Claims Specialist Jobs in the United States
Jobot
$80000 - $100000
Cicero, IL
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Crum & Forster
MORRISTOWN, New Jersey
Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
Crum & Forster
MORRISTOWN, New Jersey
Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
IMPACT WORKFORCE SOLUTIONS
Griffin, GA
With more than 2 decades in the industry, our commitment to improving the quality of life for people shows a genuine passion and caring spirit that helps not only our clients, but also our work-family to be successful. Communicate regularly with third-party administrators, medical providers, attorneys, case managers, and internal teams to coordinate care and resolve claim issues.
Conflux Systems, Inc.
$20
null, GA
Work with freight payment team to ensure any disputes with transportation carriers are solved timely • Communication with carriers to ensure that there are no gaps in information required • End to end management of freight claims inclusive of assisting KC in creating a new procedure in how to file claims • Assistance to returns and refusals inbox which will require associate to coordinate with carriers, distribution facilities and customer service to determine if loads need to be cancelled, re-scheduled or re-worked Job Description: • Supervise the transportation claims inbox and work with the vendors, customers and internal partners to ensure that KC is recovering the appropriate funds o Assist with end-to-end task completion • Maintain daily contact with key client contacts and perform data entry / order processing within specified system.
Alura Workforce Solutions
Rancho Cucamonga, CA
Additional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Alura Workforce Solutions
Rancho Cucamonga, CA
Additional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Alura Workforce Solutions
Rancho Cucamonga, CA
Additional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Vaco, LLC
Jacksonville, FL
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
RIDE Mobility
$25 - $27
Pasadena, CA
This role serves as a key liaison between OEM teams, dealers, customers, and suppliers to ensure efficient resolution of claim issues. Verify claim accuracy by reviewing labor hours, parts usage, repair orders, and supporting documentation.
KI Executive Group
$110000 - $130000
Orange, CA
This role involves handling technical and administrative responsibilities related to managing assigned claim files and taking on a larger caseload of highly complex claims. Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement.
Henderson Brothers Inc.
Pittsburgh, PA
The Claims Specialist will provide heroic claims service by assisting with the management of all claims from the initial report of the claim to the closing to ensure the best outcome for all our customers. Relationship Management: Possesses the ability to create and maintain strong relationship with business owners and contacts.
Illumination Health + Home
Santa Ana, CA
Illumination Health + Home is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care centers, emergency shelters, housing services and children's and family programs. The role of a Billing Claims Specialist involves overseeing the billing process for customers or patients, processing payments, maintaining financial records, and ensuring accurate billing and claims submissions.
Partnership HealthPlan of California
$37.22 - $46.53
Fairfield, California
Minimum three (3) years claims examining experience; or Partnership claims examining experience and completion of Partnership claims training; or equivalent combination of education and experience; College course work in business or related field preferred. The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform.
Tellus Solutions
Orange, CA
Role involves handling technical and administrative responsibilities related to managing assigned claim files and taking on a larger caseload of highly complex claims. Responsibilities:Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement.
Diversity Caree Hub
Orange, CA
Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement. Minimum five years of medical malpractice claims management experience and/or three years CAP claims experience.
PHA Health
McCook, NE
PHA Health specializes in providing high-quality, low-cost healthcare to members through our benefit plans. Our commitment to our team and clients is to provide a benefit plan for employers and their employees that is sustainable, affordable, and promotes well-being.
Lancesoft
Rancho Cucamonga, CA
Four (4) years of experience in a managed care environment in the area of claims processing;appeals & adjustments, and customer service, preferably in an HMO or Managed Care setting. Maintain, track, and prioritize assigned caseload through IEHP s provider dispute database to ensure timely completion.
Rhoden Roofing
$65000 - $75000
Wichita, KS
At Rhoden Roofing, we value our people as much as our clients, and our team takes pride in delivering exceptional results that make a lasting impact. As a Claims Specialist at Rhoden Roofing, you’ll guide customers through the insurance claim process for roof replacements and advocate for them every step of the way.
HTSS, Inc.
