This role leads client-facing claims reviews and serves as a key advisor on claims outcomes and loss trends. Primary tasks the incumbent will perform: * Oversee the strategy and resolution of complex ...
This role leads client-facing claims reviews and serves as a key advisor on claims outcomes and loss trends. Primary tasks the incumbent will perform: * Oversee the strategy and resolution of complex ...
Review and process medical claims with accuracy and efficiency by applying policy guidelines, scheduling and managing additional claims review and coordinating benefits while prioritizing the ...
Review and process medical claims with accuracy and efficiency by applying policy guidelines, scheduling and managing additional claims review and coordinating benefits while prioritizing the ...
Claims & Adjustment Specialist
Flowood, MS · On-site
Review and process medical claims with accuracy and efficiency by applying policy guidelines, scheduling and managing additional claims review and coordinating benefits while prioritizing the ...
Claims & Adjustment Specialist
Flowood, MS · On-site
Review and process medical claims with accuracy and efficiency by applying policy guidelines, scheduling and managing additional claims review and coordinating benefits while prioritizing the ...
Claims Specialist
Nottingham, MD · Hybrid
$51K - $83K/yr
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 * Requires regular and ...
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Claims Specialist
Nottingham, MD · Hybrid
$51K - $83K/yr
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 * Requires regular and ...
Company Description Finance / Accounting - Claims Review and Adjusting Healthcare / Health Services Responsibilities in this senior position will include, but are not limited to: Responsible for ...
Company Description Finance / Accounting - Claims Review and Adjusting Healthcare / Health Services Responsibilities in this senior position will include, but are not limited to: Responsible for ...
Indemnity Claims Specialist
Dallas, TX · Hybrid
$52K - $85K/yr
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 projects ...
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Indemnity Claims Specialist
Dallas, TX · Hybrid
$52K - $85K/yr
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 projects ...
Indemnity Claims Specialist
Dallas, TX · Hybrid
$52K - $85K/yr
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 projects ...
Quick apply
Indemnity Claims Specialist
Dallas, TX · Hybrid
$52K - $85K/yr
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 projects ...
Commercial Auto & Liability Claims Examiner
Houston, TX · Remote
$44 - $46/hr
Review policy language and determine coverage, liability, damages, and exposure * Establish and ... Proficiency with claims-management systems and standard computer applications * Ability to work ...
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Commercial Auto & Liability Claims Examiner
Houston, TX · Remote
$44 - $46/hr
Review policy language and determine coverage, liability, damages, and exposure * Establish and ... Proficiency with claims-management systems and standard computer applications * Ability to work ...
Liability Claims Specialist
Downers Grove, IL · Hybrid
$52K - $85K/yr
Adheres to client and carrier guidelines and participates in claims review as needed * Collaborates with team members on more complex or problematic claims as necessary * Additional duties as ...
New
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Liability Claims Specialist
Downers Grove, IL · Hybrid
$52K - $85K/yr
Adheres to client and carrier guidelines and participates in claims review as needed * Collaborates with team members on more complex or problematic claims as necessary * Additional duties as ...
New
POSITION SUMMARY The Commercial Property Examiner II reviews, evaluates and processes complex commercial insurance claims and makes recommendations for resolution. Additionally, this role will ...
POSITION SUMMARY The Commercial Property Examiner II reviews, evaluates and processes complex commercial insurance claims and makes recommendations for resolution. Additionally, this role will ...
Claims Director
Durham, NC · On-site
$130K/yr
Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop and implement claims handling strategies, workflows, and best ...
Claims Director
Durham, NC · On-site
$130K/yr
Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop and implement claims handling strategies, workflows, and best ...
Medical Review Nurse (RN) - UM/Appeals experience
Long Beach, CA · On-site +1
$29.05 - $56.64/hr
Demonstrated knowledge of medical necessity determinations, authorization appeals, regulatory compliance, and healthcare claims review is highly desirable. Job Summary Utilizing clinical knowledge ...
Medical Review Nurse (RN) - UM/Appeals experience
Long Beach, CA · On-site +1
$29.05 - $56.64/hr
Demonstrated knowledge of medical necessity determinations, authorization appeals, regulatory compliance, and healthcare claims review is highly desirable. Job Summary Utilizing clinical knowledge ...
Senior Claims Advocate
Mount Laurel, NJ · On-site
$87K - $124K/yr
This role leads client-facing claims reviews and serves as a key advisor on claims outcomes and loss trends. Primary tasks the incumbent will perform: * Oversee the strategy and resolution of complex ...
