Claims Assessor Jobs
Claims Assessor jobs are open across insurance carriers, third-party administrators, healthcare networks, and government agencies, from entry-level and junior roles to senior and team-lead positions, with specializations in property, liability, workers' compensation, and medical claims. See the openings below and apply to the ones that match your experience.
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Showing 5 of 176+ Claims Assessor jobs
Job Summary
Provides support for the completion of the Community Health Assessment (CHA) - formerly the UAS (Uniform Assessment System), initial assessments and reassessments based on New York state requirements, guidelines, and training provided by the company and/or outside resources. Completes enrollment paperwork materials required to appropriately process member applications for enrollment and CHA tasking tool in alignment with guidelines and training provided by the company and/or outside resources. Facilitates correction and revision of CHA paperwork and tasking tool documentation based on review and feedback provided through quality/review process.
This position is member facing and requires visits to members at their home or facility.
Job Duties
- Completes approved New York State initial assessment tool and/or clinical reassessment used to define eligibility for community-based long-term care services for members.
- Completes enrollment paperwork, progress notes and tasking tool in member homes to assist in determining eligibility for services; reviews all data collected for accuracy and completion prior to submission.
- Charts all contacts and findings within appropriate tool and form per policy and procedure and within established deadlines.
- Attends training and continuing education sessions focused on the proper completion of Comprehensive Health Assessment (CHA) documentation, enrollment paperwork, and tasking tool.
- Focuses on continuous improvement and quality excellence in the completion of all materials associated with the initial enrollment/continued enrollment of members in the plan.
- Supports initiatives of the quality assessment and performance improvement committee.
- Performs daily local travel in the assigned local territories (based upon state/contractual requirements).
Job Qualifications
Required Qualification:
- At least two years of clinical experience in managed care - including case management and home visit experience, or equivalent combination of relevant education and experience.
- Registered Nurse (RN). License must be active and unrestricted in state of practice.
- Must reside in the state of New York or neighboring states (NJ, CT, parts of PA). Must have a NY state government ID.
- Trained and knowledgeable in the New York Uniform Assessment System (UAS).
- Must be able to travel to multiple boroughs via car or commuting public transportation.
- Understands and applies principles of care management and person-centered planning.
- Solid assessment skills.
- Understands and applies coverage guidelines and benefit limitations.
- Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses.
- Understands and adapts appropriately to issues related to member communication, cognitive or other barriers.
- Organizational skills, and ability to prioritize and follow through on multiple projects in a timely manner.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualification:
- Certified Case Manager (CCM) or Chronic Care Professional (CCP).
- Home care or long-term care experience.
- Community support service experience accessing and using durable medical equipment (DME).
- Experience in utilization review, concurrent review and/or risk management.
- Bilingual or multi-lingual.
- Ability to commute as needed to meet with members in person at their home or facility.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $24 - $56.17 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Summary
Provides support for the completion of the Community Health Assessment (CHA) - formerly the UAS (Uniform Assessment System), initial assessments and reassessments based on New York state requirements, guidelines, and training provided by the company and/or outside resources. Completes enrollment paperwork materials required to appropriately process member applications for enrollment and CHA tasking tool in alignment with guidelines and training provided by the company and/or outside resources. Facilitates correction and revision of CHA paperwork and tasking tool documentation based on review and feedback provided through quality/review process.
This position is member facing and requires visits to members at their home or facility.
Job Duties
- Completes approved New York State initial assessment tool and/or clinical reassessment used to define eligibility for community-based long-term care services for members.
- Completes enrollment paperwork, progress notes and tasking tool in member homes to assist in determining eligibility for services; reviews all data collected for accuracy and completion prior to submission.
- Charts all contacts and findings within appropriate tool and form per policy and procedure and within established deadlines.
- Attends training and continuing education sessions focused on the proper completion of Comprehensive Health Assessment (CHA) documentation, enrollment paperwork, and tasking tool.
- Focuses on continuous improvement and quality excellence in the completion of all materials associated with the initial enrollment/continued enrollment of members in the plan.
- Supports initiatives of the quality assessment and performance improvement committee.
- Performs daily local travel in the assigned local territories (based upon state/contractual requirements).
Job Qualifications
Required Qualification:
- At least two years of clinical experience in managed care - including case management and home visit experience, or equivalent combination of relevant education and experience.
- Registered Nurse (RN). License must be active and unrestricted in state of practice.
- Must reside in the state of New York or neighboring states (NJ, CT, parts of PA). Must have a NY state government ID.
- Trained and knowledgeable in the New York Uniform Assessment System (UAS).
- Must be able to travel to multiple boroughs via car or commuting public transportation.
- Understands and applies principles of care management and person-centered planning.
- Solid assessment skills.
- Understands and applies coverage guidelines and benefit limitations.
- Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses.
- Understands and adapts appropriately to issues related to member communication, cognitive or other barriers.
