Claims Specialist
Jobtailor
Review newly reported claims for potential exposure and route claims according to triage/routing rules Follow up to investigate and obtain needed information Maintain an inventory of low severity primary and excess liability claim files and moderate complexity coverage files Analyze coverage and potential exposures, including liability and damages Establish appropriate reserves Communicate appropriate responses to management and underwriters on new losses Support underwriters and actuaries Manage assigned counsel Develop and execute strategies to control expenses and resolve litigated claims Represent the company’s interests in meetings and negotiations Proactively manage correspondence and claim files Maintain a current diary in compliance with company standards Maintain claim and industry-related expertise and communicate significant issues and relevant changes to team members Requirements College degree required 2-3 years insurance casualty claims experience Proven record managing a high volume of low to moderate severity claims, including coverage analysis and drafting coverage letters Early recognition of potential exposure Experience assessing and pursuing risk transfer opportunities Ability to drive claim files to best outcomes Strong written and verbal communications skills Ability to establish and expand working relationships with other departments Experience handling excess claims Technical skillsets in commonly used claims systems and general office software (MS Word, Excel, Outlook) Strong ability to efficiently prioritize tasks and work autonomously as well as within a team Core Competencies Demonstrates expertise in managing insurance casualty claims, including coverage analysis, risk assessment, and effective communication with stakeholders. Proven ability to drive claims to optimal outcomes while maintaining compliance with industry standards. Highest-signal resume keywords Insurance Casualty Claims Management Coverage Analysis Claims Systems Proficiency Strong Written And Verbal Communication Risk Transfer Assessment ATS Optimization Keywords Hard Skills Claims Triage Coverage Analysis Claims Management Expense Control Strategies Reserve Establishment Negotiation File Management Risk Assessment Claims Drafting Soft Skills Strong Communication Skills Relationship Building Task Prioritization Autonomous Work Team Collaboration Industry Keywords Liability Claims Excess Claims Claims Inventory Management Claims Compliance Insurance Industry Expertise Tools & Technologies MS Word MS Excel MS Outlook Claims Systems #J-18808-Ljbffr Jobtailor
- A leading automotive service provider is looking for a Mechanical Claims Adjuster to investigate and negotiate vehicle repair claims in a professional remote environment. The role requires automotive knowledge and a strong background in claims adjustment. Candidates should...SuggestedRemote jobHourly payWork from home
$20 - $26 per hour
...Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya Zaya Care is a venture‑backed startup with a mission to establish a new standard of affordable prevention and recovery care, beyond the hospital setting. Zaya champions the voices of small...SuggestedFull timePrivate practiceRemote workShift work$70k - $120k
...Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for a Claims Specialist in our US Casualty Claims team. Sompo is committed to providing outstanding claims service that delivers: Fair and appropriate outcomes for our...SuggestedFull timeWork at officeWorldwideFlexible hours$85k - $130k
..., race, religion, sex, sexual orientation, veteran status, or any basis prohibited by the laws that govern its operations. Claims Specialist – Employment Practices Liability & Ancillary Lines Job Code P01013 About the Team AXIS is a leading provider...SuggestedFull timeWork at officeShift work3 days per week$75k - $150k
...Claims Specialist Headquartered in New York City with offices throughout the U.S. and in Vancouver, Canada, Hudson is a market-leading specialty insurer that offers a wide range of property and casualty insurance products to corporations, professional firms and individuals...SuggestedWorldwide- A national insurance services provider seeks a Full‑Time Field Claims Representative for virtual assignments in Pennsylvania. The role involves managing on-site insurance property claim inventory and ensuring excellent customer relations. Key qualifications include strong...Full timeWork at officeLocal areaNight shift
$18 - $22 per hour
...Job Description Job Description Title: Authorizations Specialist The Impact You Will Have: Liberty Home Guard is the country... ...services, negotiating with vendors and technicians, and ensuring all claims adhere to company guidelines, ultimately contributing to the...Work at officeFlexible hours- Luster seeks Contracts and Claims Specialists at various levels to support large, complex heavy civil infrastructure programs in the United States. You will administer contracts from award through closeout, review change orders, analyze contractor claims, and help settle...For contractors
$90k - $140k
We’re seeking Contracts and Claims Specialists of various skill levels to support large, complex heavy civil infrastructure programs, including highways, roads, bridges, transit (bus and rail), aviation (international airports), and water/wastewater projects delivered...Contract workTemporary workFor contractorsWork at officeLocal areaFlexible hours- A prominent financial services firm in New York is seeking a Senior Legal & Compliance Researcher to handle consumer claims related to electronic payments. You will interact with customers, process claims, and collaborate in fraud investigations, all while ensuring compliance...Full time
- Creative Risk Solutions (CRS), a Holmes Murphy line, seeks a Workers’ Compensation Claims Specialist to join our team in New Jersey. You will handle claims across Maine, Connecticut, and New Jersey, focusing on timely communication and accurate data entry. The ideal candidate...
