Senior Claims Specialist Job at Robert Half (Dallas)

Senior Claims Specialist

We are looking for an experienced Senior Claims Specialist to support complex li...

Location

United States , Dallas

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Demonstrated experience managing complex claims involving Architects and Engineers Errors and Omissions or closely related liability exposures
Strong working knowledge of insurance policy interpretation, claim investigation methods, litigation management, and negotiated claim resolution
Familiarity with applicable laws, regulations, compliance standards, and industry best practices related to liability claims
Ability to evaluate financial exposure, set and revise reserves, and support accurate reporting throughout the life of a claim
Excellent communication and stakeholder management skills, with the ability to collaborate effectively with counsel, vendors, underwriters, and insured parties
Proven judgment in handling sensitive matters, making timely decisions, and balancing customer service with sound risk management
Comfortable with travel as needed for mediations, settlement conferences, and other in-person claim activities

Job Responsibility

Oversee a portfolio of complex liability claims, conducting detailed reviews of coverage, liability, damages, and supporting documentation to determine appropriate next steps
Lead investigations from initial intake through final resolution, ensuring each matter is handled in accordance with policy provisions, regulatory expectations, and company standards
Negotiate settlements within delegated authority while balancing timely resolution, financial accuracy, and fair treatment of all parties involved
Partner with outside counsel to shape litigation strategy, monitor case progress, and drive effective outcomes in disputed or highly sensitive matters
Coordinate the work of external experts and service providers, including legal vendors, consultants, discovery specialists, and technical advisors, to support claim evaluation and defense
Establish and maintain accurate claim reserves, review developments that may affect exposure, and recommend adjustments to support sound financial forecasting
Serve as a subject matter resource on specialized liability exposures, sharing insights that strengthen decision-making and promote consistent claim handling practices
Work closely with underwriting teams to identify emerging or complex risk issues, contributing expertise that supports pricing decisions, policy terms, and client discussions
Represent the organization in mediations, settlement conferences, industry events, or similar forums, helping maintain strong working relationships and an informed market presence

What we offer

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

Fulltime

Senior Claims Specialist

We are looking for an experienced Senior Claims Specialist to support complex li...

Location

United States , Dallas

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Demonstrated experience managing complex claims involving Architects and Engineers Errors and Omissions or closely related liability exposures
Strong working knowledge of insurance policy interpretation, claim investigation methods, litigation management, and negotiated claim resolution
Familiarity with applicable laws, regulations, compliance standards, and industry best practices related to liability claims
Ability to evaluate financial exposure, set and revise reserves, and support accurate reporting throughout the life of a claim
Excellent communication and stakeholder management skills, with the ability to collaborate effectively with counsel, vendors, underwriters, and insured parties
Proven judgment in handling sensitive matters, making timely decisions, and balancing customer service with sound risk management
Comfortable with travel as needed for mediations, settlement conferences, and other in-person claim activities

Job Responsibility

Oversee a portfolio of complex liability claims, conducting detailed reviews of coverage, liability, damages, and supporting documentation to determine appropriate next steps
Lead investigations from initial intake through final resolution, ensuring each matter is handled in accordance with policy provisions, regulatory expectations, and company standards
Negotiate settlements within delegated authority while balancing timely resolution, financial accuracy, and fair treatment of all parties involved
Partner with outside counsel to shape litigation strategy, monitor case progress, and drive effective outcomes in disputed or highly sensitive matters
Coordinate the work of external experts and service providers, including legal vendors, consultants, discovery specialists, and technical advisors, to support claim evaluation and defense
Establish and maintain accurate claim reserves, review developments that may affect exposure, and recommend adjustments to support sound financial forecasting
Serve as a subject matter resource on specialized liability exposures, sharing insights that strengthen decision-making and promote consistent claim handling practices
Work closely with underwriting teams to identify emerging or complex risk issues, contributing expertise that supports pricing decisions, policy terms, and client discussions
Represent the organization in mediations, settlement conferences, industry events, or similar forums, helping maintain strong working relationships and an informed market presence

What we offer

medical, vision, dental, and life and disability insurance
401(k) plan

Fulltime

Senior Workers’ Compensation Claims Specialist

We are looking for a fully remote Senior Workers’ Compensation Claims Specialist...

Location

United States , Chicago

Salary:

25.00 - 40.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

Hold a valid New York adjuster's license
Manage a complex caseload of workers’ compensation claims from inception through resolution
Ensure compliance with applicable laws and regulations
Deliver excellent customer service
Work closely with internal stakeholders, injured employees, medical providers, and legal counsel

Job Responsibility

Manage a portfolio of high-exposure and complex workers’ compensation claims, including litigated cases
Investigate claims by reviewing reports, medical records, and conducting interviews to determine compensability
Ensure timely and accurate claim adjudication in accordance with state laws and company guidelines
Develop and execute claim strategies, including reserve setting and ongoing reserve adjustments
Coordinate with medical providers, rehabilitation specialists, and case managers to support return-to-work initiatives
Monitor and manage litigation, working closely with defense attorneys and attending hearings, mediations, and depositions as needed
Communicate regularly with injured employees, employers, brokers, and other stakeholders regarding claim status

What we offer

Medical
Vision
Dental
Life and disability insurance
Eligibility to enroll in company 401(k) plan

Patient Financial Specialist Senior

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
3-5 years of experience preferred
Experience calculating expected reimbursement according to payer regulations and/or contracts required
Experience with Commercial, Medicare, and Medicaid reimbursement
Medicare, Medicaid, VA, Tricare billing and collections processes and regulations 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
Prefer hands-on experience with Medicare Remote (FISS) – DDE
Must have in-depth knowledge and ability to maneuver efficiently through Patient Accounting Systems, Document Imaging, Databases, etc.
Must have understanding of Medicare and Commercial contract language
Must have good technical aptitude working with a variety of MS Office products (Word, Excel, PowerPoint, Outlook) and/or ability to learn and develop more advance skills with the various applications

