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Claim Specialist Jobs (NOW HIRING)

Multi Line Claim Specialist Location: Hybrid- Reporting to Chicago, IL Region Chicago-area candidates preferred. This role may be performed remote in states where CCMSI is authorized to hire. Pay ...

WCCS Claim Specialists may also work Fire claims with assignments to Fire Proximity territories and/or In-Office operations as business demands. You will be the first point of contact to meet with ...

WCCS Claim Specialists may also work Fire claims with assignments to Fire Proximity territories and/or In-Office operations as business demands. You will be the first point of contact to meet with ...

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Claim Specialist information

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$23

$43

How much do claim specialist jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for claim specialist in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What does a claim specialist do?

A Claim Specialist is responsible for evaluating insurance claims submitted by policyholders to determine their validity and ensure accurate processing. They review documentation, investigate circumstances surrounding the claim, and communicate with clients, medical professionals, or other relevant parties. Claim Specialists also negotiate settlements, explain coverage details, and ensure compliance with company policies and legal regulations. Their role is crucial to maintaining fairness and efficiency in the insurance claims process.

What are the key skills and qualifications needed to thrive as a claim specialist?

To thrive as a Claim Specialist, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies, often supported by a bachelor's degree or relevant experience. Familiarity with claims management software, industry-specific databases, and sometimes certifications like AIC (Associate in Claims) are typically required. Excellent communication, negotiation, and customer service skills help resolve disputes and ensure positive client interactions. These competencies are crucial for accurately processing claims, minimizing risk, and fostering trust between insurers and clients.

What are some common challenges a claim specialist faces when handling complex claims?

Claim Specialists often encounter challenges such as investigating ambiguous or incomplete information, managing multiple claims simultaneously, and balancing the needs of the policyholder with company guidelines. They must also navigate sensitive conversations with clients who may be experiencing stress or loss, while ensuring all documentation complies with regulatory standards. Developing strong organizational, communication, and problem-solving skills can help overcome these challenges and contribute to successful claim resolutions.

What is the difference between Claim Specialist vs Claims Adjuster?

AspectClaim SpecialistClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; state licensing often required
Work EnvironmentOffice settings, insurance companies, or claims centersFieldwork and office; inspecting damage and interviewing claimants
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, public adjusting firms

Claim Specialists primarily handle customer inquiries, process claims, and verify documentation, often working in office settings. Claims Adjusters evaluate damages, inspect sites, and determine claim validity, often working in the field. Both roles require similar credentials and are integral to the insurance industry, but their daily tasks and work environments differ.

Do I need a degree to be a claim specialist?

A claim specialist typically does not need a college degree, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills such as attention to detail, communication, and knowledge of insurance policies are important, and some roles may require certification or training programs.

Is a claim specialist a hard job?

A claim specialist's job involves reviewing and processing insurance claims, which can be challenging due to the need for attention to detail, understanding of policies, and effective communication. The role often requires strong analytical skills and knowledge of claim management software, and workload can vary depending on the complexity of cases and employer expectations.

What is the role of a claim specialist?

A claim specialist reviews and processes insurance claims to determine coverage and payout amounts. They investigate claim details, communicate with clients and providers, and ensure claims are handled accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
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What are popular job titles related to Claim Specialist jobs?

For Claim Specialist jobs, the most frequently searched job titles are:

Infographic showing various Claim Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Multi-Line Claim Specialist

CCMSI

Chicago, IL

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago


CCMSI rating

7.9

Company rating: 7.9 out of 10

Based on 16 frontline employees who took The Breakroom Quiz


Job description

Position Title: Multi Line Claim Specialist

Location: Hybrid– Reporting to Chicago, IL Region
Chicago-area candidates preferred. This role may be performed remote in states where CCMSI is authorized to hire. Pay transparency requirements are met for applicable jurisdictions.

Schedule: 8:00 am-4:30 pm

Salary Range: $80,000-$90,000

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

The Multi-Line Claim Specialist position is responsible for the investigation and adjustment of assigned general liability claims. This role will handle litigated GL claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of multi-line claim services as perceived by CCMSI clients and within our corporate claim standards.

This is a full lifecycle ML adjuster position within a TPA environment, and only candidates with proven Multi Line claims experience will be considered.


  • Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws.
  • Establish reserves and/or provide reserve recommendations within established reserve authority levels.
  • Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated multi-line claims. Negotiate any disputed bills or invoices for resolution.
  • Authorize and make payments of multi-line claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
  • Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
  • Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
  • Review and maintain personal diary on claim system.
  • Assess and monitor subrogation claims for resolution.
  • Compute disability rates in accordance with state laws.
  • Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the multi-line claim adjustment process.
  • Provide notices of qualifying claims to excess/reinsurance carriers.
  • Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Excellent oral and written communication skills.
  • Initiative to set and achieve performance goals.
  • Good analytic and negotiation skills. 
  • Ability to cope with job pressures in a constantly changing environment. 
  • Knowledge of all lower level claim position responsibilities.
  • Must be detail oriented and a self-starter with strong organizational abilities. 
  • Ability to coordinate and prioritize required. 
  • Flexibility, accuracy, initiative and the ability to work with minimum supervision. 
  • Discretion and confidentiality required. 
  • Reliable, predictable attendance within client service hours for the performance of this position.
  • Responsive to internal and external client needs.
  • Ability to clearly communicate verbally and/or in writing both internally and externally.

Education and/or Experience    

10+ years multi-line claim experience is required.

Bachelor’s Degree is preferred.

Nice to Have:

  • Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
  • Experience handling municipal claims.

Why You’ll Love Working Here

 

  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy)  + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

 

How We Measure Success 

 At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:  

  • Quality claim handling – thorough investigations, strong documentation, well-supported decisions
  • Compliance & audit performance – adherence to jurisdictional and client standards
  • Timeliness & accuracy – purposeful file movement and dependable execution
  • Client partnership – proactive communication and strong follow-through
  • Professional judgment – owning outcomes and solving problems with integrity
  • Cultural alignment – believing every claim represents a real person and acting accordingly 

 

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

 

The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

 

CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.

 

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.

ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.

Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

 

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

 

Our Core Values

 

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed. 

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #ESOP #Chicago #Illinois #Claims #MultiLine #IND123 #LI-Hybrid


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