$100k - $170k
...tuition reimbursement & longevity bonuses Responsibilities Berkshire Hathaway GUARD Insurance Companies is seeking a Habitability Claims Adjuster to manage litigated California habitability claims within the Complex Claims unit. Key Responsibilities Investigate and...Work at officeRemote workWeekend work$16.5 - $22.2 per hour
A healthcare provider in the United States is seeking a Claims Processor responsible for evaluating and adjudicating claims. This role requires strong communication skills and the ability to navigate multiple systems. Candidates should have a high school diploma and at...Hourly payWork at office- Job Title: Customer Service Representative - Healthcare Claims Pay Rate: $25 to $30/hr. on W2 Job Summary We are seeking a dedicated Customer Service Representative to join a healthcare organization supporting members, providers, and prospective members. This role is responsible...Work at officeLocal area
$55.13k - $110.64k
...Pennsylvania; however, we will consider candidates who reside in any of our listed payroll approved states. Job Summary This Lost Time Claims Specialist, Workers’ Compensation manages indemnity claims, investigates, evaluates, and determines compensability for work‑related...TraineeshipWork at officeRemote workFlexible hours- MetroPlus in New York is looking for a Claims Service Correspondent responsible for providing accurate responses to claim inquiries from healthcare providers. This role involves coordination with multiple departments and resolving issues professionally. Qualifications...
- ...risks into opportunities through specialized reinsurance solutions and expert guidance. About the Role Reporting to the Senior Claims Specialist, you will work closely with the Underwriting and Middle Office/Operations teams of MS Reinsurance. This role will be...Contract workWork at office
$69.6k - $92.4k
...customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your... ...Essential Job Functions and ResponsibilitiesManages an inventory of claims to evaluate compensability/liability.Plans and conducts claim...Full timePart timeSeasonal workWork at officeRemote work$55k - $60k
Posting Description Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your experience with a globally respected firm, this may be the next step in your career! As part...Full timeTemporary workPart timeWork experience placementLocal areaRemote work- CNA Insurance is seeking an experienced individual contributor to manage commercial claims with moderate to high complexity. You will investigate, verify coverage, and determine settlements while maintaining strong customer service and regulatory compliance. Ideal candidates...
- QualDerm Partners seeks a Revenue Cycle Management specialist to identify and resolve third-party payer rejections. You will enter bills/... ...coordination with RCM leadership. Responsibilities include correcting claims, submitting electronically, contacting payers when needed, and...
- ...Wright Automotive Group in Pennsylvania is seeking a Warranty Clerk to manage warranty repair orders, submit manufacturer claims, and coordinate with service teams to ensure timely processing. The ideal candidate has warranty experience, strong attention to detail, and...Work at office
$150k - $200k
Claims Specialist, Transactional Liability Department: Claims Employment Type: Permanent - Full Time Location: US - New York Reporting To: Margaret Murphy Compensation: $150,000 - $200,000 / year Description At CFC, we’re offering an exciting opportunity to join our...Permanent employmentFull time- A community-focused medical practice in New Jersey is seeking a Workers' Compensation and Motor Vehicle Scheduling/Support Specialist. This full-time role emphasizes managing appointments, verifying insurance, and providing excellent patient service for work-related and...Full time
$100k - $130k
...CRV, and Shield Capital. The Hook: Why this role matters now Step into a high-impact role on our global Claims and Incident Management team. As a Claims Specialist, you won't just process paperwork; you will own the day-to-day investigation and management of Cyber, Technology...Flexible hours$140k - $170k
We are seeking an experienced and highly skilled Complex Casualty Claims Specialist to join our claims team. This role is responsible for the investigation, evaluation, and resolution of high-severity and high-exposure excess casualty claims, including those involving complex...- EMC Insurance seeks a seasoned claims professional to manage casualty claims from notice through resolution. You will verify coverage, obtain statements, and document in the system while upholding regulatory requirements and company policies. Responsibilities include setting...
$54k - $103k
...potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving...Work experience placementWork at officeLocal areaFlexible hours- ...Wright Automotive Group is seeking a Warranty Administrator to manage warranty repair orders and claims, coordinate with technicians and service staff, and ensure accurate documentation and timely processing. The role involves maintaining receivables schedules, coordinating...
- ...and confident in their work. We offer many learning opportunities with room for professional growth. About the Role The Claims Verification Specialist is responsible for verifying patient information, documentation, and insurance coverage for No-Fault (PIP), Workers’...Full time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Specialist. Be the first to apply!
- claims assistant New York, NY
- claims processor New York, NY
- claims resolution specialist New York, NY
- claim representative (remote) New York, NY
- claim specialist New York, NY
- claims analyst New York, NY
- medical claims analyst New York, NY
- insurance claims processor New York, NY
- remote medical claims processor New York, NY
- medical insurance claims specialist New York, NY


