Sr. Claims Specialist

We are looking for an experienced Sr. Claims Specialist to support insurance follow-up operations in Hinsdale, Illinois. This Long-term Contract position is ideal for someone who is detail oriented and can independently manage complex claim activity, assess supporting evidence, and make sound decisions in fast-paced environments. The role blends traditional claims investigation with the use of AI-enabled tools to strengthen fraud analysis, claim evaluation, and documentation quality.

Responsibilities:

• Oversee an active caseload of claims, maintaining consistent review and follow-up to move files efficiently through investigation and resolution.
• Examine claim records, supporting documents, statements, images, and prior file history to identify key facts, inconsistencies, and potential exposure.
• Determine appropriate claim outcomes by applying policy guidance and evidence, including approvals, denials, or referral for legal escalation when warranted.
• Use AI-supported resources such as fraud scoring, severity forecasting, image review, and document extraction tools to inform claim handling decisions.
• Assess automated insights critically, confirming accuracy and using careful judgment to adjust or override recommendations when necessary.
• Perform detailed fraud-related analysis on flagged claims to support fair, compliant, and well-documented decision-making.
• Navigate both established claims applications and newer digital platforms to complete case activity and maintain workflow continuity.
• Gather evidence manually across multiple systems and data sources when automated information is incomplete or requires verification.

The salary range for this position is $70,000 to $100,000. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.