The Lost Time Claims Specialist 2 is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers Compensation business ...
The Lost Time Claims Specialist 2 is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers Compensation business ...
CLAIMS SPECIALIST 2
$19.71/hr
CLAIMS SPECIALIST 2 Apply now Job No: 543002 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Administrative Support/Customer Service, Business and Financial Administration ...
CLAIMS SPECIALIST 2
$19.71/hr
CLAIMS SPECIALIST 2 Apply now Job No: 543002 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Administrative Support/Customer Service, Business and Financial Administration ...
Lost Time Claims Specialist II (FL & GA)
Pittsburgh, PA · On-site
$27.89 - $48.21/hr
The Lost Time Claims Specialist 2 is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers Compensation business ...
Lost Time Claims Specialist II (FL & GA)
Pittsburgh, PA · On-site
$27.89 - $48.21/hr
The Lost Time Claims Specialist 2 is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers Compensation business ...
Commercial Claims Specialist II
$81K - $94K/yr
The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creative ...
Commercial Claims Specialist II
$81K - $94K/yr
The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creative ...
Commercial Claims Specialist II
Trenton, NJ · On-site
$81K - $94K/yr
The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creative ...
Commercial Claims Specialist II
Trenton, NJ · On-site
$81K - $94K/yr
The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creative ...
Commercial Claims Specialist II
$81K - $94K/yr
The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creative ...
Commercial Claims Specialist II
$81K - $94K/yr
The Commercial Claims Specialist II is a disciplined self-starter with outstanding communication & customer service skills. Has developed coverage skills, negotiation experience, and is a creative ...
Lost Time Claims Specialist II (VA, MD, PA, and DC)
Pittsburgh, PA · On-site
$27.89 - $48.21/hr
The Lost Time Claims Specialist 2 is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers Compensation business ...
Lost Time Claims Specialist II (VA, MD, PA, and DC)
Pittsburgh, PA · On-site
$27.89 - $48.21/hr
The Lost Time Claims Specialist 2 is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers Compensation business ...
The Lost Time Claims Specialist 2 is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers Compensation business ...
The Lost Time Claims Specialist 2 is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers Compensation business ...
Claims Specialist II - MCU
$85K - $100K/yr
UFG is currently hiring for a Claims Specialist II whose primary responsible for investigating, evaluating, negotiating and settling moderate to high complexity claims within (CD, E&S). This position ...
Claims Specialist II - MCU
$85K - $100K/yr
UFG is currently hiring for a Claims Specialist II whose primary responsible for investigating, evaluating, negotiating and settling moderate to high complexity claims within (CD, E&S). This position ...
Claims Specialist II
Des Peres, MO · On-site
On-Site Position Overview The Claims Specialist II investigates, evaluates, and resolves cargo loss and damage claims across multiple lines of business. This role combines analytical thinking ...
Claims Specialist II
Des Peres, MO · On-site
On-Site Position Overview The Claims Specialist II investigates, evaluates, and resolves cargo loss and damage claims across multiple lines of business. This role combines analytical thinking ...
On-Site Position Overview The Claims Specialist II investigates, evaluates, and resolves cargo loss and damage claims across multiple lines of business. This role combines analytical thinking ...
On-Site Position Overview The Claims Specialist II investigates, evaluates, and resolves cargo loss and damage claims across multiple lines of business. This role combines analytical thinking ...
Claims Specialist II
Des Peres, MO · On-site
On-Site Position Overview The Claims Specialist II investigates, evaluates, and resolves cargo loss and damage claims across multiple lines of business. This role combines analytical thinking ...
Claims Specialist II
Des Peres, MO · On-site
On-Site Position Overview The Claims Specialist II investigates, evaluates, and resolves cargo loss and damage claims across multiple lines of business. This role combines analytical thinking ...
