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Claims Research Jobs (NOW HIRING)

Claims Examiner

$17 - $20/hr

  • Medical

Claims & Appeals & Grievances (A&G) Specialist Department: Healthcare Operations Location: United ... Perform claim research to identify discrepancies, missing information, eligibility concerns ...

Claims Examiner

$17 - $20/hr

  • Medical

Claims & Appeals & Grievances (A&G) Specialist Department: Healthcare Operations Location: United ... Perform claim research to identify discrepancies, missing information, eligibility concerns ...

Virtual Subrogation Specialist

IL ยท On-site +1

$21/hr

Research laws and state statutes on subrogation claims to ensure compliance and optimize recovery. * Communicate effectively to obtain and provide necessary information from relevant parties.

Be Seen First

... claims research. * Manage large volumes of documents including copying, faxing and scanning incoming mail Company Description Professional Management Enterprises is a minority and veteran owned ...

Be Seen First

Benefit Administrator

Little Falls, NJ ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Handle new enrollments, benefit changes, terminations, and dependent updates * Assist members with questions regarding benefits, eligibility, coverage, and claims * Research and resolve member issues ...

Corporate Biller (Skilled Nursing)

Mobile, AL ยท On-site

$15.50 - $20/hr

Verify eligibility and maintain all documentation necessary to support medical claims * Research and make corrections on all billing issues * Communicate on a daily basis with your assigned ...

Medical AR Billing Specialist

Columbus, OH ยท On-site

$17.75 - $22.75/hr

  • Medical

  • Dental

  • Vision

  • PTO

... claims Research and resolve billing discrepancies Work denied claims and submitted corrected or appealed claims as needed Verify insurance benefits and billing requirements when necessary Maintain ...

Claims Processor II

Orangeburg, SC ยท On-site

$16.25 - $20.50/hr

Resolves denied/unpaid insurance claims in a timely manner. Entity University Medical Associates ... Researching accounts to take appropriate action necessary to resolve. * Keep management aware of ...

New

Specialty Claims Analyst (Troy, MI)

Troy, MI ยท Remote

$21 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Research payments according to plan rules to respond to members requests for payment of claim; call ... Maintain claims turnaround times as defined by Specialty Claims Management based on type of claim ...

Submit, track, and follow up on insurance claims * Research and resolve claim rejections and denials * Verify insurance eligibility, physician documentation, and medical necessity * Communicate ...

Specialty Claims Analyst (Troy, MI)

Troy, MI ยท On-site

$21 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Research payments according to plan rules to respond to members requests for payment of claim; call ... Maintain claims turnaround times as defined by Specialty Claims Management based on type of claim ...

Showing results 41-60

Claims Research information

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How much do claims research jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for claims research in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What is a claims research professional?

Claims research professionals are specialists who investigate and analyze insurance claims to determine their validity and ensure compliance with policy terms. They gather information, review documentation, and may interview claimants or witnesses to verify details. Their work helps insurance companies prevent fraud, process legitimate claims efficiently, and resolve disputes. Claims researchers play a crucial role in protecting both the insurer and the policyholder by ensuring fair and accurate claim settlements.

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

To thrive as a Claims Research Specialist, you need strong analytical skills, attention to detail, and knowledge of insurance or claims processes, often supported by a relevant degree or experience in claims management. Familiarity with claims management software, databases, and sometimes certification such as AIC (Associate in Claims) is typically required. Excellent communication, problem-solving abilities, and customer service skills help you excel when interacting with clients and resolving complex cases. These skills ensure accurate claim resolution, compliance with regulations, and a positive experience for policyholders.

What are some common challenges faced in a claims research role, and how can they be managed?

A common challenge in Claims Research is navigating complex policy details and incomplete or ambiguous documentation. Researchers must often communicate with multiple stakeholders, such as policyholders, adjusters, and healthcare providers, to gather missing information and verify facts. Managing tight deadlines while ensuring accuracy is also crucial. Building strong organizational skills and maintaining clear, professional communication can help address these challenges effectively.

What is the difference between Claims Research vs Claims Adjuster?

