11717 Senior Claim Representative | Flexible Hours Metro Public Adjustment11717 Senior Claim Representative | Flexible HoursPhiladelphia, PA$30,000–$110,000 / yearFull timeLocal Opportunities – Serve homeowners across Philadelphia, Bucks County, Montgomery County, and nearby parts of South Jersey. Whether you’re looking for a new career or supplemental income, you’ll find success here if you bring a positive attitude, professionalism, and the drive to help others.
Claims Specialist Medical Malpractice Diedre Moire Corp.Claims Specialist Medical MalpracticeBrooklawn, NJ$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Property Adjuster Insurance Claims Elevate Claims SolutionsProperty Adjuster Insurance ClaimsPhiladelphia, PennsylvaniaElevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Elevate Claims Solutions is seeking an Independent Adjuster adjusters with commercial and residential property claims in Duluth, MN and surrounding area.
Claims Specialist, Environmental P&C AXA SAClaims Specialist, Environmental P&CEXTON, PA$98,300–$154,900 / yearBy combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty. AXA Hearts in Action: We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XL's "Hearts in Action" programs.
Claims and Legal Operations Coordinator Akumin IncClaims and Legal Operations CoordinatorPAThe Claims and Legal Operations Coordinator reports to the Vice President, Associate General Counsel, with supervision by the Director, Claims and Legal Operations. The role also supports Vice President, Associate General Counsel, Director, Claims and Legal Operations, and other members of the Legal Department.
Stop Loss Claims Specialist Marsh & McLennan Companies IncStop Loss Claims SpecialistConshohocken, PA$57,738–$65,000 / yearThe primary role of the Stop Loss Claims Analyst role is to manage the stop loss claims process for the MMA Stop Loss Center of Excellence including establishing the claims submission process in accordance with vendor processes, overall tracking and auditing to assure timely payment of eligible stop loss claims managed by the Center of Excellence. REQUIRED EDUCATION AND EXPERIENCE: Minimal of High School Graduate with Associate's Degree in Risk Management & Insurance, Actuarial Science, Mathematics and/or other related field is preferred or equivalent experience preferred; Minimum of two years prior work experience the Benefits Brokerage, Consulting, or Insurance industry; Strong background in self-funding, stop loss or claims administration required.
Liability Claims Specialist MSIG HoldingsLiability Claims SpecialistPhiladelphia, PennsylvaniaServices the claim needs of our customers including insureds, claimants, brokers, etc., in accordance with company policy and procedures, and attends client visitations with underwriters and other parties to conduct presentations and reviews. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks.
Claims Specialist - Professional Liability Philadelphia Insurance CompaniesClaims Specialist - Professional LiabilityBala Cynwyd, PA$95,000–$105,000 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyBala Cynwyd, PA$84,422–$99,320 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Senior Claims Examiner (Virtual) Prudential FinancialSenior Claims Examiner (Virtual)Fort Washington, PennsylvaniaThe U.S. Back Office Customer Service (BOCS) organization is seeking a Claims Examiner to join our Group Life Claim Team of Beneficiary Fulfillment on our Specialized Client Concierge Team. Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.
Senior Claims Specialist, Cyber AXA SASenior Claims Specialist, CyberPA$117,000–$184,400 / yearManaging assigned complex Cyber and Technology claims across multiple jurisdictions, setting the case strategy for these claims in partnership with the Cyber Practice Leader and Claims Management, and taking all available steps to achieve the optimal outcome. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business - property, casualty, professional, financial lines and specialty.
Claims Advocate Alera GroupClaims AdvocateBerwyn, PennsylvaniaPartner with insurance carriers and adjusters to investigate, monitor, and resolve complex property, general liability, automobile, and workers' compensation claims, following established tracking and payment processes. Proactively address client concerns, coordinate with internal teams as needed, and escalate issues appropriately to ensure timely resolution and manager awareness.
NewCrop Insurance Area Claims Supervisor Sompo International Holdings LimitedCrop Insurance Area Claims SupervisorPA$85,000–$95,000 / yearOur business, your impact, our opportunity: What you'll be doing: Build and maintain professional relationships with the Regional Leadership team (Regional Vice President, Regional Claims Manager, Regional Operations Manager and Regional Marketing Manager) and other departments (Compliance, Underwriting, Accounting, Agents, etc.) to ensure open and effective communication between departments in order to process claims efficiently and correctly. As one of the leading writers of Federal Crop Insurance, AgriSompo North America combines industry experience, resources, capital and talent to deliver both traditional and innovative crop insurance and productivity tools to farmers, ranchers, insurers and agribusinesses in the United States.
