<p>We are looking for a Licensed Insurance Claims Investigator/Adjuster to join our team on a remote contract basis. In this role, you will leverage your expertise to assess and manage risks, analyze complex insurance and/or litigation claims, and provide strategic recommendations. This position offers an opportunity to contribute to the resolution of challenging cases while ensuring compliance with industry regulations. This is a 3-month contract position. 100% REMOTE.</p><p><br></p><p><strong><u>Licensed Insurance Claims Investigator/Adjuster (remote contract role):</u></strong></p><p>Responsibilities:</p><p>• Evaluate and manage diverse insurance claims, including general liability, construction liability, and third-party bodily injury cases.</p><p>• Conduct contractual analysis, interpret policy provisions, and draft comprehensive Reservation of Rights letters and coverage declinations.</p><p>• Analyze complex litigation claims related to auto, garagekeepers, employers liability, and liquor liability.</p><p>• Provide expert insights on state regulations and standard operating procedures to ensure compliance.</p><p>• Collaborate with stakeholders to identify risks and develop effective mitigation strategies.</p><p>• Apply critical thinking to assess data and make sound decisions based on established guidelines and policies.</p><p>• Obtain necessary insurance adjuster licenses within the required timeframe, including completing state-mandated tests.</p><p>• Stay updated on industry trends and engage in continuous development to enhance expertise.</p><p>• Utilize problem-solving skills to challenge the status quo and improve processes.</p><p>• Support the organization by ensuring accurate policy interpretation and adherence to risk management practices.</p>
<p>We are looking for an experienced and meticulous Claims Adjuster to assist with our client with handling New York based Workers Compensation Claims. </p><p>This is a fully remote, temporary-to-permanent opportunity. </p><p>To be considered, candidates must possess a valid NY Adjusters License and have experience working workers compensation specific claims.</p><p>Responsibilities include:</p><ul><li>Conduct in-depth investigations and evaluations of complex workers' compensation claims, applying strong analytical skills to drive informed decision-making and achieve timely resolution.</li><li>Collaborate closely with clients to develop innovative strategies and continuously improve the claims management process.</li><li>Utilize critical thinking and problem-solving abilities to effectively plan, prioritize, and manage tasks that support both client and claimant needs.</li><li>Leverage claims management expertise to assess exposure, determine appropriate action plans, and drive timely and effective claim resolutions.</li><li>Maintain thorough and timely documentation of all claim activities, ensuring transparency and supporting claim outcomes.</li><li>New York Adjusters License is required.</li></ul><p><br></p><p><br></p>
<p>We are looking for a skilled Claims Adjuster to join our team in Spokane, Washington. This is a long-term contract position that requires expertise in medical claims, billing, and insurance processes. The ideal candidate will play a key role in ensuring the accurate and efficient handling of claims while adhering to industry standards and regulations.</p><p><br></p><p>Responsibilities:</p><p><br></p><p> Review, analyze, and adjudicate medical and vision claims in accordance with plan</p><p>documents, policies, and industry standards.</p><p> Interpret complex benefit language and apply judgment in determining appropriate claim</p><p>outcomes.</p><p> Enter and verify claim information in the system with a high degree of accuracy.</p><p> Respond to telephone and written inquiries from providers, members, and internal</p><p>departments in a timely and professional manner.</p><p>Identify discrepancies, research data issues, and make necessary adjustments or referrals</p><p>for resolution.</p><p> Process electronic and paper claims and maintain data integrity across systems.</p><p> Generate and review provider correspondence, including system-generated letters and</p><p>explanation of benefits (EOBs).</p><p> Collaborate with internal teams to support compliance, audit readiness, and customer</p><p>satisfaction goals.</p><p> Support continuous improvement by identifying process inefficiencies and contributing</p><p>to best practice discussions.</p><p><br></p>
We’re hiring Active Licensed Liability Claims Adjusters to support a high-impact project focused on auditing and resolving a backlog of complex claims. This fully remote, contract-to-hire role is ideal for a experienced professional with deep expertise in liability and multi-state licensing. Compensation is competitive and based on experience. <br> Responsibilities Include: Review and audit existing and incoming general liability claims for quality, accuracy, and compliance. Identify issues in claim files and recommend corrective actions. Handle complex claims involving construction liability, bodily injury, property damage, and litigation. Draft coverage letters, interpret policy language, and negotiate settlements. Collaborate with legal counsel and vendors to resolve high-exposure claims. Ensure adherence to state regulations and internal standards.
