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Remote Claims Specialist jobs in the United States
Job type
Min. salary, $/year
Level
Insurance companies and third-party administrators across the United States are expanding their remote teams, creating strong demand for claims specialist remote jobs nationwide. With 500+ open roles currently available, professionals can manage complex cases from anywhere in the country while enjoying full remote flexibility. Employers are eager to bring in skilled specialists ready to join growing claims departments.
Successful candidates typically bring strong analytical thinking, attention to detail, and clear communication skills to every case they review. Employers seeking to hire a claims specialist often prioritize experience with claims management software, familiarity with policy interpretation, and the ability to negotiate settlements fairly and efficiently. Strong organizational habits and a customer-focused mindset help professionals handle high caseloads without sacrificing accuracy, making these skills essential regardless of experience level.
Remote work has become increasingly common in this field as insurers adopt digital claim-processing systems and cloud-based collaboration tools. Companies across the USA now offer flexible schedules, virtual training programs, and home-office stipends to support distributed teams. This shift has fueled a steady rise in demand, with regional hiring outlooks pointing toward continued growth for remote professionals in the coming years.
If you're ready to advance your career and explore rewarding claims specialist vacancies, now is the perfect time to take the next step. Global Work AI connects motivated professionals with employers seeking skilled specialists across the country, making it easier than ever to find a role that fits your goals and lifestyle.
Gallagher
Manage moderately complex Cyber claims throughout the full claim life cycle, including coverage analysis, investigation, evaluation, and resolution.
remote, United States$150k/yrFull TimeSenior (5+ years)Gallagher
Manage moderately complex Executive and Professional Liability claims, overseeing the full claim life cycle including coverage analysis, investigation, evaluation, and resolution.
remote, United States$165k/yrFull TimeSenior (5+ years)Gallagher
Manage the full claim life cycle for Healthcare Professional Liability claims, including coverage analysis, investigation, evaluation, and resolution.
remote, United States$165k/yrFull TimeSenior (5+ years)
Extend
Evaluate and service claims related to Product and Shipping Protection plans. Investigate complex claims, manage escalations, and troubleshoot delays in processing. Coordinate service technician dispatching and maintain documentation of all interactions.
remote, United States$45k – $55k/yrFull TimeMiddle (2-4 years)
Lodestar Claims & Risk Services
Investigate, evaluate, and resolve complex Workers Compensation claims independently. Determine coverage, compensability, and potential for subrogation recovery. Negotiate settlements, establish reserves, and implement action plans for case resolution.
remote, NC, United StatesFull TimeMiddle (2-4 years)CorVel Career Site
Manage non-complex medical only claims and minor lost-time liability claims under supervision. Confirm policy coverage, determine claim validity, establish reserves, and authorize payments.
remote, United States$51k – $83k/yrFull TimeJunior (<2 years)Apply for the Remote Insurance Claims Specialist job
Manage the insurance claims process from start to finish, including reviewing and analyzing claims, ensuring timely documentation, and communicating with insurance providers.
remote, Houston, TX, United States$36k – $77k/yrFull TimeMiddle (2-4 years)Lodestar Claims & Risk Services
Investigate and resolve Automobile, General Liability, and Property claims for clients. Establish and adjust loss reserves, ensuring compliance with regulatory requirements. Collaborate with clients and vendors to manage claims effectively and execute action plans for resolution.
remote, FL, United StatesFull TimeMiddle (2-4 years)
CorVel Corporation
Manage non-complex medical only and minor lost-time liability claims under supervision. Confirm policy coverage, determine claim validity, establish reserves, and authorize payments. Communicate claim status to customers and adhere to client guidelines.
remote, United States$51k – $83k/yrFull TimeJunior (<2 years)
Mass General Brigham
Evaluate claims submitted by healthcare providers and patients, ensuring proper coding and documentation. Analyze diagnosis codes (ICD-10) and procedure codes (CPT) for accuracy. Conduct audits of medical claims for compliance with billing regulations and payer policies.
remote, United States$36k – $51k/yrFull TimeJunior (<2 years)CorVel Career Site
Manage mid to complex Auto and General Liability claims, including bodily injury and property damage. Investigate claims, determine validity and compensability, establish reserves, and authorize payments.
remote, Rancho Cucamonga, CA, United States$59k – $95k/yrFull TimeSenior (5+ years)CorVel Career Site
Handle complex Workers' Compensation claims, confirming policy coverage and investigating claim validity. Establish reserves, authorize payments, and develop action plans with case managers. Manage subrogation, litigation, and communicate claim status to customers.
remote, United States$59k – $95k/yrFull TimeSenior (5+ years)
Great American Insurance Group
Investigate, evaluate, and adjust claims for Design Professionals, Real Estate, Small Accountants, and Health Care Professionals. Draft coverage position letters and manage outside counsel while maintaining cost controls.
