Claims Specialist Jobs in the United States
Jobot
$80000 - $100000 YEAR
Cicero, IL
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are a well-established, growing insurance company offering a great team, hybrid work environment, long-term stability and excellent career growth opportunities!
GEICO
$31.62 - $33.11 undefined
Land O' Lakes, FL
Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds—spend 80% of your time in the office and 20% working remotely. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
Diedre Moire Corp.
$110000 - $160000 YEAR
Westfield, IN
DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobsDISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Diedre Moire CorporationEducation Requirements: Bachelor DegreeMinimum Experience Requirements: 5-10 yearsJob City Location: WestfieldJob State Location: INJob Country Location: USASalary Range: $110,000 to $160,000.
Diedre Moire Corp.
$125000 - $150000 YEAR
Hamden, CT
CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Adjuster Claims Representative Insurance Bodily Injury Claims Auto Bodily Injury Physical Injury Litigation #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #ClaimsJobs #AutoBI #DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Education Requirements: Bachelor DegreeMinimum Experience Requirements: 2-5 yearsJob City Location: HamdenJob State Location: CTJob Country Location: USASalary Range: $125,000 to $150,000.
Sunrise Telecom
$55000 - $60000 YEAR
St. Louis, MO
This role supports the Vendor Relations department by coordinating with internal teams, vendors, insurance companies and service partners to ensure timely claim submission, documentation accuracy, and proper follow-up. Additionally, the Specialist works closely with the Accounts Payable Manager to provide claim-related reports, reconcile vendor and internal charges, and ensure proper financial handling of claims.
Epitec, Inc
Englewood Cliffs, NJ
Position: The primary objective of the Claims Management Specialist is to support Product Safety/Product Liability Department with operational activities including Direct Claim handling, customer contact & admin support, and overall claims management. To achieve the highest performance, the person in this position is expected to maintain effective and timely communication with key customers, claims adjusters, stakeholders and leaders within the department, team, and cross-department where applicable.
State Farm Mutual Automobile Insurance Company
$59059 - $81988 Yearly Salary
Tempe, AZ
With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Some of the areas we hire Claim Specialists for could include any of the following: Auto Injury: Handles bodily injury and uninsured/underinsured claims along with property damage claims involving injuries.
Sentry Insurance
$28.65 - $34.38 per Per hour
Stevens Point, WI
Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. Act as a subject matter expert, provide technical advice, direction, and guidance to other claims associates as need arises including instruction and authority on all complex conditional settlement demands received by enterprise.
State Farm Mutual Automobile Insurance Company
$59059.65 - $90000 Yearly Salary
Grand Junction, CO
Competitive candidates should reside within one of the listed zip codes and will service this same territory: 81410 81413 81414 81415 81416 81418 81419 81428 81434 81501 81502 81503 81504 81505 81506 81507 81520 81521 81522 81523 81524 81525 81527. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Metro Public Adjustment
$25000 - $120000 YEAR
, undefined
Once reviewed, If you want a face-to-face interview, we typically conduct them on Zoom : For Interview time and location, use the link below: Here are some of the benefits of working at Metro Public Adjustment: Competitive compensation based on commission or fees.
GEICO
$27.47 - $42.73 undefined
Marlton, NJ
We are looking for Personal Injury Protection (PIP) Claims Examiners in our Marlton, NJ office to deliver our promise to be there and assist our customers throughout the often complicated medical aspects of auto insurance claims. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, the work location as well as market and business considerations.
Diedre Moire Corp.
$125000 - $150000 YEAR
Fall River, MA
CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Adjuster Claims Representative Insurance Bodily Injury Claims Auto Bodily Injury Physical Injury Litigation #DiedreMoire #InsuranceJobs #ClaimsJobs #AutoBI #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobpostingDISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Education Requirements: Bachelor DegreeMinimum Experience Requirements: 5-10 yearsJob City Location: Fall RiverJob State Location: MAJob Country Location: USASalary Range: $125,000 to $150,000.
