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Claims Professional Jobs (NOW HIRING)

CFC

Claims Specialist, Healthcare

New York, NY · On-site

$120K - $160K/yr

Work on US healthcare, professional indemnity and life sciences claims from first notification of loss to settlement, including coverage, liability and quantum analysis. * Ensure claims are handled ...

SCOR

Claims Expert, Treaty Casualty Claims

Manhattan, NY · On-site

$115K - $141K/yr

  • Medical

  • Life

  • Retirement

  • PTO

Claims Professional This claims professional must have extensive background in the insurance industry, which includes both primary insurance and reinsurance claim handling experience in various lines ...

SCOR

Claims Expert, Treaty Casualty Claims

Chicago, IL · On-site

$115K - $141K/yr

  • Medical

  • Life

  • Retirement

  • PTO

Claims Professional This claims professional must have extensive background in the insurance industry, which includes both primary insurance and reinsurance claim handling experience in various lines ...

Insurance Staffing

LPL Claims Temp

Chicago, IL · Remote

$40 - $50/hr

Lawyers Professional Liability (LPL) Claims Adjuster Remote $40-$50/hour We are partnering with a well-established insurance organization seeking an experienced LPL Claims Adjuster for a temporary ...

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How much do claims professional jobs pay per hour?

As of Aug 15, 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 is a claims professional?

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.
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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
Infographic showing various Claims Professional job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Claims Specialist, Healthcare

CFC

New York, NY • On-site

$120K - $160K/yr

Full-time

Posted 6 days ago

Job description

Claims Specialist, Healthcare
Department: Claims
Employment Type: Permanent - Full Time
Location: US - New York
Reporting To: Margaret Murphy
Compensation: $120,000 - $160,000 / year
Description
We're looking for an experienced claims professional to join CFC's Specialty Claims team, adjusting US healthcare and life sciences claims while helping deliver a high-quality service to policyholders, brokers and capacity providers.
You'll handle claims from first notification through to settlement, build strong stakeholder relationships and work closely with teams across Claims, Underwriting, Finance, IT and Products to support effective claims management and product development.
About the role
  • Work on US healthcare, professional indemnity and life sciences claims from first notification of loss to settlement, including coverage, liability and quantum analysis.
  • Ensure claims are handled in line with CFC best practice, delegated authorities, binding authority SLAs, TCF and conduct risk requirements.
  • Build strong relationships with policyholders, brokers, underwriters, capacity providers and vendors to deliver excellent service.
  • Prioritise claims activity effectively, managing key legal deadlines, demand letters and claims queries.
  • Work with external service providers to ensure quality, value-for-money support within agreed timeframes.
  • Support claims process improvements, management information, administration and issue escalation.
  • Share claims insight with Underwriting and Products to support product development and policy wording improvements.
  • Obtain and maintain relevant US state claims adjuster licences, including any required examinations and Continuing Education hours.

About you
You'll be an experienced claims professional with knowledge of professional liability and/or general liability claims, ideally with an interest in healthcare and life sciences.
Organised, detail-focused and proactive, you'll be confident managing claims deadlines, legal documentation and stakeholder relationships while maintaining excellent customer service.
You'll bring strong communication skills, sound judgement and a collaborative approach, with a willingness to obtain and maintain US state claims adjuster licences where required.
Core Values
Love what you do:
We show up each day ready to take on the world. Our passion and intensity set us apart and makes the difference to our colleagues, customers, brokers and carriers.
Challenge everything:
We're never afraid to question the way that things are done and we constantly challenge ourselves and others to makes things better.
Have fun, be good:
Insurance is a serious business, but we don't take ourselves too seriously. We make it fun to work at CFC, we welcome all viewpoints, and we treat everyone how we would expect to be treated.

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