1

Direct Claims Jobs in Washington (NOW HIRING)

Head of Claims The Senior Manager, Claims & Risk Management leads HITT's enterprise claims function ... Direct resolution strategy for complex, catastrophic, and reputationally-sensitive matters.

Head of Claims The Senior Manager, Claims & Risk Management leads HITT's enterprise claims function ... Direct resolution strategy for complex, catastrophic, and reputationally-sensitive matters. Provide ...

Manage litigation cases including controlling/directing outside attorneys, assisting in discovery/trial preparation and strategy. * Evaluate claims for potential third party or subrogation recovery.

Claims Adjuster II

Bethesda, MD ยท On-site

$63K - $92K/yr

Manage litigation cases including controlling/directing outside attorneys, assisting in discovery/trial preparation and strategy. * Evaluate claims for potential third party or subrogation recovery.

Manage litigation cases including controlling/directing outside attorneys, assisting in discovery/trial preparation and strategy. * Evaluate claims for potential third party or subrogation recovery.

Liability Claims Specialist

Rockville, MD ยท Hybrid

$52K - $85K/yr

The Liability Claims Specialist manages non-complex and non-problematic Liability claims under direct supervision of a senior claims professional. This role aims to achieve optimal outcomes for both ...

Liability Claims Specialist

Rockville, MD ยท On-site

$52K - $85K/yr

The Liability Claims Specialist manages non-complex and non-problematic Liability claims under direct supervision of a senior claims professional. This role aims to achieve optimal outcomes for both ...

Manages an inventory of highly complex commercial claims with large exposures that require a high ... Reporting Relationship Typically Director or above Skills, Knowledge & Abilities * Thorough ...

next page

Showing results 1-20

Direct Claims information

What is a direct claim?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are the key skills and qualifications needed to thrive as a direct claims specialist?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What are some common challenges faced by professionals in direct claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What cities in Washington are hiring for Direct Claims jobs?

Cities in Washington with the most Direct Claims job openings:

Infographic showing various Direct Claims job openings in Washington as of July 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Liability Claims Specialist

CorVel Enterprise Claims, Inc.

Rockville, MD โ€ข Hybrid

$52K - $85K/yr

Full-time

Posted 9 days ago


Job description

The Liability Claims Specialist manages non-complex and non-problematic Liability claims under direct supervision of a senior claims professional. This role aims to achieve optimal outcomes for both CorVel and our clients. The Liability Claims Specialist handles litigated files and works with delegated limited authority, adhering to company best practices.

This is a hybrid role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Manages non-complex and non-problematic medical only claims and minor lost-time liability claims under close supervision
  • Receives claims, confirms policy coverage and acknowledgment of the claim
  • Determines validity and compensability of the claim
  • Establishes reserves and authorizes payments within reserving authority limits
  • Communicates claim status with the customer, claimant, and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Collaborates with team members on more complex or problematic claims as necessary
  • Additional duties as assigned

    KNOWLEDGE & SKILLS:

    • Excellent written and verbal communication skills
    • Ability to learn rapidly to develop knowledge and understanding of claims practice
    • Ability to identify, analyze and solve problems
    • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
    • Strong interpersonal, time management, and organizational skills
    • Ability to meet or exceed performance expectations
    • Ability to work both independently and within a team environment

    EDUCATION & EXPERIENCE:

    • Minimum of 1 year of industry experience and claims management preferred
    • Bachelor's degree or a combination of education and related experience
    • Current Adjuster’s License in state of operation is required
    • Multi-State license is preferred

    PAY RANGE:

    CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

    For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

    Pay Range: $52,999 - $85,473

    A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

    In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

    ABOUT CORVEL:

    CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

    A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

    CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

    #LI-Hybrid