Senior Claims Counsel - Financial Institutions/Public D&O CNA Financial CorpSenior Claims Counsel - Financial Institutions/Public D&ORadnor, PA$97,000–$189,000 / yearThe position requires the ability to independently evaluate liability and coverage; proactively formulate and execute claim resolution strategies; and, without the assistance of counsel, attend mediations, navigate complex settlement dynamics and drive and influence best possible claim outcomes. The individual in this position will primarily focus on high severity D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as large depository institutions, insurance companies, asset managers, private equity and venture capital firms and REITs.
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistPhiladelphia, PAThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
Director of Property Claims Berkshire Hathaway GUARD Insurance CompaniesDirector of Property ClaimsConshohocken, PAOversee the end-to-end claim lifecycle of non-litigated property claims, including catastrophe (CAT) events, ensuring timely, accurate, compliant and customer-focused resolution. The Director will play a critical role in ensuring claim quality, cycle time efficiency, indemnity accuracy, and expense control through KPIs and continuous process improvement.
Claims – Workers’ Compensation TEEMA GroupClaims – Workers’ CompensationPhiladelphia, PA$85,000–$90,000The position requires strong analytical judgment, excellent communication skills, and consistent collaboration with clients, claimants, vendors, legal counsel, and internal teams. This role handles highly complex claims and plays a critical part in ensuring compliance with state regulations, timely investigations, accurate reserving, and effective claim resolution.
Claims Consultant - Surety (Hybrid) Onebeacon Professional Insurance IncClaims Consultant - Surety (Hybrid)Blue Bell, PA$143,000–$167,000 / yearFor candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $143,000 - $167,000. In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society.
Senior Claims Specialist - TPA Liability AXA SASenior Claims Specialist - TPA LiabilityEXTON, PA$117,000–$184,400 / yearEffective teamwork/collaboration skills in order to effectively collaborative with Regional Practice Leads, Claim Legal, TPA and clients to produce desired outcomes, as well as with other internal and external stakeholders such as, brokers, actuarial, reinsurance and business partners to communicate regarding claim results, experience and trends. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
Claims Specialist, Multinational Casualty AXA SAClaims Specialist, Multinational CasualtyEXTON, PABy combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty. Stakeholder collaboration: coordinate and communicate with internal and external stakeholders (underwriting, brokers, reinsurers, external vendors, clients); participate in new account and renewal meetings as needed.
Senior Claims Specialist CorVel Enterprise Claims, Inc.Senior Claims SpecialistNorristown, PARemote$61,053–$98,334 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Claims Processor Redeemer HealthClaims ProcessorPhiladelphia, PennsylvaniaFull timeResponsible to reconcile daily import, acceptance and rejection reports and collaborates with Billing Manager on all issues causing claim delays and achieving the HRHS CBO clean claims targets established by Senior Leadership. The Corporate Finance Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting and healing for all in need.
VP, Claims Transformation Initiative Lead Chubb LtdVP, Claims Transformation Initiative LeadPhiladelphia, PA$220,000–$260,000 / yearThey will serve as the primary bridge between business stakeholders, technology partners, and international claims operations, ensuring solutions are grounded in Chubb's operating realities and deliver tangible outcomes for employees and customers alike. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
Claims Director(WC & TPA Oversight) CNA Financial CorpClaims Director(WC & TPA Oversight)Radnor, PA$97,000–$189,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of claims professionals and/or claims managers and has full management responsibility for setting and communicating expectations, providing direction and coaching, facilitating ongoing training and development, managing employee performance and contributing to employee engagement. This director-level role operates under general direction with broad authority to lead the oversight of complex, high-exposure commercial Workers' Compensation claims managed by Third-Party Administrators (TPAs), while also managing and developing a team of claim professionals.
AVP, Claims Data Solutions & Insights Chubb LtdAVP, Claims Data Solutions & InsightsPA$130,000–$160,000 / yearThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. The ideal candidate will possess strong technical and business acumen, working closely with the VP and other senior leaders to advance strategic Claims Transformation and Claims Data initiatives.
Claims Transformation Domain Lead Chubb LtdClaims Transformation Domain LeadPA$180,000–$275,000 / yearReporting to the Head of Claims Transformation, this leader will own a critical domain within the transformation portfolio, leading the build-out of agentic AI capabilities that automate complex workflows, surface intelligent insights, and reimagine the adjuster experience from the ground up. The VP, Claims Transformation Domain Lead will spearhead the design and delivery of next-generation AI-powered employee technology, transforming how claims professionals work and driving measurable productivity gains across Chubb's Claims organization.