Claims Specialist II
$113K/yr
Description The Claims Specialist works within a Claims Team, using the latest technology to manage ... Candidates within 50 miles of select offices are expected in-office 2 days/Month. Responsibilities:
Claims Specialist II
$113K/yr
Description The Claims Specialist works within a Claims Team, using the latest technology to manage ... Candidates within 50 miles of select offices are expected in-office 2 days/Month. Responsibilities:
Claims Specialist II
Suwanee, GA · Hybrid
Description The Claims Specialist works within a Claims Team, using the latest technology to manage ... Candidates within 50 miles of select offices are expected in-office 2 days/Month. Responsibilities:
Claims Specialist II
Suwanee, GA · Hybrid
Description The Claims Specialist works within a Claims Team, using the latest technology to manage ... Candidates within 50 miles of select offices are expected in-office 2 days/Month. Responsibilities:
Claims Specialist II
Suwanee, GA · Hybrid
$113K/yr
Description The Claims Specialist works within a Claims Team, using the latest technology to manage ... Candidates within 50 miles of select offices are expected in-office 2 days/Month. Responsibilities:
Claims Specialist II
Suwanee, GA · Hybrid
$113K/yr
Description The Claims Specialist works within a Claims Team, using the latest technology to manage ... Candidates within 50 miles of select offices are expected in-office 2 days/Month. Responsibilities:
Claims Specialist II
MA · On-site +1
$61K/yr
Description The Claims Specialist works within a Claims Team, using the latest technology to manage ... Candidates within 50 miles of select offices are expected in-office 2 days/Month. Responsibilities:
Claims Specialist II
MA · On-site +1
$61K/yr
Description The Claims Specialist works within a Claims Team, using the latest technology to manage ... Candidates within 50 miles of select offices are expected in-office 2 days/Month. Responsibilities:
Claims Specialist II
$61K - $113K/yr
Description The Claims Specialist works within a Claims Team, using the latest technology to manage ... Candidates within 50 miles of select offices are expected in-office 2 days/Month. Responsibilities:
Claims Specialist II
$61K - $113K/yr
Description The Claims Specialist works within a Claims Team, using the latest technology to manage ... Candidates within 50 miles of select offices are expected in-office 2 days/Month. Responsibilities:
Operations Claims Associate: 0-2 years of operations or insurance-related experience * Operations Claims Specialist: 2-3+ years of claims processing experience with demonstrated proficiency * Sr. ...
Operations Claims Associate: 0-2 years of operations or insurance-related experience * Operations Claims Specialist: 2-3+ years of claims processing experience with demonstrated proficiency * Sr. ...
Operations Claims Specialist
Omaha, NE · On-site
$27 - $29/hr
Operations Claims Associate: 0-2 years of operations or insurance-related experience * Operations Claims Specialist: 2-3+ years of claims processing experience with demonstrated proficiency * Sr. ...
Operations Claims Specialist
Omaha, NE · On-site
$27 - $29/hr
Operations Claims Associate: 0-2 years of operations or insurance-related experience * Operations Claims Specialist: 2-3+ years of claims processing experience with demonstrated proficiency * Sr. ...
Operations Claims Specialist
Charlotte, NC · On-site
$26/hr
Operations Claims Associate: 0-2 years of operations or insurance-related experience * Operations Claims Specialist: 2-3+ years of claims processing experience with demonstrated proficiency * Sr. ...
Operations Claims Specialist
Charlotte, NC · On-site
$26/hr
Operations Claims Associate: 0-2 years of operations or insurance-related experience * Operations Claims Specialist: 2-3+ years of claims processing experience with demonstrated proficiency * Sr. ...
Claims Specialist Two information
See salary details
$12.74 - $15.49
8% of jobs
$17.33 is the 25th percentile. Wages below this are outliers.
$15.49 - $18.25
25% of jobs
The median wage is $20.35 / hr.
$18.25 - $21
22% of jobs
$21 - $23.75
15% of jobs
$25.01 is the 75th percentile. Wages above this are outliers.
$23.75 - $26.51
11% of jobs
$26.51 - $29.26
5% of jobs
$29.26 - $32.01
3% of jobs
$32.01 - $34.77
3% of jobs
$34.77 - $37.52
3% of jobs
$37.52 - $40.28
3% of jobs
$40.28 - $43.03
1% of jobs
$12
$23
$43
How much do claims specialist two jobs pay per hour?
