Claims Specialist Jobs
Claims Specialist jobs are open across insurance carriers, third-party administrators, healthcare networks, and government agencies, from entry-level examiner roles to senior and supervisory positions, with specializations in property and casualty, workers' compensation, and medical billing. Find a role that fits below and apply directly.
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Showing 5 of 531+ Claims Specialist jobs
- Make a difference every day in the lives of the underserved
- Join a mission driven organization with a people first culture
- Excellent career growth opportunities
Join us and find a career that supports:
- Caring for overlooked, underserved, and vulnerable patients
- Autonomy in a warm team environment
- Growth and training
Perks and Benefits
In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:
- DailyPay, receive your money as you earn it!
- Tuition Assistance and dependent Scholarships
- Employee Assistance Program (EAP) including free counseling and health coaching
- Company paid life insurance
- Tax free Health Spending Accounts (HSA)
- Wellness program featuring fitness memberships and product discounts
- Preferred banking partnership and discounted rates for home and auto loans
Why Us:
If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.
Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.
How you make a difference:
Key Responsibilities:
- Analyze, verify, and process medical claims to determine accurate payment or denial based on established rules and rates.
- Review claim data, coding, documentation, edits, and pended reports to ensure completeness and compliance.
- Resolve claim denials, rejections, and payment discrepancies through detailed analysis and follow-up.
- Communicate with internal teams, providers, payers, and Claims Leadership to address claim-related issues and barriers.
- Maintain productivity, quality, and turnaround standards while providing courteous and responsive customer service.
Qualifications & Requirements:
- High school diploma or GED required
- 3-5 years of medical claims processing experience required.
- Working knowledge of CPT/HCPCS and ICD-10 coding standards.
- Familiarity with CMS guidelines and regulations.
- Strong Customer service and communication skills.
- Proficiency in the Microsoft Office Suite (Outlook, Word, Excel).
- High level of attention to detail with strong organizational skills.
- High-volume claims environment.
- None required
This position is available only to those who reside in the United States.
We are an Equal Employment Opportunity Employer:
We value the contributions of team members with a broad range of experiences, skills, and perspectives and are committed to providing equal employment opportunity for all.
We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.
Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.
- Make a difference every day in the lives of the underserved
- Join a mission driven organization with a people first culture
- Excellent career growth opportunities
Join us and find a career that supports:
- Caring for overlooked, underserved, and vulnerable patients
- Autonomy in a warm team environment
- Growth and training
Perks and Benefits
In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:
- DailyPay, receive your money as you earn it!
- Tuition Assistance and dependent Scholarships
- Employee Assistance Program (EAP) including free counseling and health coaching
- Company paid life insurance
- Tax free Health Spending Accounts (HSA)
- Wellness program featuring fitness memberships and product discounts
- Preferred banking partnership and discounted rates for home and auto loans
Why Us:
If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.
Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.
How you make a difference:
Key Responsibilities:
- Analyze, verify, and process medical claims to determine accurate payment or denial based on established rules and rates.
- Review claim data, coding, documentation, edits, and pended reports to ensure completeness and compliance.
- Resolve claim denials, rejections, and payment discrepancies through detailed analysis and follow-up.
- Communicate with internal teams, providers, payers, and Claims Leadership to address claim-related issues and barriers.
- Maintain productivity, quality, and turnaround standards while providing courteous and responsive customer service.
Qualifications & Requirements:
- High school diploma or GED required
- 3-5 years of medical claims processing experience required.
- Working knowledge of CPT/HCPCS and ICD-10 coding standards.
- Familiarity with CMS guidelines and regulations.
- Strong Customer service and communication skills.
- Proficiency in the Microsoft Office Suite (Outlook, Word, Excel).
- High level of attention to detail with strong organizational skills.
- High-volume claims environment.
- None required
This position is available only to those who reside in the United States.
We are an Equal Employment Opportunity Employer:
We value the contributions of team members with a broad range of experiences, skills, and perspectives and are committed to providing equal employment opportunity for all.
We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.
Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.