<p>Robert Half is working with a great client on the North Shore seeking a Claims Adjuster to join its team. This is a permanent role, alongside an established team, responsible for visiting local claims sites for assessments, and will work in office a couple days per week as needed. Our client is looking for experience in the insurance industry, preferably property & casualty. Any experience with claims adjusting is preferred.</p><p><br></p><p>Salary is dependent on experience, but somewhere between $70-110K is the target. The benefits are competitive too.</p><p><br></p><p>If interested in and qualified for the Claims Adjuster role please message me ASAP or apply to this listing. Bill.Nichols@roberthalf. Thanks!</p>
<p><strong>Firm seeks Coverage Opinion Writing Attorney (No Litigation)</strong></p><p><br></p><p>This Attorney opening involves working closely with insurers to provide expert advice and analysis on insurance coverage matters. The ideal attorney will have a deep understanding of various insurance policies and be adept at drafting comprehensive coverage opinions.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Collaborate with insurers to provide advice on insurance coverage and interpret policies.</li><li>Analyze various types of insurance policies across an array of industries.</li><li>Draft detailed coverage opinions based on policy analysis and contract interpretation.</li><li>Maintain effective communication with clients and internal team members.</li></ul><p><br></p><p>Billable hour target: 1850/year</p><p><br></p><p>Can work 100% remote in US (PST work hours)</p><p><br></p><p><u>Perks of Firm</u>:</p><ol><li>Established for over 30 years</li><li>Multiple offices with large firm resources</li><li>Women-owned firm</li></ol><p><br></p>
<p>A prominent Michigan-based organization in the insurance sector is looking for a dynamic <strong>Claims Director</strong>. This position is ideal for an experienced leader with expertise in claims management, litigation oversight, and operational strategy.</p><p><br></p><p><strong><u>*This is a remote position; however, candidates must currently reside in Michigan to be considered.*</u></strong></p><p><br></p><p><strong>Responsibilities: </strong></p><p>Responsible for overseeing all operations of the Assigned Claims Program and related organizational tasks. Serves as a member of the senior leadership team, providing strategic and day-to-day oversight of claims functions, litigation, servicing insurers, third-party administrators (TPAs), vendors, and staff. Manages multi-million-dollar budgets, ensures compliance with regulations, and supports the executive team with personnel, technology, and policy initiatives. This role involves managing litigation processes, supervising claims activities, and ensuring compliance with industry regulations and organizational standards. The ideal candidate will possess strong leadership skills, a deep understanding of insurance claims, and expertise in litigation management.</p><p><br></p><ul><li>Direct daily operations of the assigned claims unit, including staff management, workflow, and quality control.</li><li>Develop and manage program budgets, expenses, and financial reporting.</li><li>Oversee litigation strategy, appeal processes, and counsel/vendor partnerships.</li><li>Monitor servicing insurers and TPAs to ensure compliance, performance, and effective claims handling.</li><li>Lead committees, task forces, and organizational initiatives, including No-Fault Reform strategy.</li><li>Provide training, coaching, performance management, and employee engagement initiatives for staff.</li><li>Oversee technology and IT projects supporting claims operations.</li><li>Represent the organization in litigation, industry groups, and external committees as needed.</li><li>Ensure policies, procedures, and statutory requirements are up to date and enforced.</li><li>Review vendor contracts, legal billing, and claims documents to ensure accuracy and compliance.</li><li>Support the executive director and collaborate with leadership on organizational strategy and initiatives.</li></ul>