Senior Liability Claims Adjuster Major Case Unit Berkshire Hathaway GUARD Insurance CompaniesSenior Liability Claims Adjuster Major Case UnitConshohocken, PA$100,000–$150,000 / yearThe Senior Liability Adjuster is responsible for conducting office investigations and adjusting complex commercial general liability claims that are largely litigated, with exposures up to and exceeding policy limits within our Major Case Unit. Licensing Requirement: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses.
Claims Specialist - Medical Professional Liability ProAssurance CorpClaims Specialist - Medical Professional LiabilityPARemote$76,208–$125,756 / yearThe Claims Specialist directs the management of claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file. For that reason, we partner with The Predictive Index (PI) - an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style.
Senior Trucking Liability Claims Adjuster (JD Required) Berkshire Hathaway GUARD Insurance CompaniesSenior Trucking Liability Claims Adjuster (JD Required)PA$130,000–$170,000 / yearThis role may be based out of any of our office locations, including: New York, NY; Parsippany, NJ; Conshohocken, PA; Wilkes‑Barre, PA; Alpharetta, GA; Rosemont, IL; Plano, TX; Scottsdale, AZ; and Rancho Cordova, CA. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.
Retailer Claims Support Manager - Operations Subaru of America IncRetailer Claims Support Manager - OperationsCamden, NJ$94,800–$120,000 / yearAddresses questions relating to claims functions from the field staff, Customer Advocacy Department (CAD), Parts, Field Quality Assurance (FQA), and other Subaru of America (SOA) groups along with North American Subaru, Inc. (NASI) and Subaru Corporation (SBR). Clearly presents information through the spoken or written word, reads and interprets complex information, and communicates effectively with retailers, field staff, other department teams, and external contacts as needed relating to the functions of claims operations.
Claims Analyst, Settlement Administration RG/2 Claims Administration LLCClaims Analyst, Settlement AdministrationMIDDLE CITY WEST, PARG/2 is seeking a Claims Analyst who will be responsible for handling data entry of claimant information, claim review, report processing and reconciliation, updating and maintaining the firm’s database and document management systems, electronic and telephonic communication with claimants, claim payment distribution activities, and assisting in the preparation of periodic reports to courts and counsel. We believe balanced judgment, common sense, initiative and the capacity to confront a variety of situations are essential traits of a successful employee.
NewComplex Claims Consulting Director - EPL, Private & NFP D&O CNA Financial CorpComplex Claims Consulting Director - EPL, Private & NFP D&ORadnor, PA$97,000–$189,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of the most complex EPL and Private and Not-For-Profit D&O, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, and resolution strategies which may include extensive negotiations and complex litigation management. Drives the resolution of claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing settlements within scope of authority.
Senior Liability Claims Adjuster - Maryland & Deleware STRUCTION SOLUTIONSSenior Liability Claims Adjuster - Maryland & DelewareWilmington, DEThe Senior Liability Claims Adjuster will investigate, evaluate, negotiate, and resolve liability claims involving bodily injury, property damage, general liability, premises liability, commercial liability, transportation losses, and related exposures. We are expanding our liability claims operations and seeking a highly experienced, credible, and professional Liability Claims Adjuster to manage liability investigations and claims throughout Maryland and Delaware.
Complex Claims Consultant - Life Insurance Agent / Broker Dealer CNA Financial CorpComplex Claims Consultant - Life Insurance Agent / Broker DealerPA$72,000–$141,000 / yearResolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of high complexity and exposure Financial Lines claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Workers Compensation Claims Examiner III TeemaGroupWorkers Compensation Claims Examiner IIIPhiladelphia, PA$85,000–$92,000Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. Education/Experience: Bachelor’s degree in related field (preferred); three (3) or more years related experience; or equivalent combination of education and experience.
Claims Specialist, Property AXA SAClaims Specialist, PropertyEXTON, PAThe Claims Specialist's main focus is General Property, with other property losses included to balance the workload As claim file owner, collaborate with the Claims Manager on large and complex losses to achieve an optimal outcome for the client and AXA XL; determine if and which external vendors to engage, establish a strategic plan with vendors, identify Large Losses, and ensure all steps are taken to achieve the best outcome for the client and AXA XL (including those claims within authority level). Claims Specialist, Property Exton, PA; Hartford, CT; New York, NY The Claims Specialist will be responsible for the evaluation/handling of complex insurance claims and litigation management duties within AXA XL's Property division, including, but not limited to General Property, Energy, Equipment Breakdown, TPA Program, Construction, Middle Market and E&S losses.
