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Claims Officer Jobs (NOW HIRING)

Archgroup

AVP, Claims-TCO

Morristown, NJ · Hybrid

$145K - $198K/yr

Position Summary Reporting to the Chief Technical Claim Officer (CTCO), this role is a ... Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align ...

Archgroup

AVP, Claims-TCO

Morristown, NJ · Hybrid

$145K - $198K/yr

Position Summary Reporting to the Chief Technical Claim Officer (CTCO), this role is a ... Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align ...

Arch Capital Group

AVP, Claims-TCO

Morristown, NJ · On-site

$145K - $198K/yr

Position Summary Reporting to the Chief Technical Claim Officer (CTCO), this role is a ... Partner with Claims, Underwriting, Legal, and the broader Technical Claims Office to align ...

McNeil & Co.

AVP, Claims-TCO

Morristown, NJ · On-site

$150 - $200/hr

Reporting to the Chief Technical Claim Officer (CTCO), this role is a collaboratory leader of the strategy and resolution of the organization's most complex, high-exposure claim matters--spanning ...

Solainsurance Demo

Head of Claims

Atlanta, GA · On-site

$200 - $250/hr

As the book scales and claims come in-house, there's a real path to Chief Claims Officer Benefits * $190k-$240k + bonus + meaningful early-stage equity * 100% paid medical, dental, and vision for you ...

New

Solainsurance Demo

$200 - $250/hr

As the book scales and claims come in-house, there's a real path to Chief Claims Officer Benefits * $190k-$240k + bonus + meaningful early-stage equity * 100% paid medical, dental, and vision for you ...

New

Starr Insurance Companies

$250/hr

The role reports directly to the Global Chief Claims Officer. Key Responsibilities Strategic Leadership: Develop and execute the North America claims strategy for Financial Lines and Professional ...

New

Claims Conference

Program Officer - RED

New York, NY · On-site

$80K - $85K/yr

The Claims Conference is looking for a dynamic Program Officer to join our RED (Research, Education and Documentation) team in our New York office. We are looking for a diligent, detail-oriented and ...

MSO, INC. OF SOUTHERN CALIFORNIA

Be Seen First

CLAIMS MANAGER

Costa Mesa, CA · Remote

$80K - $110K/yr

Reporting directly to the CEO/President and Compliance Officer, this remote position requires expertise in regulatory compliance and claims processing within a healthcare management environment.

LotSolutions, Inc.

Coverage Counsel - Liability

Washington, DC · On-site

$159K - $217K/yr

Reporting to the Chief Claims Officer, this individual will partner closely with claims professionals, underwriting, product, and other internal stakeholders to evaluate coverage, interpret policy ...

Fortegra

Coverage Counsel - Liability

Boston, MA · On-site

$150 - $200/hr

Reporting to the Chief Claims Officer, this individual will partner closely with claims professionals, underwriting, product, and other internal stakeholders to evaluate coverage, interpret policy ...

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Claims Officer information

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How much do claims officer jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for claims officer in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

What does a claims officer do?

A Claims Officer is responsible for reviewing, investigating, and processing insurance claims submitted by clients. They assess the validity of each claim, gather necessary documentation, and determine the amount that should be paid out according to the policy terms. Claims Officers also communicate with claimants, witnesses, and experts as needed, ensuring all information is accurate and complete. Their goal is to resolve claims efficiently while preventing fraud and maintaining customer satisfaction.

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

To thrive as a Claims Officer, you need strong analytical skills, attention to detail, and a solid understanding of insurance policies, often supported by a degree in finance, business, or a related field. Familiarity with claims management software, policy administration systems, and sometimes relevant certifications like AIC (Associate in Claims) is typically required. Excellent communication, negotiation, and problem-solving skills help distinguish top performers in this role. These skills are crucial for accurately assessing claims, ensuring regulatory compliance, and providing fair and efficient service to clients.

What are some common challenges a claims officer might face when handling complex cases?

As a Claims Officer, one frequently encountered challenge is managing claims that involve incomplete or conflicting information, which requires strong investigative skills and attention to detail. Additionally, balancing the interests of the claimant and the insurance company while maintaining compliance with regulations can be demanding. Effective communication and negotiation skills are crucial when working with clients, legal teams, and other stakeholders to reach fair and timely resolutions. Navigating these complexities helps build expertise and can open up advancement opportunities within claims management or related areas.

