State Farm Mutual Automobile Insurance CompanyNewClaim Specialist - Property Field Inspection State Farm Mutual Automobile Insurance CompanyClaim Specialist - Property Field InspectionSanta Monica, CA$64,965.62–$111,595 / yearAdditional Details: Employees must successfully complete all required training, including applicable licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s). 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!
EIG Services, Inc.NewClaims Adjuster II (Workers' Compensation) | California EIG Services, Inc.Claims Adjuster II (Workers' Compensation) | CaliforniaGlendale, CARemote$60,000–$92,000 / yearWe're a specialized WC carrier — it's all we do — and we're looking for a California experienced claims adjuster to join our fully remote team working Pacific hours. Manage a caseload of California WC claims with moderate to complex medical and indemnity exposure, including litigation.
JobotNewMedical Billing Specialist JobotMedical Billing SpecialistLos Angeles, CA$25–$29 / hourInformation 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.
JobotNewEnvironmental Health & Safety Specialist JobotEnvironmental Health & Safety SpecialistChatsworth, CA$90,000–$100,000 / yearThis role serves as the site subject matter expert on OSHA and environmental regulatory compliance, partnering with operations and leadership to proactively mitigate risk, maintain audit readiness, and strengthen environmental stewardship initiatives. 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.
USAANewProperty Adjuster Specialist - Field USAAProperty Adjuster Specialist - FieldBakersfield, CAProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Sentry InsuranceNewMiddle Market Underwriting Specialist Sentry InsuranceMiddle Market Underwriting SpecialistIrvine, CA$98,900–$148,300 / yearIn the state of California, at an Underwriting Specialist Senior level, based on qualifications and experience the range for annual compensation for this position is between $119,600 - $179,400. In this role, you will: Work closely with agency partners and internal sales partners to obtain information needed to properly underwrite, price, and program individual policies/accounts.
Sentry InsuranceNewTerritory Underwriter Specialist Sentry InsuranceTerritory Underwriter SpecialistStockton, CA$144,720–$217,200 / yearMinimum of 5 years related work experience, with multi-line middle market underwriting experience handling accounts in construction, manufacturing, wholesale, real estate, and service industries preferred. As a Territory Underwriter Specialist, you’ll market & underwrite Sentry’s products & services to select Commercial Lines independent agents & brokers in a defined territory.
ECLARONewLitigation Specialist ECLAROLitigation SpecialistPasadena, CAThe ideal consultant should have thorough knowledge of liability coverages, basic reinsurance, technical coding, and possess the ability to negotiate claim settlements efficiently, including using structured settlements when appropriate. Responsibilities:In this role, the individual will handle litigated or complex claims—such as cases involving severe damages, coverage issues, sensitive matters, and declaratory relief actions.
Snowline Hospice of El DoradoNewCertified Coding and Billing Compliance Specialist Snowline Hospice of El DoradoCertified Coding and Billing Compliance SpecialistPlacerville, CA$55,000–$75,000 / yearThis role evaluates clinical documentation, assigns ICD-10, CPT, HCPCS, E/M, CCM, and TCM codes, identifies missed or incorrect charges, and resolves coding and claim discrepancies prior to submission. The position works closely with providers and the billing team to support documentation integrity, denial prevention and resolution, audit readiness, and regulatory compliance, while providing education and reporting to strengthen revenue integrity.
Zurich Insurance Company Ltd.Underwriting Specialist or Executive Underwriter, Core Contract Surety Zurich Insurance Company Ltd.Underwriting Specialist or Executive Underwriter, Core Contract SuretySan Francisco, CA$75,000–$165,000Specifically, you will underwrite and analyze new and renewal Surety business utilizing The Zurich Way of Underwriting Framework within delegated authority levels on assignments of higher technical complexity ensuring a high-level service to customers. Our Underwriters are Client Externally Focused and the job’s core deliverables rely on delivering service to external clients and/or customers.
JobotNewPre-Lit Case Manager JobotPre-Lit Case ManagerTorrance, CA$40–$45 / hourInformation 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. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
Pinnacle Technical ResourcesProduction Specialist/Engineer II Pinnacle Technical ResourcesProduction Specialist/Engineer IICupertino,, California$50–$60 / hourContractorThe specific compensation for this position will be determined by a number of factors, including the scope, complexity and location of the role as well as the cost of labor in the market; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Strong listening skills with the ability to interpret requests from creative and production teams, asking thoughtful clarifying questions when needed.
