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Claims Professional Jobs (NOW HIRING)

CorVel Enterprise Claims, Inc.

Claims Specialist

Tampa, FL · Hybrid

$52K - $85K/yr

Assists other claims professionals with more complex or problematic claims as necessary * Additional projects and duties as assigned KNOWLEDGE & SKILLS: * Excellent written and verbal communication ...

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$15

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How much do claims professional jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for claims professional 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 are Claims Professionals?

Claims Professionals are specialists who handle insurance claims on behalf of insurance companies or policyholders. Their main responsibilities include investigating, evaluating, and settling claims to ensure fair compensation is provided in accordance with the terms of the insurance policy. They often interact with clients, assess damage or loss, and work with other professionals such as adjusters and legal experts to resolve disputes. Claims Professionals play a critical role in ensuring that claims are processed efficiently and accurately, maintaining trust between insurers and their clients.

What is the difference between Claims Professional vs Claims Adjuster?

AspectClaims ProfessionalClaims Adjuster
CredentialsCertifications like CPCU, ARM, or state licensing often preferredSimilar certifications, often required or preferred
Work EnvironmentOffice-based, administrative, and customer service rolesField or desk-based, investigating and evaluating claims
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms

Claims Professionals and Claims Adjusters both work within the insurance industry, often sharing similar certifications and work environments. However, Claims Professionals typically focus on administrative tasks, policy management, and customer service, while Claims Adjusters are more involved in investigating and evaluating claims, often in the field. Understanding these differences helps job seekers target the right roles within the insurance sector.

What are some common challenges faced by Claims Professionals, and how can they be addressed on the job?

Claims Professionals often encounter challenges such as managing a high volume of cases, navigating complex policy details, and communicating effectively with clients who may be experiencing stress. To address these challenges, it is important to stay organized, leverage claims management software, and develop strong interpersonal skills. Regular training on policy updates and clear communication with both clients and colleagues can also help ensure efficient and fair claims resolution.

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

To thrive as a Claims Professional, you need strong analytical skills, attention to detail, and a background in insurance or finance, often supported by a bachelor's degree. Familiarity with claims management systems, industry-specific software such as Guidewire, and relevant certifications like AIC (Associate in Claims) is highly valuable. Excellent communication, negotiation, and problem-solving abilities help you effectively interact with clients and resolve disputes. These skills are essential for accurately assessing claims, minimizing risk, and ensuring customer satisfaction throughout the claims process.
More about Claims Professional jobs
What cities are hiring for Claims Professional jobs? Cities with the most Claims Professional job openings:
What are the most commonly searched types of Claims jobs? The most popular types of Claims jobs are:
What states have the most Claims Professional jobs? States with the most job openings for Claims Professional jobs include:
What job categories do people searching Claims Professional jobs look for? The top searched job categories for Claims Professional jobs are:
Claims Professional jobs near you

Workers Compensation Lien Claims Professional

Berkshire Hathaway Homestate Companies

Omaha, NE • On-site

$63K - $81K/yr

Other

Medical, Dental, Vision, Life, PTO

Posted 15 days ago

Job description

WHAT WE'RE LOOKING FOR
Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Lien Claims Professional to join our Omaha team! This adjusting professional will manage a caseload of settling/settled claims requiring lien resolution, negotiating optimal outcomes within authority parameters to achieve closure while managing cost-containment, and is always service-centric with internal and external partners. Sound like YOU?
ESSENTIAL RESPPONSIBILITIES
  • Thoroughly reviews assigned claim files and provides detailed summary of lien exposure, vendor involvement, and potential issues. Creates a resolution-focused plan of action, sets appropriate diaries, and calculates appropriate reserves. Updates strategy and reserves as information becomes available within authority parameters. Seeks additional authority timely as needed.
  • Analyzes vendor billing in each claim file and identifies discrepancies or misalignment with claim documentation. Proactively makes inquiries to obtain information needed for actionable use.
  • Makes prompt, sound decisions on lien issues and offers that arise and documents thoroughly in claims file. Collaborates routinely with defense counsel, Adjusting, Medical Management, and SIU teams on lien issues. Ensures clear, timely communications to all parties on outstanding issues. Ensures actions are coordinated amongst relevant parties to achieve optimal resolution outcome.
  • Recommends lien settlements, responds to lien demands at appropriate time and value and effectively negotiates settlement with vendor/provider or refers to defense counsel to adjudicate.
  • Ensures that caseload is managed in compliance with applicable statutes, regulations, case law, and company standards.
  • Follows guidance to optimize outcomes and to ensure claims are appropriately and timely addressed.

REQUIRED QUALIFICATIONS
  • EDUCATION: Minimum of High School diploma or equivalent certificate required. Bachelor's degree from an accredited four-year university preferred.
  • EXPERIENCE: Minimum of three years of workers compensation indemnity claims adjusting experience, or an equivalent combination of education and industry experience, required.
  • CERTIFICATIONS: Maintains qualifying educational criteria to manage a caseload of workers compensation claims. Self-Insurance Administrators Certification preferred.
  • TECHNICAL AND COMPUTER SKILLS: (1) Strong workers compensation indemnity claims management knowledge; (2) Moderate data analytic skills to perform solid data collection, analysis, and reporting; (3) Proficiency in Microsoft Office/365 suite of applications; (4) Knowledge of claims software systems and able to become proficient in proprietary and vendor software programs.

WHAT WE OFFER
  • Manageable Caseloads
  • Work-Life Balance
  • Work From Home Program (up to 2 days per week)
  • Modern Office Setting
  • Free On-Site Fitness Facility
  • Free On-Site Garage Parking

BENEFITS
  • Paid Time Off
  • Paid Holidays
  • Retirements Savings Match
  • Group Health Insurance (Medical, Dental, and Vision)
  • Life and AD&D Insurance
  • Long Term Disability Insurance
  • Accident and Critical Illness Insurance
  • Flexible Savings Accounts
  • Paid Community Volunteer Day
  • Employee Assistance Program
  • Tuition Reimbursement Program
  • Employee Referral Program
  • Diversity, Equity and Inclusion Program

ABOUT US
With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.
At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace-something we truly value. We've created an approachable and collaborative atmosphere. Here you'll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.

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