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Claims Operations Specialist Jobs (NOW HIRING)

Lyft

Senior Claims Operations Specialist

Nashville, TN · Remote

Lyft is looking to add a Claims Operations Specialists to its growing Risk Team. The Operations Specialist position is an integral role assisting with the processing of claims and responding to ...

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Lyft

Senior Claims Operations Specialist

Nashville, TN · On-site

Lyft is looking to add a Claims Operations Specialists to its growing Risk Team. The Operations Specialist position is an integral role assisting with the processing of claims and responding to ...

Crox Consulting Inc

Claims Specialist

Englewood, NJ · On-site

$25/hr

The goal of the Claims Operations Specialist is to support the Product Safety Team by handling Claims with professionalism, care and urgency, making sure claims are reported and being handled in a ...

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How much do claims operations specialist jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for claims operations 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 is a claims operations specialist?

Claims Operations Specialists are professionals who manage and process insurance claims within an organization. They are responsible for reviewing claims, verifying documentation, and ensuring that all procedures comply with company policies and regulations. Their work helps ensure that customers' claims are handled efficiently, accurately, and in a timely manner. Additionally, they may communicate with claimants, insurance adjusters, and other stakeholders to resolve issues and provide updates throughout the claims process.

How does a claims operations specialist typically collaborate with other departments to ensure efficient claims processing?

Claims Operations Specialists frequently work with teams such as underwriting, customer service, and legal to resolve complex claims and ensure compliance with company policies. They serve as a liaison to clarify claim details, share relevant documentation, and streamline communication between departments. This cross-functional collaboration helps reduce delays, improve accuracy, and enhance the overall customer experience. Being proactive and communicative is essential for success in this collaborative environment.

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

To thrive as a Claims Operations Specialist, you need a solid understanding of insurance claims processes, attention to detail, and often a bachelor's degree in business or a related field. Familiarity with claims management software, document management systems, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong analytical thinking, effective communication, and organizational skills help you excel in managing claims efficiently and resolving issues. These skills are crucial for ensuring accurate claims processing, maintaining compliance, and delivering excellent service to clients and stakeholders.
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Claims Operations Specialist jobs near you
Infographic showing various Claims Operations Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Claims Operations Specialist

Homesteaders Life Company

West Des Moines, IA • On-site

$47K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 6 days ago

Job description

As a Claims Operations Specialist, you will support the end-to-end claims intake process by managing intake channels, claim set up, and responsive assistance. Your role will include combining advanced administrative expertise with operation support for the claims team. You will work closely with the Claims Care phone team and claims examiners to support ongoing processes and knowledgeable backup. This is a hybrid position that assists with mail claims processing and provides support to the Claims Care phone team during periods of high volumes or as assigned.
Your responsibilities will include:
  • Establish new claims in the existing claims system from all incoming sources, determines required documentation and initiates corresponds to obtain missing requirements.
  • Processes web claims submissions across platform including set up, required determination, communication, and processing payments following.
  • Monitors and triages incoming claims emails and queues, ensuring timely routing, response, and follow-up.
  • Matches incoming claims requirements to pending claims, documents receipts, and prepares claim files.
  • Previews death claims, follow-up with funeral homes regarding any outstanding requirements or uncashed drafts.
  • Resolve routine inquiries and escalate complex issues as needed.
  • Maintains organized and compliant claims files, ensuring all documents meet standards.
  • Provides additional support to Claims department and Claims Care Phone team calls as needed during periods of high volume.

Requirements
  • Equivalent to high school graduation required; an associate or bachelor's degree is preferred.
  • 1+ years of experience working in a claims-focused phone environment, handling inbound calls and providing direct customer support.
  • Experience in insurance administration or operations preferred.
  • Completion of LOMA courses in Principles and Operations within two years of employment.

Pay and Benefits Summary:
Our benefits include:
  • An excellent schedule - office closes at 1 p.m. every Friday
  • Annual profit sharing
  • 401(k) with company match with discretionary contribution
  • Company-sponsored group medical and dental insurance
  • Company-paid life insurance
  • Company-paid long-term disability
  • Paid holidays
  • Generous vacation time and sick leave
  • Paid parental leave
  • Casual dress year-round

About Homesteaders:
Homesteaders Life Company, a mutual company owned by its policy holders, is a national leader providing products and services to help people design a better farewell. Founded in 1906, Homesteaders is known for secure preneed funding and innovative solutions that help funeral and end-of-life professionals and consumers connect with each other.
We are currently hiring in AL, FL, GA, IA, IN, KS, LA, MI, MS, MT, NC, NE, OH, OK, PA, SC, TN, TX, UT, VA, WI, WV
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
Salary Description
47,000+

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