Remote Claims Specialist Jobs
Remote claims specialist jobs are open across the U.S. at insurance carriers, third-party administrators, and managed care organizations running distributed teams. Companies hiring remotely right now include CorVel Corporation, First Chicago Insurance Company, and Gallagher. See the openings below and apply to the ones that match your experience.
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Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.
Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.
C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: www.cfins.com.
Job Description:Examines claims data and conducts investigations into routine and moderately complex claims to determine coverage, compensability, subrogation and benefits under moderate supervisory direction. Adjusts and manages claims within the limit of assigned authority.
- Must be well versed in California Compensation statute claims.
- Receives lost time and complex medical only assignments. Verifies and determines applicability of coverage. Initiates 24-hour contact with employer, employee and 48-hour contact with attending physician.
- Handles catastrophic claims with supervisory oversight.
- Conducts telephone investigations as required by company claims handling manual and procedures.
- Evaluates and adjusts claims within the limits of authority.
- Consults with Claim Manager on those claims where assistance and consultation is needed.
- Makes assignments to nurse case management when indicated, monitoring their billing and performance.
- Sets reserves for anticipated exposure up to authority limits.
- Completes mandatory Reserve Worksheets. Establishes reserves requiring complex analysis with lifetime pharmacy and cost inflation.
- Coordinates return to work (RTW) and sets target dates.
- Maintain diaries on maximum three (3) month intervals.
- Documents files in the claims system.
- Reviews medical bills for causal relationship, medical bill charges for appropriateness and approves payments.
- Adheres to special account handling (SHI) instructions.
- Attends account meetings by telephone and in-person.
- Manages litigation on the files.
- College degree, B.A. or equivalent experience.
- 3+ years of experience handling workers compensation claims.
- Strong organizational skills.
- Good time management skills.
- Foreign language communications a plus.
- Excellent verbal and written communication skills are essential.
- Strong aptitude and knowledge of Microsoft Office programs and the ability to quickly learn new programs.
- Will abide by departmental policies and procedures, including authority levels, to comply with C&F’s risk management controls.
- Competitive compensation package
- Generous 401K employer match
- Employee Stock Purchase plan with employer matching
- Generous Paid Time Off
- Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
- A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
- A dynamic, ambitious, fun and exciting work environment
- We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community
At C&F you will BELONG
If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know
For California Residents Only: Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/ for more information.
Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $55,800.00 to a maximum of $104,900.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee’s contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.
#LI-AV1
Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.
Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.
C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: www.cfins.com.
Job Description:Examines claims data and conducts investigations into routine and moderately complex claims to determine coverage, compensability, subrogation and benefits under moderate supervisory direction. Adjusts and manages claims within the limit of assigned authority.
- Must be well versed in California Compensation statute claims.
- Receives lost time and complex medical only assignments. Verifies and determines applicability of coverage. Initiates 24-hour contact with employer, employee and 48-hour contact with attending physician.
- Handles catastrophic claims with supervisory oversight.
- Conducts telephone investigations as required by company claims handling manual and procedures.
- Evaluates and adjusts claims within the limits of authority.
- Consults with Claim Manager on those claims where assistance and consultation is needed.
- Makes assignments to nurse case management when indicated, monitoring their billing and performance.
- Sets reserves for anticipated exposure up to authority limits.
- Completes mandatory Reserve Worksheets. Establishes reserves requiring complex analysis with lifetime pharmacy and cost inflation.
- Coordinates return to work (RTW) and sets target dates.
- Maintain diaries on maximum three (3) month intervals.
- Documents files in the claims system.
- Reviews medical bills for causal relationship, medical bill charges for appropriateness and approves payments.
- Adheres to special account handling (SHI) instructions.
- Attends account meetings by telephone and in-person.
- Manages litigation on the files.
- College degree, B.A. or equivalent experience.
- 3+ years of experience handling workers compensation claims.
- Strong organizational skills.
- Good time management skills.
- Foreign language communications a plus.
- Excellent verbal and written communication skills are essential.
- Strong aptitude and knowledge of Microsoft Office programs and the ability to quickly learn new programs.
- Will abide by departmental policies and procedures, including authority levels, to comply with C&F’s risk management controls.
- Competitive compensation package
- Generous 401K employer match
- Employee Stock Purchase plan with employer matching
- Generous Paid Time Off
- Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
- A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
- A dynamic, ambitious, fun and exciting work environment
- We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community
At C&F you will BELONG
If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know
For California Residents Only: Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/ for more information.
Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $55,800.00 to a maximum of $104,900.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee’s contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.
#LI-AV1
See All 119+ Remote Claims Specialist Jobs
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Find Remote Claims Specialist JobsRemote Claims Specialist Job Market
Who's Hiring
- CorVel Corporation18
- First Chicago Insurance Company14
- Gallagher8
- PMA Companies5
- Crawford & Company5
Top Industries Hiring
- Insurance
- Technology & Software
What Employers Look For
The qualifications that appear most often in remote 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 Remote Claims Specialist Job Search
Apply early to remote roles that fit
Migrate Mate lists remote claims specialist openings from across the U.S. in one place, so you can find roles that match your background and apply directly. Remote roles at distributed teams often fill faster than in-office positions.
Prove async communication skills upfront
Remote claims employers screen for written clarity before they schedule interviews. Use your cover letter and any written screening responses to show you can document decisions, explain coverage determinations, and flag issues without a phone call.
Show your claims platform experience specifically
Name the systems you have worked in, such as Guidewire, Duck Creek, or Xactimate, in your resume and application materials. Remote hiring managers use platform familiarity as a quick filter because remote onboarding has less hands-on training time.
Highlight independent caseload management
Remote claims roles require you to prioritize and close claims without a supervisor nearby. Quantify the caseload size you have managed and note any experience handling multi-state claims, since distributed teams often cover policies across several jurisdictions.
Remote Claims Specialist Jobs: Frequently Asked Questions
How do I get a remote claims specialist job?
Target companies that run fully distributed claims operations, including third-party administrators, self-insured employers, and remote-first insurance carriers. Remote hiring managers screen for self-direction, clear written communication, and proficiency with claims management platforms like Guidewire or Xactimate. Candidates who document independent decision-making, low-supervision caseload management, and async collaboration give themselves a clear edge over applicants with only in-office experience.
Which companies hire remote claims specialists?
Companies hiring remote claims specialists right now include CorVel Corporation, First Chicago Insurance Company, and Gallagher, based on current remote listings on Migrate Mate as of September 2026. Remote claims roles concentrate at insurance carriers, third-party administrators, and managed care organizations that operate distributed teams and handle claims across multiple states.
Can you get a remote claims specialist job with no experience?
Yes, but remote entry-level claims roles are harder to land because you're expected to work independently from day one without on-site supervision. Third-party administrators and smaller regional carriers are most likely to hire entry-level remotely. Showing completion of an insurance fundamentals course, familiarity with claims software, and strong written communication can substitute for direct experience when applying.
Do you need a degree for remote claims specialist jobs?
Not always. Many remote employers care more about relevant certifications, like an Associate in Claims or a state adjuster license, than a four-year degree. Demonstrated ability to manage a caseload independently, process claims accurately, and communicate clearly in writing often carries as much weight as formal education for remote claims specialist roles.
Which industries hire the most remote claims specialists?
The sectors hiring the most remote claims specialists are Insurance and Technology & Software, based on current remote listings on Migrate Mate as of September 2026. These sectors rely on distributed teams to handle high claim volumes across multiple regions without requiring specialists to work from a central office.
See All 119+ Remote Claims Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote Claims Specialist Jobs