CareerBuilder Premium Subscription
$27 HOUR
Addison, TX
The ideal candidate will have 2-4 years of experience in medical billing, claims processing, or denial management , strong knowledge of CPT/HCPCS, ICD-10, and insurance payer rules , and experience with EMR/EHR systems. Communicate with payers and maintain accurate documentation.
Sentry Insurance
$70000 - $84000 YEAR
Stevens Point, WI
See Sentry Insurance Terms & Conditions at https://www.sentry.com/terms-and-conditions and Privacy Policy at https://www.sentry.com/privacy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Drive strategic subrogation initiatives for complex and high-exposure property and workers’ compensation losses, identifying all potential avenues for recovery, including non-traditional sources.
Way Forward Consulting
$28 - $30 HOUR
Englewood Cliffs, NJ
Position: The primary objective of the Claims Management Specialist is to support Product Safety/Product Liability Department with operational activities including Direct Claim handling, customer contact & admin support, and overall claims management. To achieve the highest performance, the person in this position is expected to maintain effective and timely communication with key customers, claims adjusters, stakeholders and leaders within the department, team, and cross-department where applicable.
Kavaliro
Utah, UT
The ideal candidate has strong revenue cycle experience, particularly in claims, eligibility, benefits, and authorizations, and can quickly identify root-cause errors in a high-volume environment. The specialist will handle complex claim discrepancies, conduct follow-up with payers, and coordinate with clinical and non-clinical teams to finalize claim determinations.
CareerBuilder
San Antonio, TX
Completes request for refund form and submits to Premium Processing; verifies monthly outstanding loan balances for active and inactive financial institutions; and ensures that open accounts loan balances are verified every 6 months and closed accounts are verified each month; provides back-up assistance to the claims processor position for establishment and set-up of new claims. Maintains carrier guidance and administrative files, required logs to comply with carrier requirements, reviews and evaluates instructions provided by carriers and assists management with proper implementation.
Northwestern Mutual
$84350 - $156650 YEAR
Franklin, WI
Strong working knowledge of one of more of the following areas: disability income and life waiver of premium claims, death claims or long term care claims, including policies and products, guidelines and regulatory requirements related to the specific product line. Uses extensive financial, medical, legal, claims and/or state requirement knowledge to provide technical assistance and direction to the staff in interpreting and analyzing pertinent facts associated with large dollar and contestable claims referrals by claims staff.
Iconma
New Haven, CT
Requirements:Lost Time Claim Examiner position with prior experience in workers’ compensation as a medical only examiner, or commensurate examiner experience in paralegal, short-term / long-term disability, auto personal injury protection / medical injury, general liability or as a claim technical assistant for lost time claims. Controls and directs vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.
ECLARO
$22 HOUR
Chapel Hill, NC
Responsibilities:The responsibilities of this role include filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, such as x-rays, chart notes, and letters of necessity; Investigating denied claims, following up on those investigations, and submitting appeals for those denied claims; Verifying essential documentation including insurance cards, insurance explanations of payment, provider narratives, and insurance consent; Regularly auditing patient records for accuracy and completeness of billing, coding, and clinical documentation. It also requires a comprehensive understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing, and the policies and contracts of multiple insurance vendors.
Jones Jones LLC
$50000 - $70000 YEAR
NEW YORK, NY
With decades of industry experience, we proudly serve clients through our affiliated entities - NYTIC, Emerald, Mediation Resolution Management, and Medical Management Group - offering innovative solutions, collaborative teamwork, and unwavering professionalism. We are seeking an experienced Claims Examiner who is interested in growing and expanding their expertise across multiple entities, including NYTIC, Emerald, Mediation Resolution Management and Medical Management Group.
CFS
$65000 - $75000
Valhalla, NY
Under the direction of the Manager of Leave Management, the Lead Specialist provides expert-level administration of both Non-Occupational Leave and Workers' Compensation programs for the organization. Apply leave eligibility guidelines to render accurate decisions, handling high-complexity cases requiring advanced judgment and expertise.