<p><strong>Claims & Collections Coordinator</strong></p><p> Oklahoma City, OK</p><p><br></p><p><strong>Position Details:</strong></p><ul><li><strong>Temp-to-Hire</strong></li><li><strong>100% Onsite – West OKC</strong></li><li><strong>$16+ per hour</strong></li><li><strong>Monthly bonus potential after 90 days (average $300/month)</strong></li></ul><p><br></p><p>As a <strong>Claims & Collections Coordinator</strong>, you’ll play a key role in managing claims from start to finish—including billing, collections, adjustments, and account resolution. This role requires frequent communication with customers, insurance carriers, and internal departments to ensure claims are handled quickly and accurately.</p><p>We expect the starting wage to be around <strong>$16+ per hour</strong> with the opportunity for incentives. This position is <strong>100% onsite in West OKC</strong> and offers <strong>temp-to-hire potential</strong>.</p><p><br></p><p><strong>Duties:</strong></p><ul><li>Contact accounts to resolve outstanding claims quickly and accurately</li><li>Research, track, and document collection activities</li><li>Follow established processes for account reviews and customer outreach</li><li>Partner with internal departments to resolve sensitive or unique account issues</li><li>Perform other related duties as assigned</li></ul><p><br></p>
We are looking for a dedicated Claims Coordinator to join our team in Oklahoma City, Oklahoma. This Contract-to-Permanent position offers an exciting opportunity to showcase your skills in claims management and collections while working in a collaborative and fast-paced environment. In this role, you will handle diverse tasks related to billing, account resolution, and customer communication, ensuring efficient claims processing.<br><br>Responsibilities:<br>• Manage the full lifecycle of claims, including billing, collections, account adjustments, and resolution.<br>• Conduct thorough research and tracking of collection activities to ensure accuracy.<br>• Communicate effectively with customers, insurance carriers, and internal teams to address claims and resolve issues.<br>• Adhere to established procedures for account reviews and customer follow-ups.<br>• Collaborate with internal departments to address sensitive or complex account matters.<br>• Maintain detailed documentation of all claims and collection activities.<br>• Perform additional duties and responsibilities as assigned to support the team.
We are looking for a diligent and detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. In this long-term contract role, you will play a vital part in ensuring accurate processing and reconciliation of medical claims while supporting a collaborative team environment. If you thrive in a structured setting and have a strong background in medical billing and claims analysis, we encourage you to apply.<br><br>Responsibilities:<br>• Review and reconcile outstanding medical claims with precision and efficiency.<br>• Resubmit previously denied or rejected claims to ensure proper resolution.<br>• Accurately post payments into multiple systems, maintaining consistency and accuracy.<br>• Navigate payer portals to verify claim statuses and payment details.<br>• Perform repetitive clerical tasks with attention to detail and a focus on accuracy.<br>• Collaborate effectively with a team of professionals to meet organizational goals.<br>• Maintain punctuality and reliability to ensure smooth workflow within the team.<br>• Identify discrepancies in claims and resolve them promptly to prevent delays.<br>• Support behavioral health payment posting processes as required.
We are looking for a dedicated and detail-oriented Case Manager to join a dynamic plaintiff litigation law firm in Santa Barbara, California. This permanent position offers the opportunity to grow into a leadership role, blending case management expertise with office oversight responsibilities. If you are motivated, organized, and eager to become a key part of a thriving legal team, this role is designed for you.<br><br>Responsibilities:<br>• Assist with legal administrative tasks and learn case processes from intake to settlement.<br>• Support case managers by gaining hands-on experience with file management and workflow.<br>• Take on a manageable caseload as a Senior Case Manager, providing strategic guidance and ensuring timely case progression.<br>• Oversee staff workflows and productivity, stepping into an Office Manager role over time.<br>• Conduct twice-daily team check-ins to monitor task completion and file movement.<br>• Lead hiring, onboarding, and training initiatives for new case managers.<br>• Manage HR-related duties, including tracking time-off requests, conducting employee reviews, and maintaining payroll records.<br>• Organize and improve internal systems to enhance team efficiency and accountability.<br>• Serve as the point of contact for case strategy discussions and file reviews.