Senior Claims Advocate
Mount Laurel, NJ · On-site
$87K - $124K/yr
This role leads client-facing claims reviews and serves as a key advisor on claims outcomes and loss trends. Primary tasks the incumbent will perform: * Oversee the strategy and resolution of complex ...
Indemnity Claims Specialist
Lawrenceville, GA · Remote
$52K - $85K/yr
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 ...
Quick apply
Indemnity Claims Specialist
Lawrenceville, GA · Remote
$52K - $85K/yr
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 ...
Claims Director
Durham, NC · On-site
Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop and implement claims handling strategies, workflows, and best ...
Quick apply
Claims Director
Durham, NC · On-site
Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop and implement claims handling strategies, workflows, and best ...
Claims Director
Durham, NC · Hybrid
Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop and implement claims handling strategies, workflows, and best ...
Claims Director
Durham, NC · Hybrid
Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop and implement claims handling strategies, workflows, and best ...
Review and analyze claims and follow up on the status of claims and reimbursement. * Interpret and apply policy and reimbursement rules to support provider inquiries. * Ensure accuracy and ...
Review and analyze claims and follow up on the status of claims and reimbursement. * Interpret and apply policy and reimbursement rules to support provider inquiries. * Ensure accuracy and ...
Claims Director
Durham, NC · On-site
Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop and implement claims handling strategies, workflows, and best ...
Quick apply
Claims Director
Durham, NC · On-site
Review and approve significant coverage determinations, settlement authority, and denial recommendations where applicable. * Develop and implement claims handling strategies, workflows, and best ...
Claims Specialist - NY
Liverpool, NY · Remote
$52K - $85K/yr
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 projects ...
Quick apply
Claims Specialist - NY
Liverpool, NY · Remote
$52K - $85K/yr
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 projects ...
Adhere to client and carrier guidelines and participate in claims review as needed * Develop and maintains professional customer relationship * Requires regular and consistent attendance Experience ...
Adhere to client and carrier guidelines and participate in claims review as needed * Develop and maintains professional customer relationship * Requires regular and consistent attendance Experience ...
Claims Review information
See salary details
$40K - $44.7K
8% of jobs
$44.7K - $49.5K
7% of jobs
$53.2K is the 25th percentile. Wages below this are outliers.
$49.5K - $54.2K
12% of jobs
$54.2K - $58.9K
14% of jobs
The median wage is $60.2K / yr.
$58.9K - $63.6K
33% of jobs
$64.2K is the 75th percentile. Wages above this are outliers.
$63.6K - $68.4K
11% of jobs
$68.4K - $73.1K
7% of jobs
$73.1K - $77.8K
4% of jobs
$77.8K - $82.5K
3% of jobs
$82.5K - $87.3K
1% of jobs
$87.3K - $92K
0% of jobs
$40K
$61.6K
$92K
How much do claims review jobs pay per year?
What does a claims review do?
Is claims review processing a stressful job?
What is the difference between Claims Review vs Claims Adjuster?
| Aspect | Claims Review | Claims Adjuster |
|---|---|---|
| Credentials | Typically requires insurance or claims processing certifications | Requires similar certifications, often with licensing depending on state |
| Work Environment | Mostly office-based, reviewing claims electronically or on paper | Field and office-based, inspecting damages and interviewing claimants |
| Employer & Industry | Insurance companies, third-party administrators | Insurance companies, public adjusters, third-party administrators |
| Search & Comparison Intent | Often compared for claims processing roles | Related but involves more investigation and assessment |
Claims Review specialists focus on evaluating insurance claims for accuracy and completeness, primarily working in an office setting. Claims Adjusters, on the other hand, investigate claims, assess damages, and determine payouts, often working in the field. Both roles require similar certifications and are integral to the insurance industry, but they differ in responsibilities and work environment.
Do you need a degree to be a claims review?

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 24 days ago
Job description
Holman is a family-owned, global automotive services organization anchored by our deeply rooted core values and principles that have enabled us to continue Driving What's Right throughout the last century. Our teams deliver the Holman Experience by treating our customers and each other as we would like to be treated, and creating positive, rewarding relationships all around.
The automotive markets Holman serves include fleet management and leasing; vehicle fabrication and upfitting; component manufacturing and productivity solutions; powertrain distribution and logistics services; commercial and personal insurance and risk management; and retail automotive sales as one of the largest privately owned dealership groups in the United States.
Job Inputs:
The Senior Claims Advocate provides strategic claims support and advocacy for clients, focusing on complex claims handling, reserve management, and claims performance improvement. This role leads client-facing claims reviews and serves as a key advisor on claims outcomes and loss trends.
