Remote Claims Support Specialist Jobs
Remote claims support specialist jobs are open across the U.S. at remote-first insurers, distributed healthcare administrators, and third-party claims organizations actively building location-independent teams. Employers hiring remotely right now include Gallagher, CorVel Corporation, and Sedgwick. See the openings below and apply to the ones that match your experience.
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enabling clients to free up capital and focus on active underwriting businesses.
Hybrid within 60 miles of Manchester, NH or Garden City, NY otherwise fully Remote in the United States.
Reporting to the Unit Manager, this role will be responsible for direct handling of commercial claims specific to General Liability and/or Excess General Liability. Familiarity with SME (small to midsize enterprises) insureds involving premises liability, including but not limited to franchisees, hotels, and restaurants/entertainment. Duties include investigation and evaluation of coverage, liability, risk transfer (i.e. indemnification and/or tender application), and damages issues. The role will be responsible for claim and coverage evaluation, establishment/recommendation of adequate reserves, litigation management, liability and damage analysis in detail, case resolution and best claims outcome, and transaction processing in alignment with the Company’s and Client’s Strategic Vision.
Essential Functions
- Direct handle commercial and business general liability claims.
- Mentors and guides less experienced claim analysts.
- Assists the Unit Manager with departmental problem solving.
- Manages external relationships including third party administrative oversight.
- Serves on Companywide committees and projects as assigned.
- Anticipates and identifies risks and opportunities on coverage and liability.
- Anticipates and identifies transfer of risk, tender and/or indemnification.
- Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and/or personal lines insurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims.
- Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving primary, umbrella, and/or excess policies.
- Manages litigation with Preferred Counsel under Alternative Fee Arrangements or other defense fee structures.
- Pursues and maximizes all risk transfer opportunities by contract or by insurance policy language.
- Assigns and manages work of defense counsel, assignment of expert witnesses and interfacing with peer carriers including design and execution of defense and indemnity contracts, evaluation of liability and damages and participation in settlement negations.
- Ensures proper file setup, reserving, general handling, and application of company procedure.
- Participates in developing claims handling strategies, including defense coordination, litigation strategy, motion practice, and budgets, and expense control.
- Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records.
- Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company’s exposure and reports to our Reinsurance Department to assist in providing notice to reinsurers and the Reinsurance Department’s recovery of specific amounts when payment exceeds the company’s retention.
- Handles large volume of diverse and dynamic claims effectively.
- Empowered to make decisions within job description and authority. Seeks guidance where appropriate.
- Develops creative ideas and solutions to real time business problems and /or business opportunities; Takes reasonable, calculated risks even if failure is possible.
- Empowers self and teammates to continuously improve Company’s business processes/systems and develops and escalates ideas and solutions.
- Seeks continuous development by identifying areas for growth and improvement. Works with team to implement process and technical improvements.
- Consistently delivers superior customer service to both internal and external business partners.
- Understands Key Performance Indicators and manages towards those priorities.
- Performs special projects and assignments related to area of authority as necessary.
- Maintains confidentiality.
- Establishes and maintains professional relationships.
- Assists in Due Diligence inquiries as assigned.
- Travels as required.
- Obtains and maintains claims adjuster licenses in those states requiring them.
Organizational
- Demonstrates alignment with Company’s Commitments.
- Prioritizes and organizes work in self-directed manner.
- Attains and maintains knowledge of assigned department.
- Performs other duties as required, including supporting and coordinating with other department colleagues.
Related Functions:
- Leads Companywide initiatives and projects as assigned.
Required Skills
- Demonstrates ability and flexibility in a dynamic environment.
- Excellent analytical, interpersonal and communications skills, both written and oral.
- Customer service oriented with the ability for developing long lasting relationships with internal and external business partners.
Experience
Minimum of seven (7) years of commercial, business, and high value homeowners claims handling experience or a related field.
Required Education
Four-year college degree required or equivalent work experience.
Preferred Education or Certification
State(s) adjuster license(s)
Supervisory Role
Schedule, assign, and review the work of others in compliance with specific instructions.
Travel
As required, based upon business needs.
Work Environment / Physical Demands
This position operates in a professional based collaborative environment and must have the ability to timely produce thorough, accurate work with many competing demands, deadlines, and distractions. The position uses standard equipment such as phones, computers, copiers/printers and filing cabinets. Noise level is moderate.
Company retains the right to change or assign other duties to this position as needed.
Core Competencies
Customer Focus: Builds strong customer relationships and delivers customer-centric solutions; gains insight into customer needs, identifies opportunities that benefit the customer; builds and delivers solutions that meet customer expectations and establishes and maintains effective customer relationships.
Timely Decision Making: Makes decisions in a timely manner, sometimes with incomplete information and under tight deadlines and pressure; able to make a quick decision.
Ethics and Values: Adheres to an appropriate (for the setting) and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he/she preaches.
Learning on the Fly: Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and the underlying structure of anything.
Negotiating: Can negotiate skillfully in tough situations with both internal and external groups; can settle differences with minimum noise; can win concessions without damaging relationships; can be both direct and forceful as well as diplomatic; gains trust quickly of other parties to the negotiations; has a good sense of timing.