What is the difference between Claims Officer vs Claims Adjuster?

AspectClaims OfficerClaims Adjuster
CredentialsTypically requires a bachelor's degree in insurance, business, or related field; certifications like CPCU or ARM are commonRequires similar degrees and certifications; often holds adjuster licenses depending on jurisdiction
Work EnvironmentWorks within insurance companies, handling claims processing and customer communicationWorks both in office and on-site, investigating claims and assessing damages
Industry UsageCommonly employed in insurance companies, government agencies, and corporate claims departmentsPrimarily employed by insurance companies, third-party administrators, and independent adjusting firms

While both Claims Officers and Claims Adjusters handle insurance claims, Claims Officers focus more on processing and managing claims within the organization, whereas Claims Adjusters are more involved in investigating and assessing damages. The roles often overlap, but the Claims Officer typically has a broader administrative focus, and the Claims Adjuster emphasizes damage evaluation and settlement.

More about Claims Officer jobs

What states have the most Claims Officer jobs?

States with the most job openings for Claims Officer jobs include:

What are popular job titles related to Claims Officer jobs?

For Claims Officer jobs, the most frequently searched job titles are:

Claims Officer jobs near you
Infographic showing various Claims Officer job openings in the United States as of August 2026, with employment types broken down into 97% Full Time, and 3% Part Time. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

AVP, Claims Quality Assurance & Performance Management

Omaha, NE • On-site

American National Insurance Company
See more jobs at American National Insurance Companyexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago

American National Insurance rating

7.4

Company rating: 7.4 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

235th of 315 rated insurance

Job description

Company
Farm Family
Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.
Job Description
Business Title(s): AVP, Claims Quality Assurance & Performance Management
Employment Type: Full-Time
FLSA Status: Exempt
Location: In-Office | Any employee, in any Clearbrook office, can apply for this opportunity and stay in their current location.
Summary:
Clearbrook is looking to align the Quality Assurance function across both Argo and Farm Family, while keeping the function aligned with the individual lines of business underwritten by each business. The Quality Assurance function is referred to as Quality Improvement in Farm Family currently.
The AVP, Claims Quality Assurance & Performance Management is responsible for leading the design, implementation, and ongoing evolution of Farm Family's claims QA program. The role reports to the Clearbrook QA Lead, with a dotted-line to the Chief Claims Officer, Farm Family at the enterprise level. The AVP will work closely with Farm Family and Clearbrook senior leadership to align Farm Family's QA program with other Clearbrook entities while positioning Farm Family as a leading example of data-driven claims QA. The role's core function is claims quality assurance, including file audit methodology, claim handling evaluation, scoring, governance, feedback, and corrective action. In addition, the role will expand QA output into a broader claims performance management capability by linking QA findings to Guidewire data, KPI trends, process assessment analytics, adjuster and manager performance evaluation, and senior leadership reporting across Farm Family's claims organization. We are looking to fill this role in either our Albany, Omaha, or Springfield office.
This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.
Essential Responsibilities:
  • Manage a team of Quality Assurance professionals (currently referred to as the Quality Improvement team) to administer the Quality Assurance Program at Farm Family. This involves:
    • Create and maintain a positive working relationship with all direct reports, peers, and other department managers to ensure the Quality Assurance Team adds value and meets or exceeds the needs of internal stakeholders and are compliant with set expectations.
    • Support the Quality Assurance selection process to retain Quality Assurance professionals that consistently demonstrate exceptional customer service and appropriate technical expertise, maturity and a professional commitment to excellence.
    • Conduct Development Reviews and engage direct reports in developmental and skill building opportunities.
    • Train and mentor staff.
    • Act as a role model demonstrating belief in, and commitment to, the aspiration values of Clearbrook, continuing to build and lead a value-based organization committed to long-term success.
  • QA Strategy, Governance & Compliance
    • Partner with the Farm Family's Chief Claims Officer and Clearbrook enterprise QA leadership to align Farm Family's QA program with enterprise standards.
    • Design and implement QA audit methodology, scoring models, and sampling strategies.
    • Evaluate claim handling quality, including coverage, reserving, documentation, and claim strategy.
    • Develop structured feedback loops to claims handlers and leadership.
    • Ensure QA supports compliance, governance, and audit readiness requirements.
  • Claims Performance Intelligence & Analytics
    • Partner with leadership to define and align claims KPIs.
    • Build reporting and analytics that use QA results as the foundation for evaluating claim quality, operational effectiveness, and KPI performance.
    • Serve as a key claims performance intelligence link for senior leadership by connecting QA audit results, claims data, KPI reporting, and process assessment findings.
    • Translate audit findings into training, process improvements, performance actions, and leadership decision-making support.
    • Deliver executive-level reporting on claim quality, claim adjuster performance, operational trends, and overall Farm Family business performance indicators.
  • Operational Excellence, Technology & Continuous Improvement
    • Oversee Guidewire system utilization audits and data integrity assessments.
    • Identify operational inefficiencies and recommend corrective actions.
    • Lead integration of AI-enabled QA tools and automation solutions.
    • Drive continuous improvement through enhanced audit processes, technology-enabled insights, and operational effectiveness initiatives.