Primary tasks the incumbent will perform:
Oversee the strategy and resolution of complex, high-exposure, and multi-line claims, ensuring alignment with client financial and risk management objectives
Serve as the primary advocate for clients with carriers, proactively influencing reserves, coverage positions, and overall claim outcomes
Direct claim strategy and engagement with adjusters, setting expectations, driving accountability, and ensuring timely and effective claim progression
Identify and execute opportunities to reduce total cost of risk through strategic claim oversight, early intervention, and outcome-driven resolution approaches
Lead the development and delivery of quarterly claims reviews, including advanced trend analysis, large loss evaluation, and forward-looking insights
Present claims reviews to clients at a strategic level, providing clear, actionable recommendations to improve outcomes and inform risk management decisions
Manage and resolve complex or escalated claim issues, serving as a senior escalation point for clients and internal stakeholders
Collaborate with carrier leadership, legal partners, and internal teams to resolve challenging claims and drive optimal outcomes
Mentor and develop Claims Advocates, providing technical guidance, oversight of claim strategy, and support in elevating client delivery
Required Education & Experience:
5+ years of commercial insurance claims or claims advocacy experience
Strong understanding of claims handling, reserving, and coverage
Preferred Education & Experience:
Advanced designations (AIC, SCLA, CPCU, ARM, etc.)
Experience managing large/complex commercial claims
Planning/Organizing/Managerial Knowledge:
Manages complex workloads; integrates claims strategy with client risk profile and renewal impact
Communicating & Influencing Skills:
Leads client discussions and presentations
Influences carrier decisions on reserves, settlements, and claim handling strategies
Outputs:
Effective management and advocacy of complex claims
Reduction or control of claim reserves and overall cost impact
High-quality quarterly claims review presentations and insights
Clear, actionable client recommendations to improve loss performance
Strong carrier relationships and escalated issue resolution
Mentorship and support of claims advocate partners
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At Holman, we exist to provide rewarding careers and better lives for employees and their families. We hire, train, empower, and reward exceptional people. Our journey is guided by our desire to get it right every time and the acknowledgement that we have an opportunity to be better. To be better, we have to do better, and to do better we must know better. That's why we are listening, open to learning new things - about ourselves and each other. We will never stop striving for improved diversity, equity, and inclusion because we are successful together when we feel trusted and supported. It's The Holman Way.
At Holman, your total compensation goes beyond your paycheck. To position you for success and provide a rewarding career and better life for you and your family, Holman is proud to offer you the benefits you deserve; including protection against illness, disability, loss of work, or preparation for retirement. Below is a brief overview of the programs available to full-time employees (programs may vary by country or worker type):
- Health Insurance
- Vision Insurance
- Dental Insurance
- Life and Disability Insurance
- Flexible Spending and Health Savings Accounts
- Employee Assistance Program
- 401(k) plan with Company Match
- Paid Time Off (PTO)
- Paid Holidays, Bereavement, and Jury Duty
- Paid Pregnancy/Parental leave
- Paid Military Leave
- Tuition Reimbursement
Benefits:
Regular Full-Time
We offer excellent benefits including health, vision, dental, life and disability insurance, and 401(k) with company match. Our time off benefits include Paid Time Off (PTO), paid holidays, bereavement, and jury duty. In addition, we offer paid pregnancy and parental leave, and supplemental paid military leave to eligible employees.
Temporary or Part-Time
In geographic areas with statutory paid sick leave, part-time and temporary employees will receive a paid sick leave benefit that meets the mandated requirements.
Pay:
We offer competitive wages that are commensurate with job-related skills, experience, relevant education or training, and geographic location, starting in the range of $87,550.00 - $124,755.00 USD annually for full time employees. The annual compensation range is comprised of base pay earnings.Artificial Intelligence Statement
We recognize that applicants for positions at any organization may view AI tools for tasks such as drafting a resume or cover letter, provided the information is accurate and truthful. However, applicants should not use AI tools to:
Answer interview questions on their behalf, or use AI tools in any way during the interview or other qualification process(es).
Misrepresent or embellish qualifications, skills, or experience
Create false or misleading representations of identity (e.g., deepfakes or altered images/videos)
Your application, whether an AI tool is used or not, should reflect your authentic abilities and experiences. Any use of AI that compromises honesty or integrity may result in disqualification from the process.
Equal Opportunity Employment and Accommodations:
Holman provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
If you are a person with a disability needing assistance with the application process, please contact HR@Holman.com
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.