ZipRecruiter

Log In

1

Claims Specialist Two Jobs (NOW HIRING)

TRILLIUM HEALTH RESOURCES

Claims Specialist II

NC · Remote

$42K - $61K/yr

Claims Specialist II FLSA Status: Non-Exempt Posting Salary Range: $42,765 - $61,546 Office Location: Remote within North Carolina POSTING DETAILS: Make an Impact Trillium Health Resources is a ...

unigroup

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 ...

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 ...

Zurich 56 Company Ltd

NY · On-site

$59.90 - $98.20/hr

Claims Specialist II, Workers Compensation Zurich North America is seeking a skilled and experienced Claims Specialist II to join our dynamic Workers Compensation team. This is an exciting ...

New

Pacificlife

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. ...

Pacificlife

Operations Claims Specialist

Omaha, NE · 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. ...

Aon Corporation

Claims Specialist II

NY · Remote

$55K - $60K/yr

Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your experience with a globally respected firm ...

Mercury Insurance Services, LLC

Claims Specialist II

CA · On-site

$44K - $77K/yr

With ongoing guidance and support, the Claims Specialist II takes the lead in guiding customers through the claims process. You will investigate and process claims for damage to vehicles and other ...

next page

Showing results 1-20

All JobsFinance and Insurance JobsInsurance JobsClaims Specialist Two Jobs

Claims Specialist Two information

See salary details

$12

$23

$43

How much do claims specialist two jobs pay per hour?

As of Sep 3, 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.

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.

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.
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% Internship, 1% As Needed, 80% Full Time, 15% Part Time, and 3% 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.

Claims Specialist II

TRILLIUM HEALTH RESOURCES

NC • Remote

$42K - $61K/yr

Full-time

Medical, Retirement, PTO

Posted 5 days ago

Job description

Pay Plan Title: Claims Specialist II

Working Title: Claims Specialist II

FLSA Status: Non-Exempt

Posting Salary Range: $42,765 - $61,546

Office Location: Remote within North Carolina


POSTING DETAILS:


Make an Impact


Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.


Why Work for Us? 


Trillium believes that empowering others begins with supporting our team. We offer our employees:


  • A collaborative, mission-driven work environment
  • Competitive benefits and work-from-home options for most positions
  • Opportunities for professional growth in a diverse inclusive culture


Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.


If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!


What We’re Looking For


Trillium Health Resources has a career opening for a Claims Specialist II to join our team! The Claims Specialist II performs data analysis, auditing and finalizes adjudication results for claims designated for pre-payment review and post payment review of claim adjudication results through research and knowledge of billing guidelines and policies established by CMS, and NC Medicaid as well as Trillium policies and procedures. This position is also responsible for assisting providers by phone or email with claims processing questions as well as communicating with internal and external stakeholders to facilitate efficient claims resolution.


On a typical day, you might:


  • Analyze and audit claims adjudication results to determine if claims were accurately submitted and processed according to NC Medicaid guidelines. 
  • Analyze and audit claim attachments/medical documentation necessary to appropriately adjudicate a claim.
  • Analyze, audit and take appropriate actions for claims delayed for adjudication due to rejection errors.
  • Identify adjudication errors, provider billing errors, and the need for technical assistance. 
  • Ensure the claims system and manual processes are incorporating required actions by reviewing and applying information from departmental trainings, published coverage policies and other NCDHHS documents.
  • Provide training, education and technical assistance to provider agencies based on analysis or audit findings related to basic claim submission guidelines, denial management, system use and updates.
  • Recognize and report suspected system issues or concerns to immediate supervisor for follow-up based on data analysis.


Employee Benefits:


Trillium knows that work/life balance is essential. That’s why we offer:


  • Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
  • Work-from-home options available for most positions
  • Health Insurance with no premium for employee coverage
  • Flexible Spending Accounts
  • 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
  • NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
  • 401k with 5% employer match and immediate vesting
  • Public Service Loan Forgiveness (PSLF) qualifying employer
  • Quarterly stipend for remote work supplies


Qualifications


Required:

  • High School Diploma/GED and two (2) years of experience in claims processing, billing, or medical coding; OR
  • Equivalent combination of education/experience.
  • Must have a valid driver’s license
  • Must reside within North Carolina
  • Must be able to travel within catchment as required.


Preferred:

  • Associate’s degree in Healthcare Administration, Business, or a Human Services field (such as Psychology, Social Work, etc.)
  •  Hospital claims experience and knowledge
  •  Experience in the areas of physical health claims processing or medical coding 
  •  Experience working with Managed Care billing software
  • Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Medical Reimbursement Specialist (CMRS) or similar certification preferred. 


Deadline for Application: October 12, 2026 at 11:59pm


How to Apply


To be considered, submit your application and resume through our ADP Career Center. Your resume must include:


  • Employer name, dates of service (month/year), average hours worked per week, and essential job duties
  • Education details (degree type, date awarded, institution, field of study)
  • Licensure/certification information, if applicable


After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.


Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.


Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.


#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth