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Claims Specialist Jobs (NOW HIRING)

Adirondack Trust Company

Claims Specialist

Albany, NY · On-site

$27.47 - $35.71/hr

The Insurance Claims Specialist receives, investigates, negotiates, reports, and documents personal and commercial insurance claims. This position requires the review and understanding of insurance ...

Peach Tree Dental

Insurance Claims Specialist

Monroe, LA · On-site

$16 - $20/hr

Insurance Claims Specialist Peach Tree Dental - Monroe, West Monroe, Ruston, Jonesboro Insurance Claims Specialist Job Details: Salary: Starting from $16.00-$20.00/hourly Pay is based on experience ...

Suffolk Construction

Claims Specialist

Tampa, FL · Hybrid

The Claims Specialist will timely and accurately process all claims from filing to closure in accordance with Suffolk Construction Company, Inc., best practices and state regulations. The Claims ...

Suffolk Construction

Claims Specialist

New York, NY · Hybrid

The Claims Specialist will timely and accurately process all claims from filing to closure in accordance with Suffolk Construction Company, Inc., best practices and state regulations. The Claims ...

Suffolk Construction

Claims Specialist

Boston, MA · Hybrid

The Claims Specialist will timely and accurately process all claims from filing to closure in accordance with Suffolk Construction Company, Inc., best practices and state regulations. The Claims ...

Peach Tree Dental

Insurance Claims Specialist

Monroe, LA · On-site

$16 - $20/hr

Insurance Claims Specialist Peach Tree Dental - Monroe, West Monroe, Ruston, Jonesboro Insurance Claims Specialist Job Details: Salary: Starting from $16.00-$20.00/hourly Pay is based on experience ...

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Claims Specialist

Boca Raton, FL · On-site

$22 - $24/hr

Claims Specialist Location: Boca Raton, FL (on-site) Pay range: $22 - 24 (Based on Experience) We deliver hands-on, process-driven operational support to behavioral health programs. We're hiring a ...

Suffolk Construction

Claims Specialist

Dallas, TX · Hybrid

The Claims Specialist will timely and accurately process all claims from filing to closure in accordance with Suffolk Construction Company, Inc., best practices and state regulations. The Claims ...

Suffolk Construction

Claims Specialist

Las Vegas, NV · Hybrid

The Claims Specialist will timely and accurately process all claims from filing to closure in accordance with Suffolk Construction Company, Inc., best practices and state regulations. The Claims ...

Pacificlife

Operations Claims Specialist

Charlotte, NC

$26/hr

This position may be filled at the Operations Claims Associate, Operations Claims Specialist, Sr. Operations Claims Specialist, or Sr. Operations Claims Analyst level based on experience and business ...

Pacificlife

Operations Claims Specialist

Omaha, NE

$26/hr

This position may be filled at the Operations Claims Associate, Operations Claims Specialist, Sr. Operations Claims Specialist, or Sr. Operations Claims Analyst level based on experience and business ...

Calculated Hire

Claims Specialist

Fort Wayne, IN · On-site

$20/hr

Claims Specialist Compensation: $20 per hour Location: Fort Wayne, IN - Onsite Structure: 3 month contract-to-hire (37.5 hours a week) ABOUT THE ROLE Our client is seeking a skilled Claims Specialist ...

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Claims Specialist information

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How much do claims specialist jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for claims specialist in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What does a claims specialist do?

A Claims Specialist is responsible for processing and evaluating insurance claims to determine their validity and ensure accurate payment or denial. They review documentation, communicate with claimants, and investigate the details of each case to prevent fraud and ensure compliance with company policies. Claims Specialists often work with different types of insurance, such as health, auto, or property, and may coordinate with other departments or external parties during the claims process.

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

To thrive as a Claims Specialist, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, often supported by a relevant degree or industry experience. Familiarity with claims management software, databases, and sometimes certifications like AIC (Associate in Claims) are typically required. Excellent communication, negotiation, and problem-solving skills help you effectively manage claims and interact with clients or third parties. These skills ensure accurate claims processing, minimize risk for the company, and maintain customer satisfaction.

