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Claims Specialist Two Jobs (NOW HIRING)

Komodo Claims US

Claims Specialist II

Dallas, TX · Remote

$65K - $68K/yr

The role As a Claim Specialist II, working with our Komodo Claims Brand you will play a crucial role in handling and resolving commercial auto claims across the United States. Joining a friendly and ...

unigroup

Claims Specialist II

Des Peres, MO

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 ...

UniGroup, C.A.

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 ...

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How much do claims specialist two jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for claims specialist two 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.

Is a claims specialist a hard job?

A claims specialist role involves reviewing and processing insurance claims, which requires attention to detail, strong communication skills, and knowledge of policies and procedures. The job can be demanding due to deadlines, the need for accuracy, and handling complex cases, but it is manageable with proper training and experience.

What is the difference between Claims Specialist Two vs Claims Specialist One?

CriteriaClaims Specialist TwoClaims Specialist One
Required CredentialsHigh school diploma or equivalent; some roles may prefer certifications like CPCU or AICHigh school diploma or equivalent; entry-level certifications may be beneficial
Work EnvironmentOffice setting, handling complex claims, collaborating with teamsOffice setting, managing basic claims, customer interactions
Employer & Industry UsageInsurance companies, third-party administrators, government agenciesInsurance companies, claims processing centers
Common Search & ComparisonClaims 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.

More about Claims Specialist Two jobs
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:
Claims Specialist Two jobs near you
Infographic showing various Claims Specialist Two job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, and 4% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Workers Comp Lost Time Claims Specialist II - PA & NJ Claims

UPMC Health Plan

Pittsburgh, PA • Remote

$22.50 - $31/hr

Other

Re-posted 28 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 role will work Monday - Friday daylight hours EST and may work remotely. Preference will be given to those with prior PA or NJ claims experience.

The Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims Supervisor. The Lost Time Claims Specialist II 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 II 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 II 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 II 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.
  • Bachelors 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.
  • PA and NJ 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

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