60,752 Claims Specialist jobs in the United States

• Work cross-functionally with policyholders, adjusters, and contractors to manage restoration claims effectively. • Serve as the primary point of contact, ensuring clear and timely communication.
• Evaluate claims to determine the most appropriate general contractor assignment.
• Receive and review incoming claims for completeness, accuracy, and validation of loss details, including affected areas and supporting documentation.
• Enter and update policyholder and adjuster details in Salesforce, ensuring accurate tracking and status updates.
• Organize and maintain digital claim files, including policyholder agreements, Certificates of Completion (COC), invoices, payment collections and others as required.
• Schedule and coordinate claim milestones, ensuring deadlines and key performance indicators (KPIs) are met.
• Utilize industry portals and systems to identify and assign qualified general contractors based on geographic area and claim specifics.
• Collaborate with the contractor sales team to proactively source and onboard new general contractors when necessary to ensure timely claim resolution.
• Review claim estimates and quotes to ensure they align with customer needs before submission to adjusters.
• Identify and escalate discrepancies or red flag claims to the Department Head.
• Ensure claims data entry and processing adhere to internal standards and compliance regulations.
• Maintain comprehensive logs of all claim-related communications and activities.
• Conduct self-audits to verify data accuracy and proactively correct any discrepancies.
• Update customer contact preferences to align with communication and estimating guidelines.
• Performs other related duties as necessary or assigned.

• Strong ability to build rapport and trust with new contacts.
• Exceptional customer service skills.
• Demonstrated verbal and written communication skills.
• Strong work ethic and determination.
• Ability to set, meet, and exceed goals.
• Intermediate skills with Microsoft Office (Excel, Word, Outlook, PowerPoint)
• Ability to manage multiple claims while maintaining meticulous records.
• Problem-solving skills to identify discrepancies and proactively resolve issues.
• Typing speed of 40 WPM preferred

• High School Diploma or equivalent required
• College Coursework preferred.
• Experience with the construction industry preferred.
• Proficiency in Salesforce and claims management systems preferred.

Insurance Claims Specialist

Snaggle Dental

West Monroe, LA 71291

Job details

Salary: Starting from $16.00-$20.00/hourly

Pay is based on experience and qualifications.

**incentives after training vary and are based on performance

Job Type: Full-time

Full Job Description

With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you!

Please go to WWW.PEACHTREEDENTAL.COM to complete your online application and assessments or use the following URL:

Qualifications

• High school or equivalent (Required)
• Takes initiative.
• Has excellent verbal and written skills.
• Ability to manage all public dealings in a professional manner.
• Ability to recognize problems and problem solve.
• Ability to accept feedback and willingness to improve.
• Ability to set goals, create plans, and convert plans into action.
• Is a Brand ambassador, both in and outside of the facility.

• Medical, Dental, Vision Benefits
• Dependent Care & Healthcare Flexible Spending Account
• Simple IRA With Employer Match
• Basic Life, AD&D & Supplemental Life Insurance
• Short-term & Long-term Disability

• Competitive pay + bonus
• Paid Time Off & Sick time
• 6 paid Holidays a year

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 .

Claims Processor | Leading Healthcare Administration Firm

We’re looking for a Claims Processor to join a well-established healthcare administration team in downtown San Francisco. This role is ideal for someone with experience in healthcare billing or financial services who enjoys detailed work and wants to grow within a stable, mission-driven environment. If you're sharp, organized, and ready to make an impact, this is a great opportunity to get your foot in the door with a company that values accuracy and teamwork.

What You’ll Do:

• Process health and welfare claims (medical, dental, vision, prescription, life, AD&D, disability, workers' comp)
• Maintain up-to-date knowledge of plan rules and apply them correctly
• Communicate with clients and team members via phone, email, and in-person
• Ensure compliance with all privacy regulations (PHI/PII)
• Support customer service and administrative tasks as needed
• Contribute to a team-oriented environment and meet daily processing goals

What You Bring:

• 6+ months of experience in health & welfare claims or medical billing
• High school diploma or GED (required)
• Familiarity with ICD-10 and CPT-4 codes, claims adjudication basics
• Proficiency in Microsoft Office (Excel, Outlook, Word)
• Excellent attention to detail and strong communication skills
• Ability to stay organized while handling confidential information
• Prior experience with a Third-Party Administrator (TPA) is a plus

Location: San Francisco CA

Pay: $25 – $27/hr.

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act

• Los Angeles City Fair Chance Ordinance

• Los Angeles County Fair Chance Ordinance for Employers

• San Francisco Fair Chance Ordinance

Immediate need for a talented Claims Specialist with experience in the Insurance Industry. This is a 06+ Months Contract opportunity with long-term potential and is located in (Location). Please review the job description below. Job ID: Key Responsibilities: Promptly and effectively handles to conclusion assigned claims with little to no direction and over.

In the maritime industry, where colossal ships dock, and millions of tons of cargo are moved with precision, it takes teams of dedicated individuals to keep global trade in motion. Working in this dynamic sector means that you play a part in ensuring the pulse of commerce never skips a beat, all while driving the future of supply chain logistics and marine terminal operations.