What are some common challenges claims specialists face when handling complex claims, and how can they overcome them?

Claims Specialists often encounter challenges such as ambiguous policy language, incomplete documentation, and disputes between parties. To overcome these, it's essential to develop strong investigative skills, maintain clear communication with all stakeholders, and stay updated on policy guidelines. Collaborating closely with adjusters, legal teams, and customers helps ensure accurate claim assessments and resolutions. Proactive organization and time management are also key to managing multiple claims efficiently.

What is the difference between Claims Specialist vs Claims Adjuster?

CriteriaClaims SpecialistClaims Adjuster
Required credentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; state licensing often required
Work environmentOffice settings, customer service interactions, administrative tasksFieldwork and office work, investigating claims
Employer and industry usageInsurance companies, third-party administratorsInsurance companies, public adjusting firms

While both Claims Specialists and Claims Adjusters work within the insurance industry, Claims Specialists typically handle administrative tasks and customer communication, whereas Claims Adjusters investigate and evaluate claims to determine coverage and settlement. The roles often overlap, but the Adjuster role involves more fieldwork and claim investigation.

How much does a claims specialist make?

The average salary for a claims specialist in Georgia is approximately $45,000 to $55,000 per year, depending on experience, certifications, and the employer. Many claims specialists also receive benefits such as health insurance and retirement plans, and the role often requires strong communication and analytical skills.

What is a claims specialist job?

A claims specialist is responsible for reviewing, investigating, and processing insurance claims to determine coverage and settlement amounts. They analyze documentation, communicate with claimants and providers, and ensure compliance with policies, often using claims management software. Strong attention to detail and knowledge of insurance policies are essential for this role.

What is a claims specialist?

A claims specialist is a professional who reviews, investigates, and processes insurance claims to determine coverage and settlement amounts. They often work with claims management software and require knowledge of insurance policies, customer service skills, and attention to detail.
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Claims Specialist jobs near you
Infographic showing various Claims Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Claims Specialist

Adirondack Trust Company

Albany, NY • On-site

$27.47 - $35.71/hr

Full-time

Re-posted 9 days ago

Job description

POSITION SUMMARY:

The Insurance Claims Specialist receives, investigates, negotiates, reports, and documents personal and commercial insurance claims. This position requires the review and understanding of insurance policies, direct client contact, and diligent follow-up with clients and carriers to assist in the satisfactory resolution of claims. The Claims Specialist is responsible for the documentation and administration of claims within the Agency’s Management System. The successful Claims Specialist is a compassionate, well-spoken, friendly, organized, and detail-oriented person. This position requires knowledge of the claims process for all types of commercial and personal insurance claims and the Claims Specialist must ensure that all claim, health, and financial information of the client, agency, and carrier is held confidentially.

ESSENTIAL FUNCTIONS:

Receives the first report of claim from the client, carrier, producer, account manager, or other related third party.

Upon receipt of claim/loss information, and in consultation with Senior Claims Specialist or Producer/Account Executive, tentatively determine if a client policy(s) will likely respond to the reported claim.

Verify policy, terms, type, carrier, and date of loss.

Report claims applicable carrier(s) and documents the same in the Agency Management System.

Monitor the assigned carrier adjustor’s performance on the claim by setting up regular tasks and follow-ups.

Discuss, explain, and follow up with clients throughout the claims process

Review carrier claim reserves for accuracy.

Responsible for documentation and administration of claim file in the Agency Management System.

Respond to claim-related inquiries from agency personnel, repair shops, producers, etc.

*Other duties may be assigned.

This role offers a hybrid work arrangement. After completing a 120-day onboarding and training period, employees will work in the office three (3) days per week, with the option of two (2) days remote.

Adirondack Trust is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, sex, transgender status, gender identity, gender dysphoria, sexual orientation, national origin, physical or mental disability, protected veteran status, marital and familial status, domestic violence victim status, known relationship or association with any member of a protected class, or other characteristics protected by applicable law.