Qualifications / Experience Required:
  • A specialized knowledge of managing Quality Assurance programs typically achieved through:
    • Bachelor's degree required; JD, advanced degree, CPCU, AIC, SCLA, Six Sigma/Lean, PMP, Prosci, Guidewire certification, or similar insurance, claims, audit, process improvement, project management, or change management credential preferred.
    • 7 years of progressive P&C claims experience, with strong technical claim handling, coverage, reserving, litigation management, and claim strategy expertise. Prior leadership experience building, rebuilding, or materially enhancing a claims quality assurance, claim file audit, or claims performance management program
  • Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Farm Family and our customers' ability to be profitable).
  • Recognized as a leader within the organization that provides advice and guidance to others.
  • A team builder, someone who understands that success is dependent upon the performance of the team and not individual team members. Creates strong morale and spirit within the team: shares wins and celebrates success as a team
  • Ability to establish mentoring relationships with key employees and participates in the development of succession and training plans for critical positions.
  • Ability to identify and resolve conflicts in a timely, objective manner, using sound judgment to reach a solution.
  • Strong focus on selection - determined to have the right people who do the best job.
  • Demonstrated ability to translate QA findings into measurable claim quality improvements, operational changes, training priorities, and performance management actions
  • Strong understanding of claims KPIs, audit scoring models, sampling methodologies, performance analytics, and executive-level claims reporting
  • Significant experience with Guidewire ClaimsCenter, including system utilization, data integrity, claim documentation standards, and reporting requirements
  • Proven ability to use data-driven insights to evaluate claim adjuster performance and identify broader claim operational and business performance trends
  • Experience developing structured feedback loops to LOB leaders, claims management, and claim handlers to ensure QA findings result in timely corrective action and sustained improvement
  • Experience developing and presenting training materials based on QA audit results, claim handling trends, system utilization gaps, and identified performance opportunities
  • Experience partnering with senior claims leadership, LOB leaders, business leaders, compliance, operations, IT/data teams, and training resources to implement enterprise-wide improvements
  • Strong change management skills, including the ability to reestablish governance, drive adoption, influence stakeholders, and improve consistency across claim teams
  • Excellent written and verbal communication skills, including the ability to prepare clear executive summaries, dashboards, findings reports, and leadership presentations,
  • A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by:
    • Finding a way to achieve success through adversity.
    • Being solution (not problem) focused
    • Thinking with a global mindset first.
  • Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast paced environment that is evolving constantly.
  • Must work independently and demonstrate the ability to exercise sound judgment.
  • Exhibit natural and intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
  • Proficient in MS Office Suite and other business-related software.
  • The ability to read and write English fluently is required.
  • Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.

The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for generous benefits package.
  • Albany Pay Range: $136,986 - $167,280

About Working in Claims at Farm Family
  • Farm Family does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
  • Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.
  • We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.
  • Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
  • We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.

PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
Core Values
At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we apsire to be - guiding how we work, how we lead and how we succeed.

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