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 key performance metrics
Ensures PFS departmental quality and productivity standards are met
Functions as a subject matter expert in support of other PFS team members and other departments/facilities within the CHRISTUS Health network
Demonstrates a good understanding and has the ability to interact with the payer to verify coverage, submit claims, and follow up on appeals, underpayments, short pays or payment disputes for resolution
Investigate and resolve complex payment denials inclusive of correcting errors and supplying additional required information to facilitate collection of reimbursement / additional reimbursement
Ability to analyze, recognize, and resolve issues utilizing strategic thinking
Work with a variety of payers
Adapt to process and procedure evaluations and improvements, support continuous change, and willingly manage special projects in addition to normal workload and other duties as assigned
Responsible for professional and effective written and verbal communication with both internal and external customers

Fulltime

Senior Claims Coordinator

A well-established specialist insurance company that advises some of the UK's ma...

Location

United Kingdom , Brentford

Salary:

28000.00 - 30000.00 GBP / Year

Office Angels

Expiration Date

Until further notice

Requirements

Proficiency in using Microsoft Word, Excel, Google Calendar, Outlook, Thunderbird, and other office tools
Strong attention to detail and accuracy
Professionalism and clear communication skills
Empathy and the ability to handle sensitive situations
Flexibility and the capability to manage increased workloads
Willingness to learn and adapt to new technologies
Self-motivation and a proactive attitude
Ability to work effectively in a dynamic team environment
Commitment to delivering excellent results

Job Responsibility

Process new instructions related to large loss claims
Communicate with Loss Adjusters, insurers, and customers
Schedule appointments and manage surveyors/engineers' calendars
Address customer queries and concerns promptly and efficiently
Prepare draft contract documents as requested by the technical teams
Maintain comprehensive electronic records of claims
Generate draft invoices
Process contractor payments as requested by technical teams
Prepare and issue regular reports to the senior management team
Compile, regularly update, and report on a full suite of Management Information (MI) and Service Level Agreement (SLA) data

What we offer

23 days annual leave per annum plus paid Bank Holidays (currently 8)
Discretionary annual bonus based on company profitability and individual performance
Healthcare
Pension
Free Parking
Fully Office Based

Fulltime

Claims Specialist

We have been retained by a leading transactional risk insurance platform to hire...

Location

Italy , Milan

Salary:

100000.00 - 150000.00 GBP / Year

IDEX Consulting Ltd

Expiration Date

August 27, 2026

Requirements

Experience in W&I or transactional risk claims
M&A disputes
Private equity or corporate law
Complex financial lines claims
Ability to analyze legal risk, financial loss, and causation
Strong communication skills
Confidence dealing with senior stakeholders
Collaborative approach

Job Responsibility

Managing transactional risk claims from initial notification through to resolution
Undertaking coverage analysis
Assessing liability and quantum
Setting claims strategy and reserves
Supporting settlement discussions
Collaborating with underwriting teams, brokers, insureds, and external advisors

What we offer

Exposure to high-profile private equity and corporate transactions
Genuine ownership of claims
Close alignment with underwriting, broking, and deal teams
Competitive compensation
Clear long-term development opportunities

Fulltime

Claims Specialist

We have been retained by a leading transactional risk insurance platform to hire...

Location

Spain , Madrid

Salary:

100000.00 - 150000.00 GBP / Year

IDEX Consulting Ltd

Expiration Date

August 27, 2026

Requirements

Experience in W&I or transactional risk claims, M&A disputes, private equity or corporate law, or complex financial lines claims
Ability to analyze legal risk, financial loss, and causation
Strong communication skills
Confidence dealing with senior stakeholders
Collaborative approach

Job Responsibility

Managing transactional risk claims from initial notification through to resolution
Undertaking coverage analysis
Assessing liability and quantum
Setting claims strategy and reserves
Supporting settlement discussions
Collaborating with underwriting teams, brokers, insureds, and external advisors

What we offer

Exposure to high-profile private equity and corporate transactions
Genuine ownership of claims
Close alignment with underwriting, broking, and deal teams
Competitive compensation
Clear long-term development opportunities

Fulltime

Configuration Analysis Senior Specialist

The Configuration Analysis Senior Specialist at NTT Data Services is responsible...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Over all 5+ years’ experience in US healthcare Claims Payer
8+ year(s) experience in Configuring client System for Pricing (Provider Contract) and UAT testing – 2+ Years
High school diploma or equivalent required
Associates degree, technical college or some college course work preferred
Ability to work within a project-oriented environment
Experience in SQL 2+ Years (Queries Writing)
Exposure on VB/Vb.net

Job Responsibility

Configuring client System for Pricing (Provider Contract) as per the requirement and according to defined business rules of new claims processing platform
Evaluation of Configuration Requirement and Formulation of Configuration Approach and Effectively include advanced configuration and additional functionality based on best practices
Based on the business requirements and business rules gathered, evaluate and create rules and complete the configuration activities
Participate in problem solving of Health Plan benefit, provider, pricing, reporting, operational and system issues
Perform a variety of tasks related to the resolution of production support issues based on client configurations with the core administrative system
Support activities to update configuration within the core claims processing system, typically within the areas of Provider Pricing
Support fee schedule changes including terms, affiliations and contract maintenance
Enable User Analysis Testing (UAT) and implement the modifications as suggested by the business owners and/or analyst
Creating manual test cases from Use cases, Functional specs and other requirement documents
Resolve coding/QA issues by managing Master Issue Logs and Fixing the high priority change requests which require immediate attention

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