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Claims Operations Specialist Jobs (NOW HIRING)

Brookfield

Director, Claims Triage

Rockwood, PA · On-site

The Director, Claims Triage leads a nationwide triage operation, managing a fast-paced team ... Manage a team of 3 Senior Triage Specialists along with a Triage Team Lead who manages a team of 4 ...

Brookfield

Director, Claims Triage

Albany, NY · On-site

The Director, Claims Triage leads a nationwide triage operation, managing a fast-paced team ... Manage a team of 3 Senior Triage Specialists along with a Triage Team Lead who manages a team of 4 ...

Brookfield

Director, Claims Triage

Chicago, IL · On-site

The Director, Claims Triage leads a nationwide triage operation, managing a fast-paced team ... Manage a team of 3 Senior Triage Specialists along with a Triage Team Lead who manages a team of 4 ...

Brookfield

Director, Claims Triage

Los Angeles, CA

The Director, Claims Triage leads a nationwide triage operation, managing a fast-paced team ... Manage a team of 3 Senior Triage Specialists along with a Triage Team Lead who manages a team of 4 ...

Brookfield

Director, Claims Triage

New York, NY · On-site

The Director, Claims Triage leads a nationwide triage operation, managing a fast-paced team ... Manage a team of 3 Senior Triage Specialists along with a Triage Team Lead who manages a team of 4 ...

VAXCARE LLC

RCM Operations Specialist

Orlando, FL · On-site

RCM Operations Specialist Job Title: RCM Operations Specialist Position Type: Full Time Work ... This role supports three different sets of claims management responsibilities: PreProcess, Payer ...

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How much do claims operations specialist jobs pay per hour?

As of Aug 10, 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 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.

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 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.
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What job categories do people searching Claims Operations Specialist jobs look for? The top searched job categories for Claims Operations Specialist jobs are:
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 85% Full Time, 12% Part Time, 1% Temporary, and 2% Contract. 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.

Operations Specialist

HOME AGAIN ASSISTED LIVING INC

Sun Prairie, WI • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 18 days ago

Job description

At Home Again Assisted Living & Memory Care, operations support is essential to creating the warm, safe, and well-run communities our residents call home. The Operations Specialist helps drive continuous improvement, supports key administrative and compliance functions, and works collaboratively across teams to enhance daily operations. This role is perfect for someone who enjoys problem-solving, teamwork, and making a meaningful impact behind the scenes.
What We Offer You as an Employee
  • Competitive wages
  • Paid Time Off & Holidays
  • Work-life balance
  • Health, Dental, Vision & 401(k) benefits
  • Financial wellness support
  • Strong teamwork and a supportive culture
What Your Day-to-Day Looks Like as an Operations Specialist
  • Provide recommendations, suggestions, and innovative ideas to improve operational processes across the organization
  • Provide support to specific community locations as needed
  • Assist the Director of Operations with developing, planning, and coordinating operational activities
  • Participate in an on-call rotation

Operational Support Responsibilities Include:
  • Employee CNA renewal tracking and support
  • Software and systems support
  • Medicaid claims assistance
  • Care plan oversight support
  • Expense report analysis
  • Rent certificate creation
  • Other duties as assigned
Qualifications
  • Bachelor's degree in a related field
  • Excellent organizational and time-management skills
  • Strong written and verbal communication skills
  • Proficiency in technology, particularly Microsoft Office applications
  • Ability to remain calm and effective in high-pressure situations
  • Reliable transportation to travel between communities
  • Must be at least 18 years of age
About Home Again Assisted Living & Memory Care
At Home Again, our team members do more than support residents - they become part of their home. The diversity of our team's experience and shared commitment to creating a warm, "at-home" environment is reflected in everything we do - from fostering welcoming social connections to delivering compassionate, person-centered care.
Join Home Again and help us create meaningful moments and lasting memories.
Because we serve seniors and vulnerable adults, all candidates must successfully pass a background check and drug screening prior to employment, in accordance with state regulations and company policy.

Apply