OPT Claims Specialist Jobs
Claims Specialist roles sit squarely within specialty occupation territory, making them a strong fit for OPT authorization. Most positions require a degree in business, finance, or a related field. Your 12-month OPT window (up to 36 months with a STEM extension) gives you real runway to build claims experience and pursue H-1B visa sponsorship.
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Get Access To All JobsBy joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Professional Liability Claims Advisor
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
- Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
PRIMARY PURPOSE OF THE ROLE: Manage and handle professional liability claims; to provide resolution of highly complex nature and/or severe claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
- Negotiates claim settlement up to designated authority level.
- Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
- Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
- Performs coverage analysis and opinion as part of the claim process including all necessary correspondence.
- Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
- Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
- Represents company in depositions, mediations, and trial monitoring as needed.
- Communicates claim activity and processing with the client; maintains professional client relationships.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
- Delegates work and mentors others.
QUALIFICATIONS
- Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
- Experience: 3-5 years of professional liability claims management experience required.
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS INCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Physical: Computer keyboarding, travel as required.
Auditory/Visual: Hearing, vision and talking.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $100,000 to $145,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Claims #LI-Remote #LI-Hybrid
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Professional Liability Claims Advisor
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
- Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
PRIMARY PURPOSE OF THE ROLE: Manage and handle professional liability claims; to provide resolution of highly complex nature and/or severe claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
- Negotiates claim settlement up to designated authority level.
- Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
- Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
- Performs coverage analysis and opinion as part of the claim process including all necessary correspondence.
- Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
- Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
- Represents company in depositions, mediations, and trial monitoring as needed.
- Communicates claim activity and processing with the client; maintains professional client relationships.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
- Delegates work and mentors others.
QUALIFICATIONS
- Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
- Experience: 3-5 years of professional liability claims management experience required.
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS INCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Physical: Computer keyboarding, travel as required.
Auditory/Visual: Hearing, vision and talking.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $100,000 to $145,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Claims #LI-Remote #LI-Hybrid
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
See all 196+ OPT Claims Specialist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Claims Specialist Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship as a Claims Specialist
Target insurers and third-party administrators with H-1B track records
Large insurance carriers and TPAs file H-1B visa petitions regularly. Focusing your search on employers with a history of sponsorship dramatically improves your odds of converting OPT employment into long-term work authorization after your window closes.
Frame your degree as a specialty occupation qualification
Claims Specialist roles require theoretical and practical application of business, finance, or risk management principles. Emphasize how your degree directly maps to the role's analytical demands, which is exactly what USCIS evaluates for specialty occupation status.
Start H-1B conversations with HR before your OPT expires
H-1B filing happens in April for an October start. If your OPT ends mid-year, you need a sponsor committed at least six months prior. Raise sponsorship early, not after an offer is extended, to avoid timeline conflicts.
Apply for a STEM extension if your degree qualifies
Business analytics, actuarial science, and statistics degrees often qualify for the 24-month STEM OPT extension. That extra time gives you a second H-1B lottery entry and more runway to find a sponsoring employer in the claims space.
Highlight claims software proficiency in your applications
Employers hiring on OPT want candidates who reduce onboarding time. Proficiency in Guidewire, Salesforce, or similar claims management platforms signals immediate productivity and makes sponsorship investment feel lower-risk to hesitant hiring managers.
Use your CPT or internship experience as proof of specialty work
If you completed a claims-related internship during school, document the analytical and investigative responsibilities clearly on your resume. Prior specialty occupation work strengthens your H-1B petition and shows employers you already understand the role.
Claims Specialist OPT: Frequently Asked Questions
Can I work as a Claims Specialist on OPT?
Yes, Claims Specialist roles generally qualify as specialty occupations under OPT rules because they require a bachelor's degree or higher in a specific field such as business, finance, or risk management. Your employment must be directly related to your degree, so ensure the role's posted requirements align with what you studied before accepting an offer.
Does a Claims Specialist job qualify for STEM OPT extension?
It depends on your degree, not the job title. If you graduated with a degree in a STEM-designated field, such as actuarial science, statistics, or business analytics, you can apply for the 24-month STEM OPT extension regardless of your job title. Check the DHS STEM Designated Degree Program List to confirm your CIP code qualifies before applying.
How do I find Claims Specialist jobs that sponsor OPT students?
Migrate Mate is built specifically for F-1 OPT students and surfaces Claims Specialist roles at employers open to sponsoring international candidates. Filtering by OPT-friendly employers saves significant time compared to applying broadly and discovering sponsorship limitations late in the process, after multiple interview rounds.
What happens to my OPT authorization if my Claims Specialist job ends?
You enter a 60-day grace period once your employment ends. During that window you can find a new OPT-qualifying role, transfer to a different visa status, or prepare to depart the United States. Your new job must still be related to your degree field. If you find another qualifying Claims Specialist or similar role within 60 days, you can continue on the same OPT authorization without reapplying.
Do Claims Specialist employers typically sponsor H-1B visas?
Large insurance carriers, managed care organizations, and third-party administrators sponsor H-1B visas more consistently than smaller firms. Regional insurers and boutique claims consultancies are less predictable. When evaluating an offer, ask HR directly whether they have sponsored H-1B petitions in the past three years, and request to see their OFLC disclosure data filings if you want to verify before committing.