Claims Specialist Jobs by Experience Level
See All 531+ Claims Specialist Jobs
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Find Claims Specialist JobsClaims Specialist Job Market
Who's Hiring
- CorVel Corporation30
- Liberty Mutual Insurance22
- First Chicago Insurance Company19
- Progressive18
- USAA14
Top Industries Hiring
- Insurance21
- Technology & Software6
- Healthcare & Medical Services2
- Automotive1
- Government & Public Sector1
What Employers Look For
The qualifications that appear most often in claims specialist jobs.
- Prior experience handling insurance claims in a specific line such as property, casualty, or workers' compensation
- Active state adjuster license or ability to obtain one within a defined period after hire
- Proficiency with claims management systems such as Guidewire, Xactimate, or similar platforms
- Strong written communication skills for drafting coverage determinations, reservation of rights letters, and denial notices
- Associate or bachelor's degree in business, finance, health administration, or a related field
- Professional designation such as AIC, CPCU, or AHM preferred for mid-level and senior roles
Tips for Your Claims Specialist Job Search
Tailor your resume to claim type
Claims specialist roles differ sharply by line of business. A resume built around auto liability won't land a workers' comp role. Rewrite your summary and bullet points to match the specific claim type in each posting, using the exact terminology the employer uses.
Highlight your adjuster license status
Many postings require a state adjuster license before day one. List every state you're licensed in near the top of your resume, including pending applications. If you're unlicensed, note your eligibility and any completed pre-licensing coursework so recruiters don't screen you out immediately.
Quantify investigation and closure results
Hiring managers want to see how efficiently you close files. Include metrics like average days to close, caseload size, or subrogation recovery amounts from prior roles. Concrete output numbers differentiate your resume from candidates who list only duties.
Apply early to roles that fit
Migrate Mate lists claims specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for scenario-based interview questions
Claims interviews almost always include a coverage dispute scenario or a difficult claimant roleplay. Practice walking through your investigation steps, coverage analysis, and denial rationale out loud before the interview so your reasoning sounds methodical and defensible under pressure.
Negotiate using role-specific leverage points
When negotiating, lead with your adjuster license coverage, caseload capacity, and any specialty certifications like AIC or CPCU. These are direct cost-savers for the employer and stronger leverage than years of experience alone.
Claims Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most claims specialists?
The companies hiring the most claims specialists right now include CorVel Corporation, Liberty Mutual Insurance, and First Chicago Insurance Company, with the largest share of openings in California, Texas, and Illinois, based on current listings on Migrate Mate as of September 2026. Carrier-direct roles and third-party administrator positions account for the bulk of active postings.
How many claims specialist jobs are remote?
About 84% of claims specialist openings are fully remote or hybrid as of September 2026, with remote availability concentrated in medical billing, auto liability, and long-term disability roles. Field-based roles such as property damage inspection typically remain on-site or require regular local travel regardless of employer flexibility policies.
How do you become a claims specialist?
Start by earning a relevant associate or bachelor's degree in business, finance, or health administration, then obtain a state adjuster license if your target line requires one. Entry-level roles at insurance carriers or third-party administrators provide the caseload experience needed to advance. Earning an AIC or CPCU designation accelerates promotion into senior and supervisory positions.
Can I get hired as a claims specialist with little or no experience?
Yes, many carriers hire entry-level claims trainees with no direct claims experience and provide structured training programs covering coverage interpretation, investigation techniques, and state regulations. Customer service backgrounds, paralegal experience, and medical coding knowledge are common bridges. Obtaining your adjuster license before applying gives you a measurable edge over other entry-level candidates.
What does the claims specialist interview process look like?
Most employers run two to three rounds, starting with a recruiter screen focused on license status and line-of-business experience. A hiring manager interview follows, often including a coverage analysis scenario or a roleplay with a difficult claimant. Final rounds at larger carriers may include a panel with a team lead and a compliance or quality assurance representative.
Where can I find and apply to claims specialist jobs?
You can find and apply to claims specialist jobs on Migrate Mate, which lists current openings from across the United States in one place. Find roles that match your line of business and license status, then apply directly to each listing without leaving the platform.
See All 531+ Claims Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
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