Senior Claims Adjuster - Casualty (Public Risk Group) HCC Life Insurance CompanySenior Claims Adjuster - Casualty (Public Risk Group)PARemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. Our package policy provides a variety of coverages to support our insureds needs, including Law Enforcement Liability, Public Officials liability, Employment Practices Liability, Commercial General Liability, Property, First and Third-Party Auto, Inland Marine, Equipment Breakdown and more.
Claims Specialist Sovereign Insurance GroupClaims SpecialistBerwyn, PennsylvaniaTrack and review large claims, maintaining consistent claim awareness, and ensuring insured is continuously informed of claim status from initial notification to claim closure. Required Skills/Abilities A valid resident Property & Casualty insurance license is required; or the ability to obtain and maintain a valid state insurance license (agency may assist).
Medical Claims Analyst - OPS - ACAS CVS Health CorpMedical Claims Analyst - OPS - ACASPA$18.50–$35.29 / hour2+ years claim ACAS Medical claim processing experience and demonstrated ability to handle multiple assignments competently, accurately and efficiently. Supports cost management programs to reduce medical claim expenses and identify and recover medical claim expense dollars from liable parties.
Claims Reconsideration Specialist - JHP Thomas Jefferson UniversityClaims Reconsideration Specialist - JHPPhiladelphia, PAJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.
Supv Claims Operations Blue Cross and Blue Shield AssociationSupv Claims OperationsPhiladelphia, PAThe Supervisor serves as the primary operational liaison between Independence and the offshore vendors, providing direction, guidance, issue escalation, and continuous improvement oversight to ensure service levels and customer experience expectations are consistently met. The Supervisor of Operations - Offshore Vendor Oversight is responsible for the day-to-day operational oversight, performance management, and quality assurance of an offshore claims processing vendor supporting Independence's Claims Processing operations.
Claims Examiner - Jefferson Health Plan Thomas Jefferson UniversityClaims Examiner - Jefferson Health PlanPhiladelphia, PAJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.
Provider Claims Svcs Spec Blue Cross and Blue Shield AssociationProvider Claims Svcs SpecPhiladelphia, PAThis role acts as a liaison between providers and internal claims operations teams to ensure accurate, timely resolution and a high level of service in a fast-paced environment. The Provider Claims Service Specialist is responsible for responding to provider inquiries and resolving issues related to claims processing, reimbursement, and pricing.
Claims Repricer Blue Cross and Blue Shield AssociationClaims RepricerPhiladelphia, PAThe position plays a critical role in maintaining pricing integrity, minimizing rework, and supporting operational efficiency in a high-volume claims environment. This role ensures claims are priced in accordance with provider contracts, fee schedules, and benefit structures.
Claims Manager, Commercial Auto Starr InsuranceClaims Manager, Commercial AutoPhiladelphia, PennsylvaniaProviding management oversight to Third Party Administrators commercial auto property damage and bodily injury claims personnel by monitoring the claims online using the Third Party Administrators’ claim systems. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
NewClaims Manager, Risk Management Starr International Co IncClaims Manager, Risk ManagementPhiladelphia, PA$150,000–$170,000 / yearThe Claims Manager, Risk Management will be responsible for: Active oversight of claims currently managed by a Third Party Administrator as well as direct handling of an active inventory of primary and excess claims related to policies written out of the Risk Management Profit Center in various jurisdictions. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets: experience and training: licensure and certifications: and other business and organizational needs.
Excess Claims Manager Starr International Co IncExcess Claims ManagerPAAt Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Will be required to attend virtual and in person mediations and settlement conferences to negotiate cost-effective settlements, and potentially attend trials.
Claims Manager, Commercial Auto Starr International Co IncClaims Manager, Commercial AutoPhiladelphia, PAProviding management oversight to Third Party Administrators commercial auto property damage and bodily injury claims personnel by monitoring the claims online using the Third Party Administrators' claim systems. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
Excess Claims Manager Starr InsuranceExcess Claims ManagerPhiladelphia, PennsylvaniaAt Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Will be required to attend virtual and in person mediations and settlement conferences to negotiate cost-effective settlements, and potentially attend trials.
NewProvider Claims Svcs Spec Independence Blue CrossProvider Claims Svcs SpecPhiladelphia, PAThis role acts as a liaison between providers and internal claims operations teams to ensure accurate, timely resolution and a high level of service in a fast-paced environment. The Provider Claims Service Specialist is responsible for responding to provider inquiries and resolving issues related to claims processing, reimbursement, and pricing.