Insurance Claims Specialist Jobs
Insurance Claims Specialist jobs are open across insurance carriers, third-party administrators, and healthcare networks, at every level from entry-level adjuster to senior specialist and team lead, with specializations in property and casualty, workers' compensation, and medical claims. See the openings below and apply to the ones that match your experience.
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Job Summary
The Director of Insurance Operations leads the daily operations of the Insurance Department, overseeing account managers, back-end supplementers and the Denial/Partial specialist. This person supports the VP by managing workloads, developing employees, resolving bottlenecks and holding the team accountable for complete, accurate and timely work.
A major priority is moving completed jobs through back-end supplements and into Final Audit efficiently so outstanding balances can be collected. The director also ensures that supported supplement opportunities and denial/partial reconsiderations receive consistent attention.
Primary Responsibilities
- Lead the insurance team’s daily priorities, assignments, follow-ups and performance expectations.
- Balance workloads based on job complexity, urgency and employee capacity.
- Monitor front-end supplements, back-end supplements and denial/partial files to keep work progressing.
- Prioritize aging completed jobs and coordinate with Underwriting and Billing to resolve issues delaying Final Audit or collection.
- Review supplement documentation, scope differences and unresolved items to reduce missed opportunities and incomplete handoffs.
- Support the Denial/Partial specialist with difficult files, evidence needs and escalation decisions.
- Train and coach employees, establish consistent procedures and identify staffing needs.
- Maintain clear job notes, next actions, deadlines and ownership throughout the process.
- Report department results, staffing concerns and unresolved issues to the VP.
Performance Expectations
- Consistent daily and weekly job movement.
- Measurable approved supplement growth and denial/partial overturn results.
- Reduced backlog, overdue follow-ups and internal processing delays.
- Accurate documentation and complete handoffs.
- Improved readiness for Final Audit and collection.
- Balanced workloads and a team prepared to handle increased volume.
The director owns daily execution and team accountability, while the VP retains overall department strategy, budget decisions and major escalations.
Pay: $60,000.00 - $75,000.00 per year
Benefits:
- Paid time off
Work Location: In person
Job Summary
The Director of Insurance Operations leads the daily operations of the Insurance Department, overseeing account managers, back-end supplementers and the Denial/Partial specialist. This person supports the VP by managing workloads, developing employees, resolving bottlenecks and holding the team accountable for complete, accurate and timely work.
A major priority is moving completed jobs through back-end supplements and into Final Audit efficiently so outstanding balances can be collected. The director also ensures that supported supplement opportunities and denial/partial reconsiderations receive consistent attention.
Primary Responsibilities
- Lead the insurance team’s daily priorities, assignments, follow-ups and performance expectations.
- Balance workloads based on job complexity, urgency and employee capacity.
- Monitor front-end supplements, back-end supplements and denial/partial files to keep work progressing.
- Prioritize aging completed jobs and coordinate with Underwriting and Billing to resolve issues delaying Final Audit or collection.
- Review supplement documentation, scope differences and unresolved items to reduce missed opportunities and incomplete handoffs.
- Support the Denial/Partial specialist with difficult files, evidence needs and escalation decisions.
- Train and coach employees, establish consistent procedures and identify staffing needs.
- Maintain clear job notes, next actions, deadlines and ownership throughout the process.
- Report department results, staffing concerns and unresolved issues to the VP.
Performance Expectations
- Consistent daily and weekly job movement.
- Measurable approved supplement growth and denial/partial overturn results.
- Reduced backlog, overdue follow-ups and internal processing delays.
- Accurate documentation and complete handoffs.
- Improved readiness for Final Audit and collection.
- Balanced workloads and a team prepared to handle increased volume.
The director owns daily execution and team accountability, while the VP retains overall department strategy, budget decisions and major escalations.
Pay: $60,000.00 - $75,000.00 per year
Benefits:
- Paid time off
Work Location: In person
Insurance Claims Specialist Jobs by Experience Level
See All 91 Insurance Claims Specialist Jobs
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Find JobsInsurance Claims Specialist Job Market
Who's Hiring
Top Industries Hiring
- Insurance
What Employers Look For
The qualifications that appear most often in insurance claims specialist jobs.