ManpowerNewFinancial Restructuring Specialist Remote ManpowerFinancial Restructuring Specialist RemoteEl Segundo, CARemote$27–$29BA/BS and a year or two of experience, in consulting or professional client services in corporate bankruptcy or related industries including, but not limited to, financial restructuring and claims and noticing. As a Financial Restructuring Specialist, you will be part of the corporate restructuring team supporting upper management.
SBS Acquisition Company LLCNewSafety Specialist SBS Acquisition Company LLCSafety SpecialistSanta Barbara, CA$90,000–$100,000 / yearThis is a mid-level role ideal for someone who is experienced in plant safety, enjoys coaching others, and is comfortable balancing compliance, training, and day-to-day safety operations. Training & CoachingLead safety training for employees and supervisors (new hire, ongoing, and refresher training) .
Greater Hope Foundation for Children Inc.NewBehavioral Health Medical Biller Greater Hope Foundation for Children Inc.Behavioral Health Medical BillerVictorville, CA$20–$21 / hourAccurately prepare and submit claims for behavioral health services to commercial payers, Medicare, Medicaid, and other third-party insurers. The ideal candidate will ensure accurate and timely billing and contribute to the organization’s financial health by minimizing denials and optimizing reimbursements.
Sentry InsuranceNewTrial Attorney - In-House Counsel Sentry InsuranceTrial Attorney - In-House CounselStockton, CA$131,600–$197,400 / yearHandle pleadings, motion practice, depositions, written discovery, expert witness retention and discovery, dispositive motions, and trial preparation and presentation with minimal oversight. Assist in preparing forms for use throughout the department including, but not limited to, pleadings, discovery, jury instructions, dispositive motions, and correspondence.
SHARP HEALTHCARENewLead Pharmacy Technician – Sharp Memorial Hospital – Variable Shift – Full Time SHARP HEALTHCARELead Pharmacy Technician – Sharp Memorial Hospital – Variable Shift – Full TimeSan Diego, CA$34.17–$49.37 / hourProactively identifies potential medication safety improvement opportunities such as look alike, sound alike medication storage and packaging issues, delivery / storage / security related issues, inventory management issues etc. and works with Pharmacy Administration to develop, implement and monitor programs to address these medication use / safety surveillance initiatives. Supports workplace safety and ergonomic improvement initiatives; assists with enforcing compliance with measures designed to reduce employee injury, including ensuring injuries and workers' compensation claims are reported and filed in a timely manner.
Magnet MedicalNewTravel Nurse RN - Outpatient Clinic - $1,910 per week in Los Angeles, CA Magnet MedicalTravel Nurse RN - Outpatient Clinic - $1,910 per week in Los Angeles, CALos Angeles, CA$1,910–$1,910A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
Frasco IncNewField Investigator Frasco IncField InvestigatorGlendale, CARemote$20–$24 / hourYour day-to-day work will include visiting residences for document signings and retrievals, conducting wellness checks, gathering photo and video evidence at accident locations, and preparing clear, detailed investigative reports. As a Field Specialist, you’ll work on a wide range of insurance investigations including workers’ compensation, suspected fraud, and liability claims while delivering thorough, high-quality results for our clients.
TrueCareNewCalifornia & FQHC experienced- Revenue Cycle Manager TrueCareCalifornia & FQHC experienced- Revenue Cycle ManagerSan Marcos, CA$90,776–$136,165 / yearThe Back-End Revenue Cycle Manager is responsible for managing the day-to-day activities of the billing staff to ensure accurate and timely billing of claims, review of denials, adjustments, and write-offs and monitor accounts receivable balances to ensure compliance with TrueCare goals. Implement and maintain systems to audit billing submissions, payment posting, collections, denials, and adjustments including write-offs to ensure accuracy of accounts receivable, timely claims adjudication, and revenue maximization.
JobotWorkers Compensation Claims Specialist JobotWorkers Compensation Claims SpecialistBuena Park, CA$100,000–$120,000Full timeInformation 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 integral to our operations, and the successful candidate will be responsible for managing and resolving claims, ensuring adherence to legal requirements, and maintaining comprehensive documentation.
