Claims Resolution Specialist Jobs
Claims Resolution Specialist jobs are open across insurance, healthcare, financial services, and third-party administrators, at levels from entry-level associate to senior specialist and team lead, with specializations in medical billing disputes, property and casualty claims, and denial management. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 17+ Claims Resolution Specialist jobs
The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process.
Encova Insurance has an immediate opening for a Senior Property Resolution Specialist (Field Adjuster). This role will be home-based but you must reside in Northeast Ohio for travel throughout the territory.
This role will report to a Manager, Property Claims.
Are you a Referral?
If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team.
Unique residence requirements are listed in each job posting, please review closely for details.
Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes:
Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.
JOB OBJECTIVE:
Investigate, evaluate, estimate and process property claims primarily requiring in-person contact and on-site inspections.
ESSENTIAL FUNCTIONS:
-
Primarily responsible for handling:
- Personal and commercial property losses including structure, contents, ALE, scheduled property and business income losses requiring an on-site investigation
- Property coverage questions; and
- Property limited handled lawsuits including attending pre-trials, mediations, arbitrations or trial when required.
- Inspect and write moderate to large property estimates using estimating guides and estimating software.
- Assist in risk evaluation on homeowners and commercial businesses including verifying insurance to value, coinsurance penalties and documenting any change or increased hazard to the risk.
- Assist inside property specialists with tasks assigned, such as, diagrams and photographs, statements in person or inspections of property.
- Comply with claims organization’s policies and procedures for contact and communication, verification of coverages, determination of liability, investigation of losses, determination of claims values, completion of forms, and reports and negotiation and settlement of claims.
- Must be capable of investigating and closing a minimum average of 30 elements per month.
- Assist in catastrophe claims handling throughout the company operating territory, requiring overnight travel or extended stays upon request.
- Serve as a member of claims and other company integrated teams as assigned.
OTHER FUNCTIONS:
- Climb roofs and perform other field based inspections.
- Obtain and maintain all applicable adjusters licensing.
- Maintain open lines of communication with agents, sales representatives, marketing and underwriting personnel.
- Perform other duties as assigned.
KNOWLEDGE. SKILLS AND EXPERIENCE:
- This position requires experience as an Encova Insurance Property Resolution Specialist or its equivalent in the industry.
- The internal candidate must have achieved an overall performance rating of at least “Meets Expectations” in the last two annual performance reviews.
- The candidate must actively demonstrate the skills and abilities listed in the Property Resolution Specialist job description and must demonstrate good judgment in making decisions, good communication skills, and excellent people skills including positive, professional working relationships with associates, peers, agents, sales representatives, underwriters, marketing personnel and the public, good negotiation skills, and satisfactory setup and monitoring of all claims.
- The candidate must have a thorough knowledge of claims settlement techniques, Encova’s personal and commercial policy products, current legal decisions affecting claims handling, regional office and company procedures, policies and practices.
- A college degree or equivalent in insurance or business is required.
- Continuing insurance education is desired and may be obtained through IIA and/or CPCU or other accredited insurance education provider.
This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons.
Ready to join our team?
At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating, and financially rewarding opportunities. Join us to discover a work experience where you can learn and grow to your fullest potential.
What you can expect from us
In addition to a competitive compensation package, we offer a comprehensive benefits package designed to support the well-being and growth of our associates. Available benefits (subject to any policy or plan changes) include, but are not limited to:
Health, Dental & Vision Insurance
Company-provided life and income protection plans
Eligibility to participate in a company incentive bonus program
401(k) Retirement Plan - 100% company match up to 7% on annual salary
Paid Time Off, Paid Holidays, and Floating Holidays
Flexible Work Arrangements - Hybrid and remote depending on the role
We believe that happy, healthy associates are the foundation of great work. Join us and thrive both professionally and personally.
Encova Insurance is an EOE/E-Verify employer.
#LI-Remote#LI-LP1The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process.
Encova Insurance has an immediate opening for a Senior Property Resolution Specialist (Field Adjuster). This role will be home-based but you must reside in Northeast Ohio for travel throughout the territory.
This role will report to a Manager, Property Claims.
Are you a Referral?
If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team.
Unique residence requirements are listed in each job posting, please review closely for details.
Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes:
Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.
JOB OBJECTIVE:
Investigate, evaluate, estimate and process property claims primarily requiring in-person contact and on-site inspections.
ESSENTIAL FUNCTIONS:
-
Primarily responsible for handling:
- Personal and commercial property losses including structure, contents, ALE, scheduled property and business income losses requiring an on-site investigation
- Property coverage questions; and
- Property limited handled lawsuits including attending pre-trials, mediations, arbitrations or trial when required.
- Inspect and write moderate to large property estimates using estimating guides and estimating software.
- Assist in risk evaluation on homeowners and commercial businesses including verifying insurance to value, coinsurance penalties and documenting any change or increased hazard to the risk.
- Assist inside property specialists with tasks assigned, such as, diagrams and photographs, statements in person or inspections of property.
- Comply with claims organization’s policies and procedures for contact and communication, verification of coverages, determination of liability, investigation of losses, determination of claims values, completion of forms, and reports and negotiation and settlement of claims.
- Must be capable of investigating and closing a minimum average of 30 elements per month.
- Assist in catastrophe claims handling throughout the company operating territory, requiring overnight travel or extended stays upon request.
- Serve as a member of claims and other company integrated teams as assigned.
OTHER FUNCTIONS:
- Climb roofs and perform other field based inspections.
- Obtain and maintain all applicable adjusters licensing.
- Maintain open lines of communication with agents, sales representatives, marketing and underwriting personnel.
- Perform other duties as assigned.