- 1-3 years of experience handling property, casualty, or medical claims
- Active property and casualty adjuster license or willingness to obtain one
- Proficiency with claims management platforms such as Guidewire or Xactimate
- Strong written communication skills for coverage letters and denial documentation
- High school diploma required, associate or bachelor's degree preferred by most carriers
- Ability to interpret policy language and apply coverage terms to specific loss scenarios
Tips for Your Insurance Claims Specialist Job Search
Tailor your resume to claim types
Employers screen resumes for specific lines of business, so make sure yours calls out the claim types you've handled, whether property and casualty, liability, workers' compensation, or medical. Generic adjuster language gets filtered out quickly.
List your adjuster licenses by state
Many postings require an active adjuster license in a specific state or the ability to obtain one quickly. Put your license numbers, issuing states, and expiration dates in a dedicated credentials section so hiring managers don't have to hunt for them.
Highlight claims management software you've used
Postings almost always call out specific platforms like Guidewire, Xactimate, or Mitchell. Name every system you've worked in and the volume or complexity of claims you managed inside each one.
Apply early to roles that fit
Migrate Mate lists insurance 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
Interviewers frequently walk candidates through a disputed or high-dollar claim and ask how they'd investigate, document, and resolve it. Practice walking through your decision-making process out loud, including how you'd handle a claimant who pushes back on a coverage denial.
Negotiate using total compensation, not base salary alone
Many insurers offer licensing reimbursement, continuing education allowances, and performance bonuses that can add meaningful value. Ask about those components before comparing offers, and confirm whether the role includes cat or surge pay for disaster response assignments.
Insurance Claims Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most insurance claims specialists?
The most active employers for insurance claims specialists right now are Tesla, BrightClaim, and EY, and the most openings are in Texas, Florida, and California, based on current listings on Migrate Mate as of November 2026. Regional carriers and third-party administrators often post in bursts after major weather events, so checking listings frequently during storm seasons can surface openings before they fill.
How many insurance claims specialist jobs are remote?
About 75% of insurance claims specialist openings are fully remote or hybrid as of November 2026, with desk adjuster and medical claims roles making up the largest share of fully remote positions. Field adjuster and auto physical damage roles that require in-person inspections are almost always on-site or in a hybrid arrangement tied to a specific territory.
How do you become an insurance claims specialist?
Start by earning a high school diploma or associate degree, then obtain a property and casualty adjuster license in your state, which typically requires completing a pre-licensing course and passing a state exam. Entry-level roles at carriers or third-party administrators provide hands-on training in a specific line of business. Building experience across multiple claim types, adding certifications like the AIC designation, and demonstrating accurate reserves and fast cycle times moves candidates into senior and complex-claims roles.
Can you get an insurance claims specialist job with little or no experience?
Yes, many carriers hire candidates with no prior claims experience through structured training programs, particularly for inside desk adjuster and medical claims roles. Customer service experience, familiarity with medical billing codes, or a background in construction or auto repair can substitute for direct claims experience when you frame it in terms of investigation, documentation, and conflict resolution. Obtaining your state adjuster license before applying signals seriousness and removes a common barrier employers cite.
What does the insurance claims specialist interview process look like?
Most insurers run two to three rounds starting with a phone screen focused on your claims background and licensing status. A hiring manager interview follows, typically including scenario questions where you walk through how you'd handle a disputed claim, a coverage denial, or a high-severity loss. Some employers add a written exercise asking you to draft a coverage position letter or calculate a reserve. Final rounds at larger carriers may include a panel with a team lead and a quality assurance supervisor.
Where can I find and apply to insurance claims specialist jobs?
You can find and apply to insurance claims specialist jobs on Migrate Mate, which lists current openings from carriers, third-party administrators, and healthcare networks across the United States. Search the listings to find roles that match your line-of-business experience and licensing, then apply directly to each one that fits.
See All 91 Insurance Claims Specialist Jobs
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