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Senior Insurance Specialist Jobs (NOW HIRING)

Renown Health

Sr Insurance and Claims Specialist

Reno, NV · On-site

$22.16 - $31.03/hr

Position Purpose The Senior Insurance and Claims Specialist is responsible for compliant billing, account follow up and system operations to ensure timely and accurate claim submission and prevention ...

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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 Jul 26, 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 are Senior Insurance Specialists?

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 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.

What are the key skills and qualifications needed to thrive as a Senior Insurance Specialist, and why are they important?

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.
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:
What job categories do people searching Senior Insurance Specialist jobs look for? The top searched job categories for Senior Insurance Specialist jobs are:
Senior Insurance Specialist jobs near you
Infographic showing various Senior Insurance Specialist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 70% Full Time, 23% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $66,567 per year, or $32 per hour.

Sr Insurance Specialist - Commercial/Blue Cross

Holyoke Hospital

Holyoke, MA • On-site

Other

Posted 8 days ago

Job description

Sr Insurance Specialist

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 inquiries, 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.

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