Allentown, PA
From the initial claim submission to final resolution, you will oversee the entire claims process, ensuring proper documentation, maintaining tracking reports, and addressing customer inquiries. We are seeking a Damage Claims Specialist to manage and process customer property damage claims related to utility service operations.
G&A Partners
$24.04 - $28.85
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Overview: For over 25 years, G&A Partners has been helping entrepreneurs grow their businesses, take better care of their employees, and enjoy a higher quality of life by providing proven HR solutions and technology. A growing, Houston-based professional services firm, G&A Partners is currently seeking an UI Claims Specialist to join its team at the corporate office, G&A satellite office, or work 100% remotely.
Mercury Insurance Services, LLC
$43382 - $75982
Remote, undefined
Bodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties. If you’re passionate about helping people restore their lives when the unexpected happens, and providing high-quality customer experiences, then our Mercury Insurance Claims team could be the place for you!
Berkshire Hathaway GUARD Insurance Companies
$95000 - $145000
New York, New York
Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett’s Berkshire Hathaway group – one of the financially strongest organizations in the world! The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.
Frank Winston Crum Insurance
Clearwater, FL
The pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Frank Winston Crum Insurance
Clearwater, FL
The pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. FrankCrum, a family-owned business-to-business entity since 1981 made of several companies: FrankCrum Corporate (a professional employer organization), FrankCrum Staffing, Frank Winston Crum Insurance Company, and the FrankCrum Insurance Agency - all based in Clearwater, Florida.
Insurance Staffing
Atlanta, GA
Our client is seeking an experienced Senior Complex Claims Specialist with deep expertise in New York Labor Law and construction-related liability claims. Investigate, evaluate, and resolve complex, high-exposure liability claims, including litigated and non-litigated matters.
Partnership HealthPlan of California
$28.63 - $37.22
Redding, California
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. examining experience and completion of Partnership claims training; or equivalent combination of education and experience; College course work in business or related field preferred.
Berkley
$85000 - $160000
Jersey City, New Jersey
We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Berkley
$86000 - $160000
Jersey City, New Jersey
We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Berkley
Nashville, Tennessee
BSIG provides local underwriting, risk services, claim, marketing and audit services for agents and policyholders in Alabama, Georgia, Mississippi, South Carolina, North Carolina and Tennessee. Responsibilities: The Senior Claim Specialist – Casualty position is responsible for the quality handling and resolution of non-litigated general liability claims in a timely and professional manner with emphasis on providing quality service while controlling expenses.
Frontline Road Safety
$32 - $35
Denver, CO
The ideal candidate brings multi-line claims experience (Auto, General Liability, Workers’ Compensation), strong overall insurance knowledge, and advanced analytical and reporting skills to support loss trends, metrics, and executive-level reporting. Under the immediate direction of the Corporate Claims Manager, the Insurance Claims Specialist supports the insurance claims process across all Frontline Road Safety Group operating companies nationwide.
Berkley
Dallas, Texas
Plans and conducts investigations of high severity claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Responsibilities: The primary role of a Complex Claims Specialist is to promptly and professionally ensure high quality claim handling by analyzing liability of claim submissions while making coverage determinations, investigating losses, conducting independent assessment as to the insured’s exposure and moving cases towards timely resolution.
Berkley
$90000 - $130000
West Hartford, Connecticut
Berkley Small Business Solutions (BSB) is committed to providing small business customers with the next generation of small business solutions, including offering operational, underwriting, and marketing opportunities. With the resources of a large Fortune 500® corporation and the flexibility of a small company, we exclusively work with select independent agents to bring technology solutions that help them build their business.
Lonestar
Richardson, TX
Exceptional communication skills-both verbal and written-will enable you to work seamlessly with internal teams and external customers, ensuring a collaborative approach to establishing facts and developing evidence. Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience and management and third-party customer relationships.
Aon Corporation
$39500 - $41000
Plainview, New York
As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions supporting Aon Affinity, in our Plainview, NY office. You’ll be responsible for setting up new claims, managing documentation and correspondence, and providing operational support to the claims team and external partners.
