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Senior Insurance Specialist Jobs (NOW HIRING)

Senior Insurance Specialist Key Role Responsibilities - Core * Serves as a primary resource for general construction project insurance questions across JE Dunn, providing guidance to regional offices ...

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The Senior Insurance Specialist will manage and advise on various insurance policies, ensure compliance with industry regulations, and provide expert knowledge to clients on risk management and ...

We are seeking experienced Insurance Specialists with deep expertise in underwriting, claims ... → Senior Underwriter → Underwriting Manager or similar leadership progression). * Ability to ...

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Senior Insurance Specialist information

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$34K

$66.6K

$108.5K

How much do senior insurance specialist jobs pay per year?

As of Sep 2, 2026, the average yearly pay for senior insurance specialist in the United States is $66,567.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,500.00 and $77,000.00 per year, depending on experience, location, and employer.

What is a senior insurance specialist?

Senior Insurance Specialists are experienced professionals who manage complex insurance policies, claims, and risk assessments for clients or organizations. They often provide expert advice on policy coverage, regulatory compliance, and claims resolution. Their responsibilities may include evaluating insurance needs, negotiating terms with providers, and ensuring clients have suitable protection. Senior Insurance Specialists typically have several years of industry experience and possess in-depth knowledge of insurance products and regulations.

What are the key skills and qualifications needed to thrive as a senior insurance specialist?

To thrive as a Senior Insurance Specialist, you need a deep understanding of insurance products, risk assessment, and regulatory compliance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management systems, insurance underwriting software, and certifications like CPCU or ARM are commonly required. Strong analytical thinking, attention to detail, and excellent client communication skills set top performers apart in this role. These skills and qualities are crucial for accurately evaluating risk, ensuring compliance, and delivering exceptional service to clients and stakeholders.

What are some typical challenges senior insurance specialists face when managing complex client portfolios?

Senior Insurance Specialists often encounter challenges such as balancing a diverse range of client needs, staying updated with evolving regulations, and handling complex claims or policy renewals. Effectively managing time and prioritizing tasks is essential, especially when dealing with multiple clients or intricate insurance products. Additionally, clear communication with underwriters, clients, and team members is crucial to ensure seamless service and minimize errors.

What is the difference between Senior Insurance Specialist vs Insurance Underwriter?

AspectSenior Insurance SpecialistInsurance Underwriter
CredentialsInsurance licenses, industry certificationsInsurance licenses, industry certifications
Work EnvironmentCustomer service, claims processing, policy managementRisk assessment, policy evaluation, pricing
Employer & Industry UsageInsurance companies, brokers, agenciesInsurance companies, underwriting firms
Common Search/ComparisonCustomer support, claims, policy detailsRisk analysis, policy approval, pricing decisions

While both roles require insurance licenses and industry knowledge, Senior Insurance Specialists focus on customer service, claims, and policy management, whereas Insurance Underwriters primarily evaluate risks and determine policy terms. Understanding these differences helps job seekers and employers identify the right skills and responsibilities for each position.

More about Senior Insurance Specialist jobs

What cities are hiring for Senior Insurance Specialist jobs?

Cities with the most Senior Insurance Specialist job openings:

What states have the most Senior Insurance Specialist jobs?

States with the most job openings for Senior Insurance Specialist jobs include:

Infographic showing various Senior Insurance Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $66,567 per year, or $32 per hour.

Sr Insurance Specialist - Commercial/Blue Cross

Valley Health Systems

Holyoke, MA • On-site

Full-time

Re-posted 18 days ago


Job description

Disclaimer for Job Postings

Note: The compensation range noted above represents the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range.

Holyoke Medical Center is looking for a Sr Insurance Specialist.  This position manages complex medical claims, acting as a subject matter expert to investigate, adjudicate negotiate settlements, ensure compliance and mentor junior staff, focusing on accurate and timely and cost-effective claims resolution while maintaining strong communication with providers, payers and internal teams. Works all claims as assigned/directed.

DUTIES AND RESPONSIBILITIES:

Serve as subject matter expert, providing guidance on policy, regulations and complex claims scenarios.
Conduct in-depth analysis, research discrepancies, prevent fraud and develop plans for claims resolution.
Handles escalated inquires, build relationships with providers/payers and communicate claims status.
Assist in training, coaching and provide senior support to less experienced team members.
Review and process complex hospital claims and determine coverage based on policy, medical necessity and contracts.
Able to work all aspects of Commercial Managed Care, Medicare Advantage, and Medicaid Advantage Care accounts sliding between Financial Classes as needed for Billing, Follow-up, Denials Management, Credit Balance and Account resolution.

Required Skills
Must show honesty, integrity, strong ethics, data entry skills and time management skills
Insurance follow up experience especially Blue Cross and all Commercial Lines
Strong understanding of Medetech and finThrive billing programs
Strong Verbal and written skills for preparing and presenting appeals, negotiating settlements and presenting reports to Senior Management.
Proactive approach to resolving discrepancies between insurance policy terms and provider charges
Ability to analyze complex data, identify issues and solve problems
Proven background in handling complex institutional or healthcare related claims
Proficiency with claims software and MS Office (especially Excel).
Strong time management, organization skills and ability to work independently or in a team
Good plus knowledge of ICS/HCPCS/CPT Coding and medical terminology
Knowledge of commercial, state and federal healthcare regulations
Excellent Math Skills and knowledge of general accounting principals
Ability to logically and accurately organize data
Excellent problem solving skills
Strong attention to detail
 

QUALIFICATIONS/JOB REQUISITES:

Education: High School Diploma or GED is required, an Associate or Bachelor’s degree in Health Administration or related Study preferred
Experience: Eight plus (8+) years in the health insurance, hospital business office or claims processing/management.