Ultimate Staffing ServicesMedical Claims Specialist Ultimate Staffing ServicesMedical Claims SpecialistCarlsbad, California$55,000–$65,000The ideal candidate will have at least 3 years of experience in managing medical claims processes, ensuring accurate and efficient handling of claims, and delivering exceptional service to clients and providers. Ultimate Staffing is actively seeking an experienced Medical Claims Specialist to join a dedicated team in Carlsbad, CA.
Mercury Insurance Services, LLCClaims Specialist II Mercury Insurance Services, LLCClaims Specialist IICalifornia$44,466–$77,881 / yearBodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties. If you’re passionate about helping people restore their lives when the unexpected happens, and providing high-quality customer experiences, then our Mercury Insurance Claims team could be the place for you!
CorVel Enterprise Claims, Inc.NewSenior Liability Claims Specialist CorVel Enterprise Claims, Inc.Senior Liability Claims SpecialistRancho Cucamonga, CARemote$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. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
CorVel Enterprise Claims, Inc.CA Senior Liability Claims Specialist CorVel Enterprise Claims, Inc.CA Senior Liability Claims SpecialistRancho Cucamonga, CARemote$29.35–$47.28 / hourPart 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. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
Tellus SolutionsMedical Malpractice Claims Specialist Tellus SolutionsMedical Malpractice Claims SpecialistOrange, CARole involves handling technical and administrative responsibilities related to managing assigned claim files and taking on a larger caseload of highly complex claims. Responsibilities:Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement.
RIDE MobilityClaims Specialist RIDE MobilityClaims SpecialistPasadena, CA$25–$27 / hourThis role serves as a key liaison between OEM teams, dealers, customers, and suppliers to ensure efficient resolution of claim issues. Verify claim accuracy by reviewing labor hours, parts usage, repair orders, and supporting documentation.
Ultimate Staffing ServicesClaims Specialist Ultimate Staffing ServicesClaims SpecialistCarlsbad, California$50,000–$65,000This role involves preparing and submitting appeals for denied or unpaid medical claims while maintaining strong working relationships with decision makers through professional and responsive service. The Claims Specialist is responsible for reviewing and investigating denied claims from Medicare, commercial payers, and third-party insurers.
Career Consulting PartnersClaims Specialist (Los Angeles) Career Consulting PartnersClaims Specialist (Los Angeles)Los Angeles, CaliforniaYou will manage a caseload of personal injury matters from intake through settlement, working directly with clients, providers, and insurance carriers to maximize case value. Career Consulting Partners is partnered with a large Personal Injury Law firm that has been voted as one of America's "Most Feared Plaintiff Firms".
CorVel Enterprise Claims, Inc.CA Senior WC Claims Specialist CorVel Enterprise Claims, Inc.CA Senior WC Claims SpecialistFolsom, CARemote$29.35–$47.28 / hourPart 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.
CorVel Enterprise Claims, Inc.CA WC Senior Claims Specialist (Floater) CorVel Enterprise Claims, Inc.CA WC Senior Claims Specialist (Floater)Rancho Cucamonga, CARemote$29.35–$47.28 / hourPart 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.
CorVel Enterprise Claims, Inc.CA Senior Claims Specialist CorVel Enterprise Claims, Inc.CA Senior Claims SpecialistFolsom, CARemote$29.35–$47.28 / hourPart 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.
CorVel Enterprise Claims, Inc.Senior WC Claims Specialist FLOAT CorVel Enterprise Claims, Inc.Senior WC Claims Specialist FLOATRancho Cucamonga, CARemote$29.35–$47.28 / hourPart 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.
CorVel Enterprise Claims, Inc.CA WC Senior Claims Specialist (SIP, 4850) CorVel Enterprise Claims, Inc.CA WC Senior Claims Specialist (SIP, 4850)Rancho Cucamonga, CARemote$29.35–$47.28 / hourPart 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.
MedPOINT ManagementEDI Claims Specialist MedPOINT ManagementEDI Claims SpecialistSherman Oaks, CARemoteJoin MedPOINT Management as an EDI Claims Specialist and play a crucial role in ensuring accurate and timely processing of electronic claims. MedPOINT Management has been a leader in healthcare management solutions for over a decade, committed to improving the efficiency and effectiveness of our partners.
