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Claims Specialist Jobs (NOW HIRING)

Azad Technology Partners

Claims Specialist

Orange, CA · On-site

$110 - $130/hr

AZAD is seeking a Claims Specialist for a full-time, permanent employment position in Orange, California This position is full-time on-site, Monday to Friday. Expected start date December 28, 2025.

Peach Tree Dental

Insurance Claims Specialist

Monroe, LA · On-site

$16 - $20/hr

Insurance Claims Specialist Peach Tree Dental - Monroe, LA 71201 Insurance Claims Specialist Job Details: Salary: Starting from $16.00-$20.00/hourly Pay is based on experience, qualifications, and ...

Peach Tree Dental

Insurance Claims Specialist

Monroe, LA · On-site

$16 - $20/hr

Insurance Claims Specialist Peach Tree Dental - Monroe, LA 71201 Insurance Claims Specialist Job Details: Salary: Starting from $16.00-$20.00/hourly Pay is based on experience, qualifications, and ...

Peach Tree Dental

Insurance Claims Specialist

Monroe, LA · On-site

$16 - $20/hr

Insurance Claims Specialist Peach Tree Dental - Monroe, LA 71201 Insurance Claims Specialist Job Details: Salary: Starting from $16.00-$20.00/hourly Pay is based on experience, qualifications, and ...

Pacificlife

Operations Claims Specialist

Charlotte, NC · On-site

$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 ...

Pacificlife

Operations Claims Specialist

Omaha, NE · On-site

$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 ...

HUB

Claims Specialist

Kansas City, MO

Primary Role The Claims Specialist serves as an independent claims professional and trusted advisor, responsible for the proactive analysis, advocacy, and resolution of complex commercial claims on ...

HUB International

Claims Specialist

Kansas City, MO · On-site

$60 - $90/hr

The Claims Specialist serves as an independent claims professional and trusted advisor, responsible for the proactive analysis, advocacy, and resolution of complex commercial claims on behalf of HUB ...

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Claims Specialist information

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$43

How much do claims specialist jobs pay per hour?

As of Sep 5, 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.
More about Claims Specialist jobs

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Cities with the most Claims Specialist job openings:

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

The most popular types of Claims Specialist jobs are:

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The top employers for Claims Specialist jobs are:

What states have the most Claims Specialist jobs?

States with the most job openings for Claims Specialist jobs include:

What are popular job titles related to Claims Specialist jobs?

For Claims Specialist jobs, the most frequently searched job titles are:

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 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 78% Physical, 2% Hybrid, and 20% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Claims Specialist

Azad Technology Partners

Orange, CA • On-site

$110 - $130/hr

Other

Posted 4 days ago

Job description

AZAD is seeking a Claims Specialist for a full-time, permanent employment position in Orange, California

This position is full-time on-site, Monday to Friday. Expected start date December 28, 2025.

The annual salary range for this position is between $110k-$130k depending on related qualifications and experience.

Summary

Our client isseeking a Claims Specialist for their Orange County office. This role involves handling technical and administrative responsibilities related to managing assigned claim files and taking on a larger caseload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members.

Essential Duties and Responsibilities
  • Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement. Manage increasingly complex cases with larger financial exposure.
  • Investigate and evaluate claim files including complying with the standards of performance, interviewing members, reviewing medical records, corresponding with plaintiff attorneys, obtaining preliminary expert evaluation/opinions, and preparing interview summaries.
  • Prepare case evaluation reports for publication and presentation to the CRC and CSC.
  • Prepare case evaluation reports for discretionary authority on selected cases.
  • Manage and participate in all litigation activity, including discovery plan, mediation, MSC, and negotiation under supervision, as necessary.
  • Monitor trials and arbitrations including daily progress reports, providing member and defense attorney with support.
  • Prepare claim file resolution documentation.
  • Timely update the claims database.
  • Document all important case developments under the chronology tab.
  • Code the claims file and update as relevant information is available.
  • Timely review and index documents to the On Base system.
  • Provide assistance to management as indicated on special project.
  • Identify, investigate and follow-up on coverage issues.
  • Take Hotline calls as requested and as necessary and prepare hotlines.
  • Attend staff and department meetings as indicated.
  • Assist management in training of Claims Specialist I and II's.
  • Perform other duties as necessary.
Education and/or Experience
  • Bachelor's degree from four-year college or university.
  • Relevant legal and/or medical education background or the equivalent.
  • Minimum five years of medical malpractice claims management experience and/or three years CAP claims experience.
Certificates, Licenses, Registrations Other Skills and Abilities
  • Excellent demonstrated verbal and written communication skills.
  • Ability to manage multiple priorities/deadlines.
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