Vaco LLC
$27 - $30
Phoenix, AZ
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Vaco LLC
$68000 - $71000
Fullerton, CA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
CFS
$70000 - $90000
Seattle, WA
This is a full-time role ideal for someone who thrives in a multi-functional position and enjoys working in a close-knit team. Join a unique organization serving the commercial fishing industry, where your skills will make a real impact.
Vaco LLC
$23 - $25
Columbus, OH
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
ECLARO
$25 - $30 HOUR
Aurora, IL
Responsibilities:Employee Onboarding Support:Backup to HR Specialist - Able to input new hires into GHR and manage all aspects of the employee onboarding process including:License Verification. Learning Management System (Tuitio):Administration and monitoring of annual and ongoing education within the LMS platform.
PedIM Healthcare
$16 - $18 HOUR
Crystal River, FL
PedIM Healthcare is a leading provider of high-quality healthcare services in Lecanto, Florida. If you're passionate about healthcare finance, have a strong understanding of medical billing practices, and thrive in a fast-paced environment, we want to hear from you.
Atrium Staffing
$25 HOUR
Freehold, NJ
Our client is a long-standing and rapidly growing healthcare company in the sports/ortho space, looking for an experienced Medical Billing Specialist to join and assist their ever-growing team! By applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners.
Jobot
$25 - $29 HOUR
Los Angeles, CA
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations.
First Horizon Bank
Birmingham, AL
Headquartered in Memphis, TN, the banking subsidiary First Horizon Bank operates in 12 states across the southern U.S. The Company and its subsidiaries offer commercial, private banking, consumer, small business, wealth and trust management, retail brokerage, capital markets, fixed income, and mortgage banking services. The ATM Operations Specialist role is responsible for supporting the ATM fleet in the following capacities: reconcilement of ATM cash and ATM deposits, ATM monitoring, support for banking centers and ATM related vendors, including phone support and assistance with ATM training, as needed.
Credence
$85000 - $95000 annual
McLean, VA
The ideal candidate will be an initiative-taking employee who applies an intense focus on details; is able to effectively communicate and collaborate within a large, fast-paced team; and who aims to grow their proficiency leading Federal Government proposals. The ideal candidate will have experience working on scorecard-based proposals that include creating indexes, cover sheets, project descriptions, and packaging highlighted notes of support documentation for scorecard evaluation.
Kforce Inc.
$25 - $35 hourly
Saint Louis, MO
Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. By clicking “Apply Today” you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers.
CFS
$60000 - $68000
Denver, CO
The Medicaid Billing Specialist plays a vital role in ensuring accurate and compliant billing processes that support the organization's housing and supportive services programs. Experience: Prior work with HUD billing in a nonprofit or affordable housing context is highly preferred, Medicaid billing is a PLUS.
Metro Public Adjustment
$25000 - $120000 YEAR
, undefined
Once reviewed, If you want a face-to-face interview, we typically conduct them on Zoom : For Interview time and location, use the link below: Here are some of the benefits of working at Metro Public Adjustment: Competitive compensation based on commission or fees.
Vaco LLC
$60000
Haverhill, MA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Vaco LLC
$26 - $31
Corona, CA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
University Health
SAN ANTONIO, TX
Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to ensure auto adjudication.
Jobot
$90000 - $105000 YEAR
Dallas, TX
We are a $100M/year specialized retaining wall subcontractor, based out of the DFW area, within a broader site solutions group, delivering engineered structural retaining systems for residential and commercial developments as well as large-scale commercial projects. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
CHRISTUS Health
Santa Fe, NM
Customer focus: Strives for high customer satisfaction, going out of our way to be helpful and pleasant, making it as easy as possible on the patient, family member or customer rather than our department or organization. Also, any other computer applications related to the work (document imaging systems, Organizational Share Point, Revenue Cycle systems) .
