3,806 Claims Specialist jobs in the United States

Job Summary:

Join our dynamic team as an Insurance Claims Specialist. In this role, you will play a crucial part in analyzing and processing insurance claims to determine insurance carrier liabilities while upholding our company’s mission and values. Your primary responsibilities will include efficient adjudication of claims, clear communication with insured parties, travel suppliers, medical facilities, and compliance with all state Department of Insurance regulations. Some weekend work may be required. This position reports to the Claims Supervisor.

Principal Duties and Responsibilities:

Claims Processing and Coordination

1. Process assigned claims promptly, accurately, and efficiently while following established policies and best practices.
2. Review claim forms, Physician Statements, and documentation to validate completeness.
3. Communicate with insured individuals, healthcare providers, agents, and other necessary parties to obtain proper documentation and resolve claims.
4. Maintain accurate reserves for each claim file.
5. Ensure comprehensive file documentation is collected and retained, including all correspondence.
6. Investigate claims and coordinate with outside adjusters and investigators as required.
7. Issue denial of benefits letters when necessary.
8. Manage attorney-represented claims effectively.
9. Address and respond to Department of Insurance complaint letters.
10. Respond to inquiries related to claims status both via written and phone communication.
11. Ensure timely and accurate payment issuance.
12. Consistently apply current Federal and State insurance regulations across all jurisdictions.

Customer Service

1. Provide clear responses to internal and external customer inquiries regarding coverage and policy information.

Teamwork and Department Support

1. Assist in mentoring and training new employees as needed.
2. Take on additional assignments or special projects as directed by management.

Required / Desired Knowledge, Experiences, and Skills:

1. Exceptional verbal and written communication, problem-solving, and organizational skills.
2. Strong reading, writing, comprehension, and proofreading abilities.
3. Familiarity with standard practices, regulations, and laws in the insurance field is preferred.
4. Bilingual proficiency in English and Spanish (verbal, reading, and writing) is a plus.

Education/Certifications:

1. High School Diploma or equivalent is required; a Bachelor's degree from an accredited institution is a plus.
2. Prior experience in claims processing and customer service is highly preferred.

Physical Working Environment:

This role requires the ability to stand, walk, and sit for extended periods. The employee will use hands for grasping and handling and may need to lift or move up to 10 pounds frequently and up to 25 pounds occasionally. Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.

The above statements describe the general nature of work involved in this role and are not intended to be an exhaustive list of all responsibilities, duties, and skills necessary for employees in this classification.

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPRs Insured Claims Manager.

Specific Duties include:

Claims & Incident Management:

• Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to:
  • Input and/or review all incidents reported in DPRs RMIS system.
  • Maintain incident records in Insurance Teams document management system.
  • Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements.
• Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities.
• Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable.
• Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate.
• Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date.
• Provide in-network aluminum certified repair shop information to drivers following an incident.
• Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement.
• When required, notify the applicable States Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form.
• Work with Insurance Controller on auto program claim reports
• Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed.

Fleet Vehicle Safety & Operations Policy Management :

• Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs
• Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training
• Ensure authorized driver list is kept current
• Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions
• Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy

Key Skills:

• Strategic thinking
• Ability to mentor and inspire others
• Integrity
• Team player
• Strong writing and communication skills
• Self-Starter
• Highly organized and responsive ability to meet deadlines
• Detail Oriented
• Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs.
• Risk and dispute management insured claims

Qualifications :

• A minimum of five years relevant insurance industry experience
• Previous experience in auto claims management highly desired

DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world.

Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity togetherby harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek.

Explore our open opportunities at .

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPRs Insured Claims Manager.

Specific Duties include:

Claims & Incident Management:

• Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to:
  • Input and/or review all incidents reported in DPRs RMIS system.
  • Maintain incident records in Insurance Teams document management system.
  • Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements.
• Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities.
• Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable.
• Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate.
• Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date.
• Provide in-network aluminum certified repair shop information to drivers following an incident.
• Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement.
• When required, notify the applicable States Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form.
• Work with Insurance Controller on auto program claim reports
• Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed.