- Organizational skills, and ability to prioritize and follow through on multiple projects in a timely manner.
- Effective verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualification:
- Certified Case Manager (CCM) or Chronic Care Professional (CCP).
- Home care or long-term care experience.
- Community support service experience accessing and using durable medical equipment (DME).
- Experience in utilization review, concurrent review and/or risk management.
- Bilingual or multi-lingual.
- Ability to commute as needed to meet with members in person at their home or facility.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $24 - $56.17 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Claims Assessor Jobs by Experience Level
See All 176+ Claims Assessor Jobs
Find roles that match your experience and apply in just a few clicks.
Find Claims Assessor JobsClaims Assessor Job Market
Who's Hiring
- Maximus20
- Optum18
- Partner Engineering and Science10
- Bureau Veritas8
- The Helper Bees7
Top Industries Hiring
- Consulting & Professional Services19
- Technology & Software11
- Insurance7
- Medical Devices4
- Construction & Real Estate4
What Employers Look For
The qualifications that appear most often in claims assessor jobs.
- Two or more years of experience handling property, casualty, liability, or workers' compensation claims
- Strong knowledge of policy language, coverage interpretation, and claims investigation procedures
- Associate in Claims (AIC) or equivalent claims certification preferred or required
- Proficiency with claims management software and electronic documentation systems
- Bachelor's degree in business, finance, risk management, or a related field
- Excellent written communication skills for drafting denial letters, settlement summaries, and coverage opinions
Tips for Your Claims Assessor Job Search
Tailor your resume to claim types
Employers scan for the specific lines of business you've handled. List your claim types explicitly, whether property, liability, workers' compensation, or medical, so your resume surfaces in filtered searches and passes automated screening without ambiguity.
Highlight your adjudication authority limits
Many postings specify a dollar threshold for independent settlement authority. If you've had any, name it. Hiring managers use this detail to gauge how much supervision you'll need and whether your experience level matches the open role.
Earn a claims certification before applying
Credentials like the Associate in Claims or Chartered Property Casualty Underwriter designation directly address the requirements in mid-level and senior postings. Candidates with recognized certifications move faster through screening, especially at national carriers and self-insured employers.
Apply early to roles that fit
Migrate Mate lists claims assessor openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare scenario answers for coverage disputes
Interviewers for claims assessor roles frequently ask how you've handled a claimant who disagreed with your determination. Prepare two or three specific examples that walk through your reasoning, your documentation, and the outcome, without disclosing protected information.
Negotiate using total case load data
When discussing compensation at offer stage, reference the volume and complexity of claims you've closed, not just tenure. Employers in high-volume operations value throughput and accuracy together, so presenting both strengthens your position more than years alone.
Claims Assessor Jobs: Frequently Asked Questions
Which companies are hiring the most claims assessors?
The companies hiring the most claims assessors right now include Maximus, Optum, and Partner Engineering and Science, with the largest share of openings in California, New York, and Massachusetts, based on current listings on Migrate Mate as of November 2026. Demand is especially concentrated at national carriers, regional insurers, and large third-party administrators managing self-insured accounts.
How many claims assessor jobs are remote?
About 69% of claims assessor openings are fully remote or hybrid as of November 2026, reflecting a broader shift toward distributed claims teams since carriers invested in cloud-based management platforms. Medical claims review, liability file handling, and workers' compensation case management roles tend to offer the most remote flexibility, while field inspection roles remain largely on-site.
How do you become a claims assessor?
Start by earning a bachelor's degree in business, finance, risk management, or a related field, then apply for entry-level claims representative or trainee roles at an insurer or third-party administrator. Build hands-on experience across at least one line of business, pursue a recognized claims certification such as the Associate in Claims, and develop expertise in coverage interpretation and settlement negotiation to qualify for assessor-level positions.
Can you get hired as a claims assessor with little experience?
Yes, many carriers and administrators hire candidates with no direct claims experience through structured trainee programs, particularly for high-volume lines like auto and medical. A relevant internship, customer-facing background in insurance, paralegal work, or experience in a clinical or billing role can substitute for field experience. Demonstrating strong analytical writing, attention to policy detail, and comfort with documentation systems accelerates entry into the role.
What does the claims assessor interview process look like?
Most employers run a phone screen followed by one or two rounds of interviews. Expect behavioral questions about how you've handled disputed claims, tight deadlines, or difficult claimants, alongside scenario-based questions where you walk through a hypothetical coverage decision. Some employers add a written exercise asking you to draft a coverage opinion or denial letter, and larger organizations may include a panel interview with a supervisor and a team lead.
Where can I find and apply to claims assessor jobs?
You can find and apply to claims assessor jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your experience level and specialization, then apply directly to each one that fits.
See All 176+ Claims Assessor Jobs
Find roles that match your experience and apply in just a few clicks.
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