior balance amounts and/or arranging payment plans as requested
  • Checks in patients, verifies and updates necessary information in the medical record
  • Assists patients with completing all necessary forms
  • Scheduled appoints according to clinician template and follows office scheduling policies
  • Fulltime
Read More
Arrow Right

Clinic Patient Representative Senior - Specialty Cardiology

Greets, instructs, directs, and schedules patients and visitors. Serves as a lia...
Location
Location
United States , Longview
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • Knowledge of managed care preferred
  • Ability to operate 10 key calculator by touch, telephone, computer, copier, and fax machine
  • Excellent interpersonal and communication skills and good math knowledge essential
  • Three or more years of experience in a health care organization
Job Responsibility
Job Responsibility
  • Maintains flow of patient check-in, verifies demographic and insurance information, and enters into the computer database
  • Assures that information in the patient account is accurate
  • Assists with answering phones, taking messages, and assisting with patient and staff inquiries
  • Responds to CBO requests for patient account corrections and/or maintenance in a timely manner
  • Schedules appointments for patients in accordance with physician guidelines
  • Collects time of service payment amounts
  • collects prior balance amounts, and/or arranges payment plans as requested
  • Checks in patients, verifies, and updates necessary information in the medical record
  • Assists patients with completing all necessary forms
  • Schedules appointments according to the clinician template and follows office scheduling policies
  • Fulltime
Read More
Arrow Right

Clinic Patient Representative Senior

Greets, instructs, directs and schedules patients and visitors. Serves as a liai...
Location
Location
United States , Tyler
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • Knowledge of managed care preferred
  • Ability to operate 10 key calculator by touch, telephone, computer, copier, and fax machine
  • Excellent interpersonal and communication skills and good math knowledge essential
  • Some College Preferred
  • Three or more years of experience in a health care organization
  • ICD9 and CPT coding (advanced skills) Preferred
  • Experience with charge posting or collections Preferred
Job Responsibility
Job Responsibility
  • Maintains flow of patient check-in, verifies demographic and insurance information and enters into computer database
  • Assures that information in patient account is accurate
  • Assists with answering phones, taking messages and assisting with patient and staff inquiries
  • Responds to CBO requests for patient account corrections and/or maintenance, in a timely manner
  • Schedules appointments for patients in accordance with physician guidelines
  • Collects time of service payment amounts
  • collects prior balance amounts and/or arranging payment plans as requested
  • Checks in patients, verifies and updates necessary information in the medical record
  • Assists patients with completing all necessary forms
  • Scheduled appoints according to clinician template and follows office scheduling policies
  • Parttime
Read More
Arrow Right