Fleet Vehicle Safety & Operations Policy Management :

• Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs
• Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training
• Ensure authorized driver list is kept current
• Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions
• Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy

Key Skills:

• Strategic thinking
• Ability to mentor and inspire others
• Integrity
• Team player
• Strong writing and communication skills
• Self-Starter
• Highly organized and responsive ability to meet deadlines
• Detail Oriented
• Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs.
• Risk and dispute management insured claims

Qualifications :

• A minimum of five years relevant insurance industry experience
• Previous experience in auto claims management highly desired

DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world.

Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity togetherby harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek.

Explore our open opportunities at .

Join to apply for the Insurance Claims Specialist role at DPR Construction

2 days ago Be among the first 25 applicants

Join to apply for the Insurance Claims Specialist role at DPR Construction

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Job Description

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPRs Insured Claims Manager.

Job Description

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPRs Insured Claims Manager.

Specific Duties Include

Claims & Incident Management:

• Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to:
• Input and/or review all incidents reported in DPRs RMIS system.
• Maintain incident records in Insurance Teams document management system.
• Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements.
• Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities.
• Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable.
• Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate.
• Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date.
• Provide in-network aluminum certified repair shop information to drivers following an incident.
• Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement.
• When required, notify the applicable States Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form.
• Work with Insurance Controller on auto program claim reports
• Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed.
  

• Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs
• Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training
• Ensure authorized driver list is kept current
• Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions
• Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy
  
  

• Strategic thinking
• Ability to mentor and inspire others
• Integrity
• Team player
• Strong writing and communication skills
• Self-Starter
• Highly organized and responsive ability to meet deadlines
• Detail Oriented
• Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs.
• Risk and dispute management insured claims
  
  

• A minimum of five years relevant insurance industry experience
• Previous experience in auto claims management highly desired
  
  

• Seniority level Mid-Senior level

• Employment type Full-time

• Job function Finance and Sales
• Industries Construction and Civil Engineering

Referrals increase your chances of interviewing at DPR Construction by 2x

Tucson, AZ $59,059.65-$0,000.00 2 days ago

Tucson, AZ 66,000.00- 86,000.00 14 hours ago

Tucson, AZ 65,000.00- 75,000.00 3 weeks ago

Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPRs Insured Claims Manager.

Specific Duties include:

Claims & Incident Management:

• Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to:
  • Input and/or review all incidents reported in DPRs RMIS system.
  • Maintain incident records in Insurance Teams document management system.
  • Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements.
• Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities.
• Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable.
• Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate.
• Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date.
• Provide in-network aluminum certified repair shop information to drivers following an incident.
• Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement.
• When required, notify the applicable States Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form.
• Work with Insurance Controller on auto program claim reports
• Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed.

Fleet Vehicle Safety & Operations Policy Management :

• Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs
• Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training
• Ensure authorized driver list is kept current
• Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions
• Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy

Key Skills:

• Strategic thinking
• Ability to mentor and inspire others
• Integrity
• Team player
• Strong writing and communication skills
• Self-Starter
• Highly organized and responsive ability to meet deadlines
• Detail Oriented
• Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs.
• Risk and dispute management insured claims

Qualifications :

• A minimum of five years relevant insurance industry experience
• Previous experience in auto claims management highly desired

DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world.

Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity togetherby harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek.

Explore our open opportunities at .

Join to apply for the Insurance Claims Specialist role at DPR Construction

2 days ago Be among the first 25 applicants

Join to apply for the Insurance Claims Specialist role at DPR Construction

Get AI-powered advice on this job and more exclusive features.

Job Description

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPRs Insured Claims Manager.

Job Description

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPRs Insured Claims Manager.

Specific Duties Include

Claims & Incident Management:

• Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to:
• Input and/or review all incidents reported in DPRs RMIS system.
• Maintain incident records in Insurance Teams document management system.
• Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements.
• Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities.
• Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable.
• Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate.
• Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date.
• Provide in-network aluminum certified repair shop information to drivers following an incident.
• Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement.
• When required, notify the applicable States Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form.
• Work with Insurance Controller on auto program claim reports
• Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed.
  

• Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs
• Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training
• Ensure authorized driver list is kept current
• Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions
• Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy
  
  

• Strategic thinking
• Ability to mentor and inspire others
• Integrity
• Team player
• Strong writing and communication skills
• Self-Starter
• Highly organized and responsive ability to meet deadlines
• Detail Oriented
• Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs.
• Risk and dispute management insured claims
  
  

• A minimum of five years relevant insurance industry experience
• Previous experience in auto claims management highly desired
  
  

• Seniority level Mid-Senior level

• Employment type Full-time

• Job function Finance and Sales
• Industries Construction and Civil Engineering

Referrals increase your chances of interviewing at DPR Construction by 2x

Franklin, TN $51,807.00-$3,551.00 2 days ago

Franklin, TN 61,892.00- 98,865.00 1 week ago

Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

Are you a detail-oriented professional with a knack for problem-solving? As an Insurance Claims Specialist, you will coordinate the documentation, evaluation, and resolution process for company insurance claims for the High Speed Rail Project, ensuring accuracy and compliance every step of the way.

Collaborate with industry experts and committed teams to streamline our claims process.

Apply now and transform your career with us.

Evaluates, tracks and reports insurance claims daily. Accurately documents and maintains file records to ensure compliant and timely responses and resolutions.
• Submits monthly litigation reports to legal counsel to ensure correct status and tracking of litigated claims management.
• Identifies, evaluates and approves General Liability Recovery opportunities for the company. Manages the recovery process to ensure accurate and timely response and resolution.
• Reviews and submits monthly loss run reports to insurance carriers and manager monthly.
• Reviews and approves company cost coding for insurance invoices to be paid monthly. Reconciles insurance invoicing for accuracy and resolves inconsistencies.
• Evaluates, tracks, and reports safety reports daily; assists in updating EHS department's policies and procedures when necessary per management's directions.
• Maintains OSHA documentation and logs monthly to ensure annual safety reporting is submitted accurately and to compliance standards.
• Coordinates and conducts weekly conference calls regarding post-accident, bid review committee, safety and other topics.
• Responsible for monitoring subcontractor/vendor COI and surety bond compliance.

• Bachelor's Degree in Business Administration, Construction Management, or a related field required.
• 1+ years related experience required.
• Construction Risk Insurance Specialist (CRIS) highly preferred.
• Associate in Risk Management (ARM) preferred.
• Strong verbal, written and digital presentation and communication skills.
• General knowledge of construction industry and corporate insurance processes.

Some of the benefits you may be eligible for as an employee are:

• Comprehensive compensation package and paid time off program
• Industry leading 401(k)/RRSP
• Medical/Extended Health Care, Dental, Vison and/or Provincial Medical
• Wellness benefits & Employee Assistance Program
• Tuition Reimbursement Program

We are an EEO/AA/ADA/Veterans employer.

Join to apply for the Insurance Claims Specialist role at DPR Construction .

Job Description

The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and related entities) across the US, as well as handling first and third-party auto physical damage and low severity property damage claims under the supervision of DPRs Insured Claims Manager.

Specific Duties Include

• Claims & Incident Management:
• Processing first and third-party auto and property damage incidents, including incident reporting, record keeping, and gathering necessary documentation.
• Reporting claims to insurance policies, analyzing contractual risk transfer opportunities, and liaising with carriers and repair shops.
• Managing auto and property damage claims in the system, updating information, and coordinating with internal teams and external vendors.
• Fleet Vehicle Safety & Operations Policy Management:
• Managing driver risk scores, assigning and tracking training, maintaining driver lists, and collaborating with HR, Fleet, and EHS teams on policy updates and enforcement.
• Key Skills and Qualifications:
• Strategic thinking, mentorship, integrity, teamwork, strong communication skills, organizational ability, attention to detail, and basic knowledge of relevant insurance coverages.
• Minimum of five years relevant insurance experience, with auto claims management experience preferred.

DPR Construction is a forward-thinking, employee-owned company specializing in complex, sustainable projects across various sectors. We foster a culture of innovation, opportunity, and recognition as a great place to work. Explore our careers at

Additional Details:

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Finance and Sales
• Industry: Construction and Civil Engineering

Lee Health - (Billing Clerk / Invoice Creator) As an Insurance Claims Specialist at Lee Health, you'll: Be responsible for Hospital claims billing; Analyze patient records to ensure proper billing; Communicate with insurance companies to resolve discrepancies; Verify patient insurance coverage and benefits; Maintain up-to-date knowledge of insurance policies and regulations; Collaborate with healthcare providers to gather necessary documentation.Hiring Immediately >>