Priority Setting: Quickly zeros in on the critical few and puts the trivial many aside; can quickly sense what will help or hinder accomplishing a goal; estimates roadblocks; creates focus; spends his/her time and the time of others on what’s important.
Problem Solving: Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn’t stop at the first answers.
Time Management: Uses his/her time effectively and efficiently; values time; concentrates his/her efforts on the more important priorities; gets more done in less time than others; can attend to a broader range of activities.
Written Communications: Able to write clearly and succinctly in a variety of communication settings and styles; can get messages across that have the desired effect.
Diversity, Equity, Inclusion & Belonging
RiverStone Resources, LLC is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, LGBTQ+, national origin, gender identity, disability, protected veteran status, or any other characteristic protected by law.
Privacy Notice for California Residents
https://www.trg.com/california-consumer-privacy-notice/
enabling clients to free up capital and focus on active underwriting businesses.
Hybrid within 60 miles of Manchester, NH or Garden City, NY otherwise fully Remote in the United States.
Reporting to the Unit Manager, this role will be responsible for direct handling of commercial claims specific to General Liability and/or Excess General Liability. Familiarity with SME (small to midsize enterprises) insureds involving premises liability, including but not limited to franchisees, hotels, and restaurants/entertainment. Duties include investigation and evaluation of coverage, liability, risk transfer (i.e. indemnification and/or tender application), and damages issues. The role will be responsible for claim and coverage evaluation, establishment/recommendation of adequate reserves, litigation management, liability and damage analysis in detail, case resolution and best claims outcome, and transaction processing in alignment with the Company’s and Client’s Strategic Vision.
Essential Functions
- Direct handle commercial and business general liability claims.
- Mentors and guides less experienced claim analysts.
- Assists the Unit Manager with departmental problem solving.
- Manages external relationships including third party administrative oversight.
- Serves on Companywide committees and projects as assigned.
- Anticipates and identifies risks and opportunities on coverage and liability.
- Anticipates and identifies transfer of risk, tender and/or indemnification.
- Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and/or personal lines insurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims.
- Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving primary, umbrella, and/or excess policies.
- Manages litigation with Preferred Counsel under Alternative Fee Arrangements or other defense fee structures.
- Pursues and maximizes all risk transfer opportunities by contract or by insurance policy language.
- Assigns and manages work of defense counsel, assignment of expert witnesses and interfacing with peer carriers including design and execution of defense and indemnity contracts, evaluation of liability and damages and participation in settlement negations.
- Ensures proper file setup, reserving, general handling, and application of company procedure.
- Participates in developing claims handling strategies, including defense coordination, litigation strategy, motion practice, and budgets, and expense control.
- Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records.
- Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company’s exposure and reports to our Reinsurance Department to assist in providing notice to reinsurers and the Reinsurance Department’s recovery of specific amounts when payment exceeds the company’s retention.
- Handles large volume of diverse and dynamic claims effectively.
- Empowered to make decisions within job description and authority. Seeks guidance where appropriate.
- Develops creative ideas and solutions to real time business problems and /or business opportunities; Takes reasonable, calculated risks even if failure is possible.
- Empowers self and teammates to continuously improve Company’s business processes/systems and develops and escalates ideas and solutions.
- Seeks continuous development by identifying areas for growth and improvement. Works with team to implement process and technical improvements.
- Consistently delivers superior customer service to both internal and external business partners.
- Understands Key Performance Indicators and manages towards those priorities.
- Performs special projects and assignments related to area of authority as necessary.
- Maintains confidentiality.
- Establishes and maintains professional relationships.
- Assists in Due Diligence inquiries as assigned.
- Travels as required.
- Obtains and maintains claims adjuster licenses in those states requiring them.
Organizational
- Demonstrates alignment with Company’s Commitments.
- Prioritizes and organizes work in self-directed manner.
- Attains and maintains knowledge of assigned department.
- Performs other duties as required, including supporting and coordinating with other department colleagues.
Related Functions:
- Leads Companywide initiatives and projects as assigned.
Required Skills
- Demonstrates ability and flexibility in a dynamic environment.
- Excellent analytical, interpersonal and communications skills, both written and oral.
- Customer service oriented with the ability for developing long lasting relationships with internal and external business partners.
Experience
Minimum of seven (7) years of commercial, business, and high value homeowners claims handling experience or a related field.
Required Education
Four-year college degree required or equivalent work experience.
Preferred Education or Certification
State(s) adjuster license(s)
Supervisory Role
Schedule, assign, and review the work of others in compliance with specific instructions.
Travel
As required, based upon business needs.
Work Environment / Physical Demands
This position operates in a professional based collaborative environment and must have the ability to timely produce thorough, accurate work with many competing demands, deadlines, and distractions. The position uses standard equipment such as phones, computers, copiers/printers and filing cabinets. Noise level is moderate.
Company retains the right to change or assign other duties to this position as needed.