AspectClaims ResearchClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma or equivalent; insurance licensing often required
Work EnvironmentOffice-based, research-focused, often involving data analysisField and office-based, investigating claims and interacting with clients
Industry UsageInsurance companies, third-party administrators, claims research firmsInsurance companies, adjusting firms, third-party administrators
Common Search & ComparisonYesYes

Claims Research involves analyzing data and gathering information to support claims decisions, often working behind the scenes. Claims Adjusters evaluate and settle claims directly with policyholders, often working in the field. While both roles require insurance knowledge and certifications, Claims Research focuses on data analysis, whereas Claims Adjusters handle claim investigations and settlements.

Is claims research processing a stressful job?

Claims research processing can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The job often involves handling complex information and can require long periods of concentration, which may contribute to stress levels for some individuals.
More about Claims Research jobs

What are the most commonly searched types of Claims Research jobs?

The most popular types of Claims Research jobs are:

Infographic showing various Claims Research job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 1% As Needed, 85% Full Time, 11% Part Time, and 2% Contract. Highlights an 84% Physical, 4% Hybrid, and 12% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.

Sr. Liability Claims Specialist, Supervisor (Remote)

Holmes Murphy

West Des Moines, IA โ€ข On-site, Remote

Full-time

Medical, Dental, Vision, Retirement

Posted 3 days ago

New


Job description

Job Description:

Join our growing team as a Sr. Liability Claims Specialist, Supervisor, at Creative Risk Solutions, where you'll lead a high-performing group of adjusters and ensure exceptional claims handling from start to finish. This role offers the opportunity to drive operational excellence while supporting clients with complex liability exposures. Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently-empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients.

Essential Responsibilities:

  • Adjudicate claims as needed, investigate, negotiate settlements, and maintain accurate documentation.
  • Monitor claims, especially in litigation, ensuring timely responses and adherence to "Best Practices for Claims."
  • Research and respond to inquiries from insureds, claimants, agency partners, and carriers.
  • Meet with clients to discuss complex claims and coverage issues.
  • Maintain open communication with customers and fronting carriers.
  • Assist staff with litigation management and decision-making.

Management Responsibilities:

  • Ensure appropriate talent placement, coach team members, conduct performance feedback, and support career development.
  • Manage timesheets, time off requests, and participate in compensation decisions.
  • Facilitate team meetings, attend internal and external training, and coordinate ongoing training.

Additional Responsibilities:

  • Set regular file review diaries and meet with staff monthly for performance enhancement.
  • Conduct quarterly team meetings and help staff set and monitor annual goals.
  • Participate in round tables, train and mentor team members, and serve on company committees.
  • Encourage subrogation and fraud identification, participate in claim reviews and Risk Control Workshops.
  • Mediate between insureds and insurance companies, interpret reports, and use data to drive change.

Qualifications:

  • Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU.
  • Licensing: Active state specific Life & Health/Property Casualty Insurance agent's license required or the ability to acquire license within three months of hire.
  • Experience: 8-10 years of adjusting property and casualty claims, including litigated claims. Prior agency, loss control or carrier experience preferred. Prior supervisory experience preferred
  • Skills & Technical Competencies: Knowledge of General and Auto Liability coverages and claims processing procedures. Ability to work independently and in a team, perform complex mathematical calculations, and manage multiple tasks. Knowledge of state insurance regulations, ability to pass licensing exams, and commitment to ongoing education. Contributes to workflows while utilizing resources to deliver a world-class client experience and ensure compliance. Fosters relationships by understanding relevant parties, prioritizing problem-solving, and collaborating to deliver impactful solutions.

Here's a little bit about us:

Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies.

In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members.

Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:

  • Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey!
  • Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow.
  • 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
  • Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first.
  • Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you.
  • Inclusion & Belonging Programs - Holmes Murphy is committed to celebrating every employee's unique potential. Through inclusion and belonging initiatives, titled Uniquely United, not only do we offer employees a paid Diversity Day time-off option, but we also have a Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging. We encourage employees to engage in ways that are meaningful to them to enhance their overall experience!
  • Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing.
  • Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?!

At this time, we are not considering candidates who require any type of immigration sponsorship now or in the future. This includes candidates whose current work authorization is temporary or set to expire and who would require employer participation in any renewal, extension, or new authorization process to continue employment.

Holmes Murphy & Associates is an Equal Opportunity Employer.

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