Stemilt Growers LLCCA Sales Support & AR Claims Specialist Stemilt Growers LLCCA Sales Support & AR Claims SpecialistStockton, California$25–$32This position supports three thousand Stemilters and it’s required to deliver extraordinary customer service at all levels, in addition to accurate and timely order entry, keeping management informed by submitting activity and results reports, and providing other Departments with requested information as needed. Stemilt, a vertically integrated Company that brings wholesome and earth friendly products to families around the world, and the largest employer and pillar for the Wenatchee Valley Community, is looking to become a leading employer, not just in its home valley but, around Washington, and the world.
Mercury Insurance Services, LLCProperty Claims Specialist Field I Mercury Insurance Services, LLCProperty Claims Specialist Field IRancho Cucamonga, California$63,410–$117,348 / yearAs a Property Claims Field Adjuster 1, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims . • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Mercury Insurance Services, LLCProperty Claims Specialist Field II Mercury Insurance Services, LLCProperty Claims Specialist Field IIRancho Cucamonga, California$98,568–$120,473 / yearAs a Property Claims Field Adjuster 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims . • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Partnership HealthPlan of CaliforniaClaims Specialist Partnership HealthPlan of CaliforniaClaims SpecialistRedding, California$28.63–$37.22 / hourThe job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. examining experience and completion of Partnership claims training; or equivalent combination of education and experience; College course work in business or related field preferred.
US Government Jobs - Other AgenciesNewField Office - Claims Specialist US Government Jobs - Other AgenciesField Office - Claims SpecialistLancaster, CAIn addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. This includes speaking with beneficiaries about their rights under the Social Security laws, gathering facts and evidence to establish eligibility for benefits, making critical decisions to determine the amount of benefits paid to individuals, and using state-of-the-art computer technology to access and update information about claims.
Crawford & CompanyContent Claims Specialist - Field - Level I Crawford & CompanyContent Claims Specialist - Field - Level ISan Diego, CARemoteFull timeLI_JC3 #HybridCommunicate with adjusters/policyholders and industry vendors to explain their roles as Content Claims Specialists and their respective roles/contributions in the claims handling process. Communicate with all parties (adjusters/policyholders) in adherence with edjuster's commitment to timely and informative updates on the content claims process.
Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00106 Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00106Rancho Cucamonga, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Alura Workforce SolutionsClaims Specialist II - Provider Claims 25-00515 Alura Workforce SolutionsClaims Specialist II - Provider Claims 25-00515Rancho Cucamonga, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00063 Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00063Rancho Cucamonga, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00029 Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00029Rancho Cucamonga, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Social Security AdministrationNewField Office - Claims Specialist Social Security AdministrationField Office - Claims SpecialistMission Viejo, CAIn addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. This includes speaking with beneficiaries about their rights under the Social Security laws, gathering facts and evidence to establish eligibility for benefits, making critical decisions to determine the amount of benefits paid to individuals, and using state-of-the-art computer technology to access and update information about claims.
LanceSoft IncTemporary Claims Specialist II - Provider Claims LanceSoft IncTemporary Claims Specialist II - Provider ClaimsRancho Cucamonga, CA$27.43–$27.43 / hourFour (4) years of experience in a managed care environment in the area of claims processing; appeals & adjustments, and customer service, preferably in an HMO or Managed Care setting. Maintain, track, and prioritize assigned caseload through IEHP s provider dispute database to ensure timely completion.
Macpower Digital Assets Edge Private LimitedSenior Claims Specialist Macpower Digital Assets Edge Private LimitedSenior Claims SpecialistOrange, CA$110,000–$130,000 / yearJob Summary: Seeking a Senior Claims Specialist to manage a complex caseload of medical malpractice claims, supervise junior claims specialists, and contribute to ongoing training efforts. Key Responsibilities:Manage medical malpractice claims, including assigning and directing defense counsel, following Claims Technical Manual, Defense Attorney Guidelines, and MPT Agreement.
Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00130 Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00130Rancho Cucamonga, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
CorVel Enterprise Claims, Inc.Claims Training Specialist CorVel Enterprise Claims, Inc.Claims Training SpecialistFolsom, CARemote$77,960–$120,368 / yearPart timeOther duties to be carried out by Claims Training Specialist will include conducting classroom, virtual, and field training to internal employees/colleagues, developing training materials to meet specific needs, and monitoring new hires, and other tasks as required by management. In order to efficiently execute daily responsibilities, the Claims Training Specialist must first obtain a deep understanding of the business to articulate what our claims model does and to clearly demonstrate all aspects of the Operations roles in order to be able to successfully conduct and oversee the department training.