KNOWLEDGE. SKILLS AND EXPERIENCE:
- This position requires experience as an Encova Insurance Property Resolution Specialist or its equivalent in the industry.
- The internal candidate must have achieved an overall performance rating of at least “Meets Expectations” in the last two annual performance reviews.
- The candidate must actively demonstrate the skills and abilities listed in the Property Resolution Specialist job description and must demonstrate good judgment in making decisions, good communication skills, and excellent people skills including positive, professional working relationships with associates, peers, agents, sales representatives, underwriters, marketing personnel and the public, good negotiation skills, and satisfactory setup and monitoring of all claims.
- The candidate must have a thorough knowledge of claims settlement techniques, Encova’s personal and commercial policy products, current legal decisions affecting claims handling, regional office and company procedures, policies and practices.
- A college degree or equivalent in insurance or business is required.
- Continuing insurance education is desired and may be obtained through IIA and/or CPCU or other accredited insurance education provider.
This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons.
Ready to join our team?
At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating, and financially rewarding opportunities. Join us to discover a work experience where you can learn and grow to your fullest potential.
What you can expect from us
In addition to a competitive compensation package, we offer a comprehensive benefits package designed to support the well-being and growth of our associates. Available benefits (subject to any policy or plan changes) include, but are not limited to:
Health, Dental & Vision Insurance
Company-provided life and income protection plans
Eligibility to participate in a company incentive bonus program
401(k) Retirement Plan - 100% company match up to 7% on annual salary
Paid Time Off, Paid Holidays, and Floating Holidays
Flexible Work Arrangements - Hybrid and remote depending on the role
We believe that happy, healthy associates are the foundation of great work. Join us and thrive both professionally and personally.
Encova Insurance is an EOE/E-Verify employer.
#LI-Remote#LI-LP1Claims Resolution Specialist Jobs by Experience Level
See All 17 Claims Resolution Specialist Jobs
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Find JobsClaims Resolution Specialist Job Market
Who's Hiring
Top Industries Hiring
- Insurance
What Employers Look For
The qualifications that appear most often in claims resolution specialist jobs.
- Two or more years of experience in claims processing, adjusting, or dispute resolution
- Proficiency with claims management software such as Xactimate, Facets, or TriZetto
- Knowledge of insurance policy language, coverage terms, and claims regulations
- Strong written and verbal communication skills for claimant and provider correspondence
- Associate or bachelor's degree in business, health administration, or a related field
- Adjuster license or relevant certification preferred in property and casualty or medical billing roles
Tips for Your Claims Resolution Specialist Job Search
Quantify your resolution outcomes on your resume
Hiring managers want to see what you actually resolved, not just that you handled claims. Include the volume of cases you worked, average turnaround times you met, and any denial overturn rates you improved. Generic duties-based bullets get filtered out fast.
Highlight your claims management software fluency
Many job postings screen for specific platforms like Xactimate, Facets, or TriZetto before a human even reads your resume. Name the systems you've used in a dedicated skills section so applicant tracking systems flag your application as a match.
Apply early to roles that fit
Migrate Mate lists claims resolution specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by claims type, not just title
Search for your specific specialty, whether that's workers' compensation, liability, medical billing, or property claims. Employers often prioritize candidates whose experience matches their claims category, so generic applications to mismatched roles rarely move forward.
Prepare for scenario-based interview questions
Interviewers in this field will walk you through a disputed claim scenario and ask how you'd resolve it. Practice explaining your investigation process, how you document decisions, and how you communicate outcomes to claimants and adjusters in clear, defensible terms.
Negotiate using your resolution efficiency data
When it comes time to discuss compensation, cite your measurable impact, like average case closure time or reversal rates, rather than years of experience alone. Employers in claims value demonstrated efficiency, and concrete performance data gives you a stronger basis than tenure.
Claims Resolution Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most claims resolution specialists?
The companies hiring the most claims resolution specialists right now include Caloptima, Liberty Mutual Insurance, and Amerisure, with the largest share of openings in Florida, Texas, and California, based on current listings on Migrate Mate as of September 2026. Insurance carriers, third-party administrators, and large health systems tend to post the most volume consistently.
How many claims resolution specialist jobs are remote?
About 73% of claims resolution specialist openings are fully remote or hybrid as of September 2026, with the highest remote share in medical billing dispute and denial management roles. Property and casualty adjuster positions are more likely to require on-site or field work, especially when physical inspections are part of the job.
How do you become a claims resolution specialist?
Start by building foundational knowledge in insurance, medical billing, or financial services through coursework or an entry-level claims assistant role. Get familiar with claims management software used in your target industry. Pursue relevant certifications such as a state adjuster license or a medical billing credential. Move into resolution-focused roles as you develop experience handling disputes and denials directly.
Can you get hired as a claims resolution specialist with little experience?
Yes, many employers hire candidates with limited direct experience if you can demonstrate transferable skills. Customer service roles that involved dispute resolution, billing, or account corrections are viewed favorably. Employers in healthcare billing are especially open to candidates from medical front-office or coding backgrounds. Emphasize attention to detail, written communication, and any exposure to policy documents or insurance terminology.
What does the claims resolution specialist interview process look like?
Most interviews include an initial phone screen focused on your background in claims or billing, followed by one or two rounds with a hiring manager or team lead. Expect scenario-based questions where you walk through how you'd investigate a disputed claim or communicate a denial decision. Some employers include a short written exercise to assess documentation clarity or policy interpretation.
Where can I find and apply to claims resolution specialist jobs?
You can find and apply to claims resolution specialist jobs on Migrate Mate, which lists current openings from across the United States. Search for roles that match your claims specialty and experience level, then apply directly to each listing that fits.
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