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Social Insurance Specialist Jobs (NOW HIRING)

Edinburg CISD

Insurance Specialist

Edinburg, TX · On-site

$19.59 - $29.39/hr

The Insurance Specialist is responsible in explaining and enrolling employees in group health, life ... Knowledge of Social Security and IRS regulations as it pertains to the payroll process. Knowledge ...

MaineGeneral Health

Specialist Social Work

Augusta, ME · On-site

... educational, social, and advocacy services. Researches, develops, and delivers educational ... Three insurance plans are available to protect your family from the sudden loss of income in the ...

MaineGeneral Health

Specialist Social Work

Augusta, ME · On-site

... educational, social, and advocacy services. Researches, develops, and delivers educational ... Three insurance plans are available to protect your family from the sudden loss of income in the ...

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Social Insurance Specialist information

See salary details

$31K

$39.8K

$69K

How much do social insurance specialist jobs pay per year?

As of Aug 4, 2026, the average yearly pay for social insurance specialist in the United States is $39,797.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $38,000.00 per year, depending on experience, location, and employer.

What are some common challenges social insurance specialists face when navigating complex claims or cases?

Social Insurance Specialists often encounter complex claims that require thorough investigation and detailed documentation. They must interpret policies and regulations accurately, which can be challenging when dealing with ambiguous or evolving guidelines. Additionally, specialists frequently communicate with claimants, employers, and other agencies to gather complete information, requiring strong interpersonal and organizational skills. The ability to manage high caseloads while maintaining accuracy and empathy is essential for success in this role.

What is the difference between Social Insurance Specialist vs Claims Examiner?

AspectSocial Insurance SpecialistClaims Examiner
Required CredentialsTypically requires a bachelor’s degree in social work, public administration, or related fields; certifications may include social insurance or public benefits credentials.Usually requires a high school diploma or equivalent; some roles prefer post-secondary education or certifications in insurance or claims processing.
Work EnvironmentGovernment agencies, social service organizations, or insurance companies; often office-based with some fieldwork.Insurance companies, government agencies, or third-party claims processing centers; primarily office-based.
Employer & Industry UsagePrimarily employed by government social services, public insurance programs, and health agencies.Employed by insurance carriers, third-party administrators, and government agencies handling claims.

While both roles involve working with insurance and benefits, a Social Insurance Specialist focuses on administering social insurance programs and assisting beneficiaries, whereas a Claims Examiner reviews and processes insurance claims to determine validity and payout. The roles share similar credentials and work environments but differ in their specific responsibilities within the insurance industry.

What is a social insurance specialist?

Social Insurance Specialists are professionals who work for government agencies, such as the Social Security Administration, to help the public understand and access social insurance programs like Social Security, Medicare, and disability benefits. They review applications, determine eligibility, process claims, and provide information to individuals about their benefits. Additionally, Social Insurance Specialists interpret policies and regulations to ensure correct application of the law. Their role is crucial in ensuring that eligible individuals receive the benefits they are entitled to, and they often interact directly with the public through interviews and correspondence.

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

To thrive as a Social Insurance Specialist, you need a solid understanding of social insurance programs, strong analytical abilities, and typically a bachelor’s degree in a relevant field. Familiarity with case management software, government databases, and regulatory systems is common, and knowledge of federal and state laws is crucial. Excellent communication, problem-solving, and attention to detail help build trust with clients and ensure accurate processing of claims. These skills are vital for providing effective service, ensuring compliance, and maintaining the integrity of social insurance programs.
What cities are hiring for Social Insurance Specialist jobs? Cities with the most Social Insurance Specialist job openings:
What are popular job titles related to Social Insurance Specialist jobs? For Social Insurance Specialist jobs, the most frequently searched job titles are:
Social Insurance Specialist jobs near you
Infographic showing various Social 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 $39,797 per year, or $19.1 per hour.

Social Insurance Specialist (Claims Specialist) ICTAP TEMPORARY

Careers | Office of the Inspector General

Albuquerque, NM • On-site

$75K/yr

Other

Medical, Retirement

Posted 7 days ago

Job description

Interagency Career Transition Assistance Program (ICTAP) eligibles only in the commuting area of the selected duty location.
LOCATION: This position is located in the 500 Lead Avenue SW, Suite 100, Albuquerque, NM 87102.
TOUR OF DUTY: Multiple work schedules (up to 40 hours) | Alternate work schedules may be available.
TYPE OF POSITION: Temporary, not to exceed (NTE) 1 year; may be extended. This position will not become permanent.Qualifications:Applicants must have 52 weeks of specialized experience at the GS-9 level or equivalent, which is in or related to the work of the position to be filled and has equipped applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. Examples of specialized experience include developing, examining, investigating or authorizing of claims under a program for SSA benefits, health insurance, pension plan, income maintenance or related programs.
The following time-in-grade requirement must be met by the closing date of this announcement.
Applicants must have 52 weeks at the GS-9 or higher.
SELECTIVE PLACEMENT FACTOR:
COMPETENCY ASSESSMENT INTERVIEW PROCESS (CAIP) INTERVIEW - Applicants will be required to participate in a panel interview (after basic eligibility determination) to demonstrate an aptitude for meeting and dealing with the public. Applicants must pass this interview process in order to be found fully qualified for this position and receive further consideration for selection. This interview will cover typical situations, which might be encountered on the job, in person or over the telephone. Applicants must demonstrate qualities such as clarity of speech, ability to listen, ability to establish confidence and put others at ease and the ability to organize and express thoughts clearly. If you do not pass the CAIP interview, you will not qualify for the job. Panel interviews may be conducted via video conferencing software, if technically feasible.
NOTE: Previous Meet and Deal results are not valid for this vacancy announcement; you will be required to complete the CAIP assessment.Education:PROOF OF EDUCATION: If you are qualifying on the basis of education or satisfying an educational requirement, submit a copy of your transcripts that includes your name, the name of the educational institution, course title(s), number of credits, grade, and date of completion. Unofficial transcripts or screenshots of electronic/web transcripts with the required information will be accepted at the time of application. You must submit your transcripts according to the application submission details of this announcement. Documents will not be accepted via email or regular mail. If selected, you may be required to provide your official college transcripts prior to the effective date of the personnel action placing you into the new position.
GS-11: Ph.D. or equivalent doctoral degree, or successful completion of three full years of progressively higher level graduate education leading to a Ph.D. or equivalent degree, or LL.M.
Combining Education and Experience:
GS-11: Experience and graduate level education beyond the second year may be combined to meet the minimum qualification requirement.
Note: One year of full-time graduate education is considered to be the number of credit hours that the school you attended has determined to represent one year of study. If this information is not provided, we will consider 18 semester/27 quarter hours to be equal to one year of full-time graduate study.
Experience and education will be computed as percentages of the overall requirements and must equal to 100 percent when combined.Employment Type: OTHER

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