Stamford American International Hospital
$62.75 - $83.16 HOUR
Austin, TX
Positions are flexibly staffed at any of the three levels and progression from one level to the next higher level depends, first, on the need for a position at the higher level; second, on the nature, scope and complexity of the duties assigned; and third, on an employees demonstrated and applied knowledge, skills and abilities and professional behaviors. Clinical Government Audit Analyst and Appeal Specialist II is the full proficiency or journey level of the Clinical Government Audit Analyst and Appeal Job Family where employees are responsible for independently performing the full range of duties of moderate difficulty and complexity as outlined under the Job Duties Essential Functions.
Rockingham Insurance Company
Harrisonburg, VA
Primary responsibilities include working directly with defense counsel, providing technical support to the casualty units, researching legal topics, and assisting in ensuring that litigation management quality controls are maintained. Flexibility in daily work times and telecommuting is allowed; average 40-hour week; occasional evening, weekend work, or overnight travel may be required as job duties demand.
Riteway Roofing & Construction LLC
$50000 - $250000 YEAR
Edmond, OK
Riteway Roofing & Construction is seeking motivated Insurance Restoration Specialists to help homeowners navigate storm-related insurance claims and secure full roof replacements. No prior experience is required — we provide full training, tools, and mentorship to help you succeed quickly.
Medline Industries - Transportation & Operations
Northfield, IL
Prepare comprehensive regulatory strategies for new devices, new launch markets, and post-market device changes, ensuring that the content, context, organization, and quality of supporting information is sufficient to meet all regulatory requirements, commitments, and agreements. Complete and maintain regulatory filings by collaborating with internal and external groups, evaluating supporting technical in-formation, writing appropriate summary documentation, and supporting the response to non-conformances and questions from regulators.
Medline Industries - Transportation & Operations
Springfield, IL
Complete and maintain varied regulatory filings by leading internal groups, collaborating with external groups, evaluating and providing direction on supporting technical information, writing appropriate summary documentation, providing direction on product/project changes, and responding to non-conformances and questions from regulators. Prepare comprehensive regulatory strategies for new devices, new launch markets, and post-market device changes, ensuring that the content, context, organization, and quality of supporting information is sufficient to meet all regulatory requirements, commitments, and agreements.
Medline Industries - Transportation & Operations
Mundelein, IL
This role is responsible for writing stability protocols/reports, evaluating stability data, performing risk assessment, and supporting process improvements. Determine the tests and acceptance criteria required for stability in collaboration with testing subject matter experts and product divisions.
Big Belly Solar LLC
Needham, MA
Description:The Sales Operations Specialist will be responsible for supporting Sales, spanning all business segments in our International and Domestic Sales group, by assisting to effectively service current and potential customers. This role is responsible for being a Subject Matter Expert in relationship management, and continued management of the daily needs of both the customer and sales team related to the order-to-cash process.
Fresno First Bank
$35 - $45 HOUR
Fresno, CA
Responsibilities could include processing financial transactions such as exception items, ACH, and wire transfers; managing Smart Safe cash balancing and reconciliation; handling card disputes, levies, and subpoenas; and conducting customer research and account reconciliation. Effective oral, written, and interpersonal communication skills with the ability to apply common sense to carry out instructions, interpret documents, understand procedures, write reports and correspondence, and speak clearly to customers, vendors and employees.
Delta Dental of Washington
$40560 - $44160 YEAR
Spokane, WA
Conduct research on unclear items using available resources, this may include external communication with dental offices, benefit carriers, and/or subscribers as needed to gather additional information. As a Claims Specialist I, you'll be instrumental in delivering a positive experience for our members, providers, and groups by ensuring claims are processed promptly and accurately.
Benchmark Human Services
Fort Wayne, IN
This position ensures all claims are processed in accordance with payer rules and regulatory requirements, while maintaining efficient and compliant billing operations to support timely reimbursement. Benchmark Human Services has grown to become one of the most respected leaders in the country in the areas of intellectual and developmental disabilities (IDD) and behavioral health.