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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BWC’s core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC’s seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval. The report-in location will be determined based on the final candidate recommended for the position.
What Our Employees Have to Say:
BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:
- BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.
- I have worked at several state agencies and BWC is the best place to work.
- Best place to work in the state and with a sense of family and support.
- I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.
- I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.
If you are interested in helping BWC grow, please
What You’ll Be Doing:
- Conduct quality assurance audits of claims and operational processes; identify trends and prepare findings.
- Monitor compliance with injury management policies and ensure consistent, accurate claims practices statewide.
- Support updates to policies, procedures, and audit tools; recommend and help implement operational improvements.
- Provide guidance and clarification to staff and supervisors on policies, procedures, system processes, and operational expectations.
- Participate in or lead statewide initiatives aimed at improving service quality, consistency, and customer satisfaction.
- Identify staff skill gaps and collaborate on training recommendations to strengthen performance across service offices.
- Support administrative tasks, respond to inquiries, and assist with operational research as needed.
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
- Medical Coverage
- Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
- Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
- Childbirth, Adoption, and Foster Care leave
- Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
- Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)
- Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.
- Or 2 yrs. trg. or 2 yrs. exp. in adjusting insurance claims or medical case management in insurance-related field, or rehabilitation case management in insurance related field; 1 course or 3 mos. exp. in employee training & development; 2 courses or 6 mos. exp. in public speaking or communication skills; 1 course or 3 mos. exp. in business/professional writing, English composition or written communication.
- Or completion of undergraduate core program in business administration, public administration, insurance, risk management, education, communication, social or behavioral science, nursing or health administration (e.g., rehabilitation counseling) or related field of study; 1 course or 3 mos. exp. in auditing principles & procedures; 1 course or 3 mos. exp. in employee training & development; 1 course or 3 mos. exp. in speech &/or oral communication or public speaking; 1 course or 3 mos. exp. in business/professional writing, English composition, or written communication.
- Or 36 mos. exp. as supervisor within Ohio Bureau of Workers' Compensation responsible for implementation, evaluation & monitoring of technical programs (e.g., new or revised claims processing program, programs to identify & deter fraudulent claims activity, premium discount program).
- Or equivalent of Minimum Class Qualifications for Employment noted above.
Job Skills: Claims Examination
Major Worker Characteristics:
Knowledge of: policies & procedures related to claims operations, risk, safety & hygiene, loss prevention, medical and managed care; state & federal laws governing workers’ compensation; management; labor relations; manpower planning; public relations; government structure & process (BWC)*; interviewing; BWC laws*; budgeting; training; loss-prevention principles; BWC programs*; OSHA compliance.
Skill in: management of diverse field operations and staff; leadership; communicating with diverse audiences; directing change; creativity & innovation; operation of a PC.
Ability to: interpret extensive variety of technical & complex material in verbal & written forms; prepare & deliver professional presentations before specialized audiences & public; develop complex reports pertaining to claims, risk, safety & hygiene, medical & managed care; handle highly confidential & sensitive matters with all contacts; strategize for optimum efficiency; practice innovation & be creative in a government environment; delegate appropriately; identify & manage staff performance variances; direct programs; use statistical analysis; analyze customer satisfaction.
Supplemental Information
EEO & ADA Statement:
The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.
The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox BWCADA@bwc.ohio.gov.
Salary Information:
Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.
Educational Transcripts:
For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.
All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.
Background Check:
Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.
ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
BWC’s core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC’s seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval. The report-in location will be determined based on the final candidate recommended for the position.
What Our Employees Have to Say:
BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:
- BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.
- I have worked at several state agencies and BWC is the best place to work.
- Best place to work in the state and with a sense of family and support.
- I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.
- I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.
If you are interested in helping BWC grow, please
What You’ll Be Doing:
- Conduct quality assurance audits of claims and operational processes; identify trends and prepare findings.
- Monitor compliance with injury management policies and ensure consistent, accurate claims practices statewide.
- Support updates to policies, procedures, and audit tools; recommend and help implement operational improvements.
- Provide guidance and clarification to staff and supervisors on policies, procedures, system processes, and operational expectations.
- Participate in or lead statewide initiatives aimed at improving service quality, consistency, and customer satisfaction.
- Identify staff skill gaps and collaborate on training recommendations to strengthen performance across service offices.
- Support administrative tasks, respond to inquiries, and assist with operational research as needed.
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
- Medical Coverage
- Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
- Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
- Childbirth, Adoption, and Foster Care leave
- Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
- Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)
- Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.
- Or 2 yrs. trg. or 2 yrs. exp. in adjusting insurance claims or medical case management in insurance-related field, or rehabilitation case management in insurance related field; 1 course or 3 mos. exp. in employee training & development; 2 courses or 6 mos. exp. in public speaking or communication skills; 1 course or 3 mos. exp. in business/professional writing, English composition or written communication.
- Or completion of undergraduate core program in business administration, public administration, insurance, risk management, education, communication, social or behavioral science, nursing or health administration (e.g., rehabilitation counseling) or related field of study; 1 course or 3 mos. exp. in auditing principles & procedures; 1 course or 3 mos. exp. in employee training & development; 1 course or 3 mos. exp. in speech &/or oral communication or public speaking; 1 course or 3 mos. exp. in business/professional writing, English composition, or written communication.
- Or 36 mos. exp. as supervisor within Ohio Bureau of Workers' Compensation responsible for implementation, evaluation & monitoring of technical programs (e.g., new or revised claims processing program, programs to identify & deter fraudulent claims activity, premium discount program).
- Or equivalent of Minimum Class Qualifications for Employment noted above.
Job Skills: Claims Examination
Major Worker Characteristics:
Knowledge of: policies & procedures related to claims operations, risk, safety & hygiene, loss prevention, medical and managed care; state & federal laws governing workers’ compensation; management; labor relations; manpower planning; public relations; government structure & process (BWC)*; interviewing; BWC laws*; budgeting; training; loss-prevention principles; BWC programs*; OSHA compliance.
Skill in: management of diverse field operations and staff; leadership; communicating with diverse audiences; directing change; creativity & innovation; operation of a PC.
Ability to: interpret extensive variety of technical & complex material in verbal & written forms; prepare & deliver professional presentations before specialized audiences & public; develop complex reports pertaining to claims, risk, safety & hygiene, medical & managed care; handle highly confidential & sensitive matters with all contacts; strategize for optimum efficiency; practice innovation & be creative in a government environment; delegate appropriately; identify & manage staff performance variances; direct programs; use statistical analysis; analyze customer satisfaction.
Supplemental Information
EEO & ADA Statement:
The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.
The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox BWCADA@bwc.ohio.gov.
Salary Information:
Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.
Educational Transcripts:
For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.
All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.
Background Check:
Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.
ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
Claims Specialist Jobs by Experience Level
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Find Claims Specialist JobsClaims Specialist Job Market
Who's Hiring
- Liberty Mutual Insurance18
- CorVel Corporation14
- Philadelphia Insurance Companies14
- First Chicago Insurance Company12
- USAA11
Top Industries Hiring
- Insurance20
- Technology & Software5
- Food & Beverage1
- Government & Public Sector1
- Healthcare & Medical Services1
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 Liberty Mutual Insurance, CorVel Corporation, and Philadelphia Insurance Companies, with the largest share of openings in California, Texas, and New York, based on current listings on Migrate Mate as of August 2026. Carrier-direct roles and third-party administrator positions account for the bulk of active postings.
How many claims specialist jobs are remote?
About 76% of claims specialist openings are fully remote or hybrid as of August 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 364+ Claims Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
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