1

Claims Expert Jobs (NOW HIRING)

Claims Quality Assurance

San Diego, CA ยท On-site

$70.30K - $116.94K/yr

The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...

The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...

You will communicate regularly with internal and external stakeholders in your role as a Errors & Omissions claims expert and thought leader. * As a valued member of the team, you will work closely ...

US, UK, Canada, France, Portugal (remote) We are seeking a highly motivated and detail-oriented Insurance Claims Management AI Expert to join our growing team. This role sits at the intersection of ...

Mgr, Claims

Augusta, ME ยท On-site

$103.70K - $134.80K/yr

Claims Manager - Property & Casualty Are you a seasoned claims professional who thrives on ... Serve as a trusted expert to members, attorneys, reinsurers, and service partners You'll work with ...

Mgr, Claims

Augusta, ME ยท On-site

$103.70K - $134.80K/yr

Claims Manager - Property & Casualty Are you a seasoned claims professional who thrives on ... Serve as a trusted expert to members, attorneys, reinsurers, and service partners You'll work with ...

This role manages claims from initial notice of claim through final disposition, ensuring timely ... retaining expert consultants, review of medical records, investigating, evaluating, providing ...

Insurance Claims Manager

Richardson, TX ยท Remote

$85.20K - $145.20K/yr

As a subject matter expert, the Claims Manager provides guidance on coverage interpretation, claims strategy, and resolution approaches while supporting both internal stakeholders and external ...

This role manages claims from initial notice of claim through final disposition, ensuring timely ... retaining expert consultants, review of medical records, investigating, evaluating, providing ...

Insurance Claims Manager

Richardson, TX ยท On-site +1

$85.20K - $145.20K/yr

As a subject matter expert, the Claims Manager provides guidance on coverage interpretation, claims strategy, and resolution approaches while supporting both internal stakeholders and external ...

Insurance Claims Manager

Richardson, TX ยท Remote

$85.20K - $145.20K/yr

As a subject matter expert, the Claims Manager provides guidance on coverage interpretation, claims strategy, and resolution approaches while supporting both internal stakeholders and external ...

next page

Showing results 1-20

Claims Expert information

See salary details

$34K

$72.1K

$118.5K

How much do claims expert jobs pay per year?

As of May 31, 2026, the average yearly pay for claims expert in the United States is $72,103.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $89,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Claims Expert, and why are they important?

To thrive as a Claims Expert, you need strong analytical skills, deep knowledge of insurance policies, and experience in claims processing, often backed by a bachelor's degree in a relevant field. Familiarity with claims management systems, insurance software, and sometimes industry certifications such as AIC or CPCU is highly valuable. Attention to detail, problem-solving abilities, and effective communication help Claims Experts resolve disputes and negotiate settlements efficiently. These skills ensure accurate claim evaluations, timely resolutions, and high customer satisfaction in a complex regulatory environment.

What are some common challenges a Claims Expert faces when handling complex insurance claims?

Claims Experts often encounter challenges such as interpreting ambiguous policy language, managing high workloads, and dealing with emotionally charged claimants. They must balance the need for thorough investigation with delivering timely resolutions, all while adhering to regulatory requirements and company policies. Effective communication and negotiation skills are essential, as Claims Experts frequently collaborate with legal, medical, and technical professionals to resolve disputes and ensure fair settlements.

What are Claims Experts?

Claims Experts are professionals who assess, investigate, and manage insurance claims to determine their validity and ensure fair settlements. They review documents, interview claimants and witnesses, and work with other parties such as adjusters, lawyers, and medical professionals. Claims Experts may specialize in different types of insurance, such as health, auto, property, or liability. Their goal is to resolve claims efficiently while minimizing risk for the insurance company and ensuring policyholders receive appropriate compensation.

What is the difference between Claims Expert vs Claims Adjuster?

AspectClaims ExpertClaims Adjuster
Required CredentialsCertifications like CPCU, ARM, or state licensesSimilar certifications, often including state licensing
Work EnvironmentOffice-based, client consultations, policy analysisFieldwork, inspecting damages, interviewing claimants
Employer & Industry UsageInsurance companies, brokers, risk management firmsInsurance companies, third-party administrators
Comparison Search IntentUnderstanding roles, career paths, qualificationsAssessing claims, damage evaluation, settlement process

Both Claims Experts and Claims Adjusters work within the insurance industry and often share similar certifications and work environments. However, Claims Experts typically focus on policy analysis and consulting, while Claims Adjusters are more involved in inspecting damages and settling claims. Understanding these differences can help job seekers and employers clarify role expectations and career development paths.

More about Claims Expert jobs
Infographic showing various Claims Expert job openings in the United States as of May 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 88% Full Time, 6% Part Time, 2% Contract, and 1% Nights. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $72,103 per year, or $34.7 per hour.
Claims Experience Specialist - Richmond, VA

Claims Experience Specialist - Richmond, VA

Faye

Richmond, VA โ€ข On-site

Full-time

Posted 18 days ago


Job description

Faye is looking for a Claims Experience Specialist to join our fast-growing team as we take over the travel industry. This key role will ensure we are delivering a customer-first, best-in-class claims service to our valued customers and will be pivotal in setting the bar for standard and excellence in the travel space.

We work in a fun, collaborative, and entrepreneurial environment and are looking for a proactive, accountable claims expert focused on continuous learning and growth to push themselves and our team forward. If youโ€™re process-driven, passionate about the travel space and keen to make an impact, then this is the role for you! This position is hybrid to our office in Richmond, Va.


Responsibilities:


  • Be customer obsessed and set the highest bar for claims service in our industry. This role will be key in developing a top-notch reputation for our growing brand - one that is known for excellence, speed, empathy, accuracy, proactivity and positivity.
  • Handle claims arising from travel insurance products
  • Handle incoming calls and digital inquiries from our US customers who are traveling stateside and abroad.
  • Provide real-time support related to travel inquiries & emergency events.
  • Collect & monitor travel intelligence information.
  • Interact with travel & medical providers.
  • Effectively manage customer contacts across various channels of communication, including phone, e-mail and chat.
  • Efficiently handle customer complaints with empathy, knowledge and understanding.
  • Complete customer requests in a friendly, professional and timely manner.
  • Work collaboratively across teams and departments to help solve any matter at hand.

Qualifications:


  • Excellent verbal & written communications skills
  • Strong analytical skills
  • Ability to display great time management and prioritize workload while remaining organized and efficient
  • Proven experience in claims, assistance or comparable roles
  • A medical and/or travel background - a plus
  • Ability to work in shifts - day/evening primarily

Requirements:
None