Dive into a career where your talents make an impact and help us steer the future of this vital sector. Every job function in our organization, whether it's on the docks or behind the scenes in administrative roles, finance, payroll, or IT, has a significant impact on the national economy and critical supply chain operations.

Where the pulse of global trade meets the precision of maritime excellence, at Ports America, we don't just move cargo; we drive the nation's economic engine!

Essential Duties :

• Collect and distribute large volume of incoming mail
• Scan large volumes documents
• Indexing large volume of documents
• Managing Risk Support ticket system for incoming emails that includes incoming faxes and phone messages
• Process claims payments
• Providing reports based on requests
• New claim file intake and set up
• Completing first reports of injury and forwarding to appropriate recipients
• Update claim systems based on requests from internal and external customers
• Complete Department of Labor forms timely as requested
• Work with outside agencies based on requests
• Assist the Disbursements Analyst with payment batches
• Sorting and mailing special requests documents via UPS & USPS
• Screen new contact setups with current applications
• Other duties as assigned.

Minimum Requirements:

• Minimum of a high school diploma or GED equivalent
• 2+ year general office background

Knowledge, Skills & Abilities:

• Proficiency in Microsoft office
• Excellent communication skills both verbal and written
• Well organized, high attention to detail
• Critical thinking skills
• Ability to work efficiently and resourcefully with minimal supervision.

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as needed to meet the ongoing needs of the organization.

Ports America is an Equal Opportunity Employer welcoming diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race; color; religion; national origin; sex (including pregnancy); sexual orientation; gender identity and/or expression; age; disability; genetic information, citizenship status; military service obligations or any other category protected by applicable federal, state, or local law.

The Claims Specialist is responsible for managing lower-level, straightforward workers' compensation claims within defined authority limits, under the guidance of a senior claims professional. This role supports the overall objectives of the claims department and CorVel.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Required Skills & Experience

3 years of experience with NC and SC claims
License in SC and NC

Nice to Have Skills & Experience

Bachelors degree

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.

Join to apply for the Claims Specialist role at Advantage xPO .

This position is based in Neenah, WI, with the opportunity for 100% remote work. The pay range is $22.00/hr, with actual pay based on skills and experience. Benefits include medical, dental, vision insurance, life insurance, short-term disability, 401k plans, weekly pay, referral bonuses, and employee discounts.

• Supervise transportation claims inbox and coordinate with vendors, customers, and internal teams.
• Maintain daily contact with key clients and perform data entry and order processing.
• Document and report on pending inquiries and account issues, including outgoing calls.
• Coordinate with the freight payment team to resolve disputes with transportation carriers.
• Communicate with carriers to ensure complete and accurate information.
• Provide additional support as needed.

Bachelor's degree plus 8+ years of experience or equivalent, proficiency in SAP and Excel.

Advantage xPO is an equal opportunity employer and provides reasonable accommodations during the hiring process. This role is classified as Mid-Senior level, contract employment within the staffing and recruiting industry.

Apply now and download the Staffmark Group WorkNOW app for real-time job alerts and additional opportunities.

• Analyze, review, and interpret policies to assess coverage and liability
• Determine necessary investigations for complex claims to reach fair conclusions
• Oversee work performed by independent adjusters or appraisers
• Document, verify, and review damages while evaluating and settling claims
• Investigate subrogation, handle total losses, and process salvage returns
• Maintain daily communication with adjusters, insureds, claimants, attorneys, vendors, and agents
• Establish and maintain appropriate loss and expense reserves for claims

• Bachelors Degree, or equivalent experience
• 2+ years of experience handling claims with expertise in coverage, investigation, litigation, negotiation, damage/injury evaluation, salvage, and subrogation
• Knowledge of state laws and regulations related to general liability claims handling
• Basic understanding of claims mathematics, construction, auto physical damage, medical terminology, and legal issues
• Ability to be onsite daily
• Adjuster license required within 90 days of start date if not already obtained

Along with competitive pay, as a full-time Tesla employee, you are eligible for the following benefits at day 1 of hire:

• Aetna PPO and HSA plans > 2 medical plan options with $0 payroll deduction
• Family-building, fertility, adoption and surrogacy benefits
• Dental (including orthodontic coverage) and vision plans, both have options with a $0 paycheck contribution
• Company Paid (Health Savings Account) HSA Contribution when enrolled in the High Deductible Aetna medical plan with HSA
• Healthcare and Dependent Care Flexible Spending Accounts (FSA)
• 401(k) with employer match, Employee Stock Purchase Plans, and other financial benefits
• Company paid Basic Life, AD&D, short-term and long-term disability insurance
• Employee Assistance Program
• Sick and Vacation time (Flex time for salary positions), and Paid Holidays
• Back-up childcare and parenting support resources
• Voluntary benefits to include: critical illness, hospital indemnity, accident insurance, theft & legal services, and pet insurance
• Weight Loss and Tobacco Cessation Programs
• Tesla Babies program
• Commuter benefits
• Employee discounts and perks program