Core Competencies
Customer Focus: Builds strong customer relationships and delivers customer-centric solutions; gains insight into customer needs, identifies opportunities that benefit the customer; builds and delivers solutions that meet customer expectations and establishes and maintains effective customer relationships.
Timely Decision Making: Makes decisions in a timely manner, sometimes with incomplete information and under tight deadlines and pressure; able to make a quick decision.
Ethics and Values: Adheres to an appropriate (for the setting) and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he/she preaches.
Learning on the Fly: Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and the underlying structure of anything.
Negotiating: Can negotiate skillfully in tough situations with both internal and external groups; can settle differences with minimum noise; can win concessions without damaging relationships; can be both direct and forceful as well as diplomatic; gains trust quickly of other parties to the negotiations; has a good sense of timing.
Priority Setting: Quickly zeros in on the critical few and puts the trivial many aside; can quickly sense what will help or hinder accomplishing a goal; estimates roadblocks; creates focus; spends his/her time and the time of others on what’s important.
Problem Solving: Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn’t stop at the first answers.
Time Management: Uses his/her time effectively and efficiently; values time; concentrates his/her efforts on the more important priorities; gets more done in less time than others; can attend to a broader range of activities.
Written Communications: Able to write clearly and succinctly in a variety of communication settings and styles; can get messages across that have the desired effect.
Diversity, Equity, Inclusion & Belonging
RiverStone Resources, LLC is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, LGBTQ+, national origin, gender identity, disability, protected veteran status, or any other characteristic protected by law.
Privacy Notice for California Residents
https://www.trg.com/california-consumer-privacy-notice/
See All 353+ Remote Claims Support Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsRemote Claims Support Specialist Job Market
Who's Hiring
- Gallagher35
- CorVel Corporation29
- Sedgwick15
- Reserv13
- Liberty Mutual Insurance13
Top Industries Hiring
- Technology & Software14
- Insurance12
- Consulting & Professional Services3
- Construction & Real Estate1
- Healthcare & Medical Services1
What Employers Look For
The qualifications that appear most often in remote claims support specialist jobs.
- High school diploma or associate degree in a business or healthcare-related field
- One to three years of experience processing insurance or medical claims
- Proficiency with claims management software such as Guidewire, Duck Creek, or TriZetto
- Knowledge of insurance billing codes including ICD-10, CPT, or HCPCS
- Strong written and verbal communication skills for interacting with policyholders and providers
- Familiarity with HIPAA regulations and insurance compliance requirements
Tips for Your Remote Claims Support Specialist Job Search
Apply early to remote roles that fit
Migrate Mate lists remote claims support specialist openings from across the U.S. in one place. Search roles by function and location preference, then apply directly to the ones that match your background before competition builds.
Show your async communication skills upfront
Remote claims teams depend on written updates and ticketing systems over phone calls. Include specific examples in your resume of resolving claims issues through email, chat platforms, or case management tools rather than in-person contact.
Highlight your claims software experience clearly
Remote hiring managers scan for platform familiarity fast. List every claims management system you've used, whether Guidewire, Duck Creek, or proprietary tools, in a dedicated skills section so it's visible without reading the full resume.
Prepare for a remote-specific interview round
Many remote employers add a practical screen: a mock claims scenario you work through asynchronously or on video. Practice narrating your decision-making out loud and documenting your reasoning clearly, since those skills matter more in a remote environment.
Remote Claims Support Specialist Jobs: Frequently Asked Questions
How do I get a remote claims support specialist job?
Remote claims support specialist roles go to candidates who can demonstrate self-direction and clear written communication from day one. Remote employers screen heavily for experience with claims management platforms, organized documentation habits, and the ability to resolve issues without in-person hand-holding. Certifications in claims processing or adjudication, a tidy work history showing independent output, and a home-office setup you can speak to confidently all give you an edge.
Which companies hire remote claims support specialists?
Employers currently hiring remote claims support specialists include Gallagher, CorVel Corporation, and Sedgwick, per current remote listings on Migrate Mate as of November 2026. Remote-first insurance carriers, distributed health plan administrators, and multi-state third-party administrators are the most consistent sources of fully remote claims support openings.
Can you get a remote claims support specialist job with no experience?
Yes, but remote entry-level claims support roles are harder to land because employers expect you to work independently before you have deep institutional knowledge. Your best path is through remote-first insurtech startups or large TPAs that run structured onboarding programs. Showing familiarity with claims software, completing a relevant certificate, and demonstrating strong written communication can substitute for direct experience.
Do you need a degree for remote claims support specialist jobs?
Not always. Many remote employers care far more about hands-on claims knowledge, proficiency with adjudication software, and a clean accuracy record than a specific degree. A high school diploma plus relevant certifications in insurance or claims processing is enough to qualify at many remote-first companies, particularly in property and casualty or healthcare claims support.
Which industries hire the most remote claims support specialists?
Most remote claims support specialist openings sit in Technology & Software, Insurance, and Consulting & Professional Services, per current remote listings on Migrate Mate as of November 2026. These sectors rely on distributed teams to handle high claim volumes across multiple states without centralizing staff in a single office.
See All 353+ Remote Claims Support Specialist Jobs
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