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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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How much do claims professional jobs pay per hour?

As of Jun 30, 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 does a claims professional do?

A claims professional evaluates insurance claims to determine coverage, investigate the validity of claims, and process payments. They often review documentation, communicate with claimants and providers, and ensure compliance with policies and regulations, typically using claims management software.

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 jobs pay more than $300,000 a year?

Claims professionals in senior roles such as claims directors or chief claims officers can earn over $300,000 annually, especially with extensive experience and industry certifications. High-level executive positions in insurance companies or specialized consulting roles may also reach or exceed this salary level, often requiring advanced skills, leadership abilities, and a strong understanding of risk management.

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 jobs pay 2000 a day?

Claims professionals, especially those with extensive experience or specialized skills in high-value insurance claims, can potentially earn around $2,000 per day through bonuses, commissions, or high-level positions. Such earnings are more common in senior roles, consulting, or in industries like insurance, finance, or legal services where high-value claims are handled. Achieving this level typically requires advanced certifications, a strong track record, and a high-volume or high-stakes environment.

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.

What kind of claims adjuster makes the most money?

Commercial claims adjusters, especially those handling large-scale or complex business insurance claims, tend to earn higher salaries than those working on personal lines. Adjusters with specialized skills, certifications, and experience in high-value claims or specialized areas like catastrophe or complex commercial claims generally make the most money in the field.
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

Claims Specialist

CorVel Enterprise Claims, Inc.

Liverpool, NY • Remote

$52K - $85K/yr

Full-time

Posted 6 days ago

Job description

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Receives claims, confirms policy coverage and acknowledgment of the claim
  • Determines validity and compensability of the claim
  • Establishes reserves and authorizes payments within reserving authority limits
  • Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision
  • Communicates claim status with the customer, claimant and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Assists other claims professionals with more complex or problematic claims as necessary
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Excellent written and verbal communication skills
  • Ability to learn rapidly to develop knowledge and understanding of claims practice
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to meet or exceed performance competencies
  • Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:

  • Bachelor's degree or a combination of education and related experience
  • Minimum of 1 year of industry experience and claims management preferred
  • State Certification as an Experienced Examiner

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $52,999 – $85,473

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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