Aon Corporation
$37000 - $43000
Fort Wayne, Indiana
We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. Plus, our agile, inclusive environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self at Aon.
CapSpecialty
$92520 - $133640
Middleton, WI
Claims: Investigate, evaluate, negotiate, and resolve claims as assigned, including coverage and liability determinations, use of available tools and resources, communication with various internal and external stakeholders, compliance with all legal and regulatory requirements, and management of vendors such as independent adjusters and attorneys, overall management of loss costs (loss, ALAE and ULAE) on assigned files, customer service quality, and compliance with operating guidelines and other internal procedures and processes. By working with select partners through a limited distribution model, CapSpecialty's creative, hard-working team provides personalized service and cultivates mutually successful partnerships to deliver positive results.
Warrior Insurance Network
$41600 - $75000
Oak Brook, IL
This talented individual must possess previous experience in the investigation, determination of coverage, prompt evaluation of both First and Third Party auto property damage claims with an eye towards prompt, courteous and economical resolution of both First and Third Party related property damage claims. Are you an experienced First & Third Party Property Damage Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?.
University of Utah Health
SALT LAKE CITY, UT
_University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations._. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules._.
Spotter
Lemont, Illinois
As a Trucking Claims Specialist, you will leverage your knowledge of trucking operations, maintenance costs, and claims management to deliver exceptional service. Cost Analysis: Utilize your expertise to analyze maintenance records, repair invoices, and other documentation to accurately calculate truck and trailer maintenance costs.
TA Resources LLC
$25 - $33
Earth City, Missouri
Technology proficient in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing, as well as the ability to navigate multiple software systems and monitors while assisting customers on the phone. In this role, you'll transition from the physical demands of the shop floor to a comfortable office environment where you will leverage your automotive expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims.
Codemax LLC
$23 - $27
Fort Lauderdale, FL
Experience in medical billing collections or a similar role in a Behavioral Health industry specializing in Substance abuse and Mental Health is strongly preferred. The ideal candidate will possess strong communication skills, a deep understanding of medical billing and coding, and the determination to resolve outstanding claims.
Warrior Insurance Network
$54750 - $97500
Oak Brook, IL
They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?.
Lonestar
Richardson, TX
Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience, co-worker, management and third-party relationships. With 3-5 years of experience in Auto Bodily Injury/Casualty claims, you should possess a Texas Licensed Adjuster certification and familiarity with multi-state licensing is a plus.
Berkley
$100000 - $150000
West Hartford, Connecticut
Directly investigate each claim through prompt and strategic contact with appropriate parties including policyholders, witnesses, claimants, law enforcement agencies, agents, medical providers, and technical experts to determine the extent of liability, damages, and contribution potential. Berkley Small Business Solutions (BSB) is committed to providing small business customers with the next generation of small business solutions, including offering operational, underwriting, and marketing opportunities.
Selective Insurance Company of America
$108000 - $148000
Remote, undefined
Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Total Rewards: Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life.
Selective Insurance Company of America
$72000 - $109000
Remote, undefined
Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Total Rewards: Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life.
Selective Insurance Company of America
$108000 - $163000
Remote, undefined
Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. Total Rewards: Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life.
Sammons Financial Group
$37650 - $70595
Sioux Falls, South Dakota
Overview: Request and review claims requirements in order to determine coverage and finalize settlement of policy/contract benefits as they are payable in accordance with policy provisions, state and federal legislation and company stated compliance and business requirements. Work Authorization/Sponsorship: At this time, we’re not considering candidates that need any type of immigration sponsorship now or in the future or those needing work authorization for this role (This includes, but is not limited to students on F1-OPT, F1-CPT, J-1, etc.)
Consolidated Personnel Services
Phoenix, AZ
Investigate the circumstances surrounding workplace injuries, gather evidence, and work closely with carriers/TPA and clients to support the return-to-work process when employees have restrictions. Collaborate with adjusters and nurse case managers to ensure proper treatment plans are in place for injured workers and monitor progress.