What is the difference between Claims Specialist Two vs Claims Specialist One?
| Criteria | Claims Specialist Two | Claims Specialist One |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may prefer certifications like CPCU or AIC | High school diploma or equivalent; entry-level certifications may be beneficial |
| Work Environment | Office setting, handling complex claims, collaborating with teams | Office setting, managing basic claims, customer interactions |
| Employer & Industry Usage | Insurance companies, third-party administrators, government agencies | Insurance companies, claims processing centers |
| Common Search & Comparison | Claims Specialist Two vs Claims Specialist One |
Claims Specialist Two typically handles more complex claims and requires more experience or certifications than Claims Specialist One. They often work in similar environments but with differing levels of responsibility, making the role progression clear within the claims processing career path.
Is a claims specialist a hard job?
What cities are hiring for Claims Specialist Two jobs?
Cities with the most Claims Specialist Two job openings:
What states have the most Claims Specialist Two jobs?
States with the most job openings for Claims Specialist Two jobs include:
What job categories do people searching Claims Specialist Two jobs look for?
The top searched job categories for Claims Specialist Two jobs are:

Lost Time Claims Specialist II (FL & GA)
Pittsburgh, PA • Remote
Full-time
Re-posted 25 days ago
Job description
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will primarily support Florida and Georgia claims.
The ideal candidate will hold an active Florida and Georgia Workers' Compensation Adjuster license and have prior experience managing lost time claims in both states.
The Lost Time Claims Specialist 2 is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers Compensation business unit. The Lost Time Claims Specialist 2 will apply litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The Lost Time Claims Specialist 2 will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority within established best practices and performance standards. The Lost Time Claims Specialist 2 should possess strategic thought process skills to effectively and efficiently manage loss exposures.
Responsibilities:
- Assign medical or other experts to case and arrange for medical examinations when necessary.
- Develop lost time claim disposition skills under limited direction of supervisor.
- Pro-actively manages the case resolution process. May participate in mediations within limit of settlement authority.
- Ensure proper referrals and timely updates to appropriate Reinsurer(s).
- Actively participate in claim reviews with clients.
- Timely analyze information in order to evaluate assigned claims to determine the extent of loss.
- Manage the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment under limited direction of supervisor.
- Communicate claim status with the injured worker, clients, and broker as needed.
- Effectively evaluate, negotiate and resolve claims within delegated authority utilizing the appropriate denials or releases.
- Establish appropriate reserves and review on a regular basis to ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority level.
- Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, clients, witnesses and others having pertinent information.
- Provide required reports to AVP, Claims, Underwriting, Reinsurance and Actuarial on significant exposure cases.
- Appropriate state licensing to be obtained for assigned jurisdictions.
- Effectively evaluate and resolve coverage issues for all Workers' Compensation claim types.
- Effectively and efficiently manage vendors and expenses.
- Participate in monthly account renewal meetings as needed.
- Mentoring and training new employees as appropriately assigned by management.
- Bachelor's and/or advanced degree or a minimum of 3 years of Workers' Compensation claims handling experience.
- Minimum of 2 years of Workers' Compensation lost time claims handling experience.
- Florida and Georgia Workers Comp Adjusters license strongly preferred.
- Florida and Georgia lost time claims experience strongly preferred.
- Intermediate knowledge of law and insurance regulations in various jurisdictions.
- Demonstrated strong verbal and written communications skills.
- Demonstrated strong analytical and decision-making skills. Intermediate knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, litigation management, and product line knowledge.
- Previous experience with the reserving and adjudication of the following: Workers' compensation lost time claims, Workers' compensation claim investigations (including subrogation) and compensability decisions.
Licensure, Certifications, and Clearances:
UPMC is an Equal Opportunity Employer/Disability/Veteran
About UPMC Health Plan
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Pittsburgh, PA, US
Year founded
1997