remote, CT, United States$90k/yrFull TimeJunior (<2 years)
Sedgwick
Analyze and process complex professional liability claims, managing them through action plans to resolution. Conduct investigations, negotiate settlements, and calculate reserves. Coordinate legal defense and ensure compliance with client guidelines.
remote, United States$100k – $125k/yrFull TimeSenior (5+ years)
Virginia Farm Bureau Mutual Insurance
Prepare automotive repair estimates and total loss appraisals, negotiate auto claim losses, re-inspect vehicles during repairs, authorize supplemental repairs, and process physical damage payments.
remote, WY, United StatesFull TimeMiddle (2-4 years)
New York Life
Conduct Life Insurance claim investigations, determine eligibility for benefits, and manage ongoing claims. Communicate decisions and status updates to customers and clients, respond to inquiries, and ensure compliance with legal guidelines.
remote, United States$50k – $55k/yrFull TimeSenior (5+ years)
Liberty Mutual Insurance
Determine coverage and investigate complex Commercial Casualty claims. Set and adjust reserves, evaluate claims, negotiate settlements, and authorize payments. Manage relationships with legal counsel and business partners, and train staff as needed.
remote, United States$105k – $125k/yrFull TimeSenior (5+ years)CorVel Corporation
Manage lower-level, non-complex workers’ compensation claims, confirming policy coverage and claim acknowledgment. Determine claim validity and compensability, establish reserves, and authorize payments within limits.
remote, United States$53k – $85k/yrFull TimeJunior (<2 years)
Trillium Health Resources
Manage and coordinate claim issues from providers and members via calls, emails, and ticket systems. Conduct claims research, update claims ticket queues, and draft provider communications.
remote, NC, United States$56k – $70k/yrFull TimeSenior (5+ years)
PMA Companies
Investigate and resolve complex Workers Compensation claims independently. Determine coverage, compensability, and potential for subrogation recovery. Negotiate settlements, establish reserves, and implement action plans for case resolution.
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King'S Insurance Staffing
Investigate, evaluate, negotiate, and resolve commercial auto claims from start to finish. Handle property damage and bodily injury claims, determine liability, assess damages, and negotiate settlements.
remote, PA, United States$70k – $95k/yrFull TimeMiddle (2-4 years)
PharMerica
Manage and resolve rejected pharmacy claims to ensure maximum payer reimbursement. Research and analyze claims, working with Medicare D plans and insurance companies. Monitor revenue associated with billing processes and convert billing exception reports.
remote, Vancouver, WA, United States$42k – $46k/yrFull TimeJunior (<2 years)
EMC Insurance Companies
Investigate and manage complex claims, including general liability and workers’ compensation. Review coverage, evaluate medical information, and develop claim resolution strategies. Negotiate settlements, maintain accurate documentation, and ensure compliance with state reporting requirements.
remote, AZ, United States$86k – $130k/yrFull TimeSenior (5+ years)
UFG Insurance
Investigate, evaluate, negotiate, and resolve high-severity casualty claims. Ensure compliance with large loss reporting requirements and manage claim files effectively. Collaborate with defense counsel, develop negotiation strategies, and document all claim activities.
remote, United States$103k – $136k/yrFull TimeLead / Manager
Lineage
Address overage, shortage, and damage issues; research causes of OS&Ds; analyze root causes; determine resolutions; and communicate findings to management. Capture data related to claims, collect evidence, investigate product claims, maintain records, and generate OS&D reports.
remote, Irvine, CA, United States$75k – $136k/yrFull TimeMiddle (2-4 years)Gallagher
Manage moderately complex Healthcare Professional Liability claims, focusing on Correctional Medicine. Conduct coverage analysis, investigations, evaluations, and resolutions while ensuring compliance with client expectations and regulatory requirements.
remote, United States$110k/yrFull TimeSenior (5+ years)
HUB International
Investigate, evaluate, and manage cargo and transportation-related insurance claims from initial notification to resolution. Handle claims involving marine cargo, stock throughput, and liability, coordinating with insureds, brokers, and legal counsel.
remote, Pembroke Pines, FL, United States$95k – $105k/yrFull TimeSenior (5+ years)
Selective Insurance Company of America
Investigate coverage and liability of claims, analyze information to evaluate claims, and negotiate resolutions. Process calls and correspondence from insureds and claimants, and interact with underwriters. Update claims systems and prepare for claims review and settlement conferences.
remote, CT, United States$83k – $108k/yrFull TimeJunior (<2 years)
BrightClaim
Manage a portfolio of active claims and contractors, monitor assignment statuses, and perform quality estimate reviews. Communicate with contractors for clarifications, support client adjusters, and record claim results.
remote, United States$34k – $43k/yrFull TimeJunior (<2 years)Great West, an Old Republic Company
Investigate, evaluate, negotiate, and resolve liability, bodily injury, and property damage claims. Establish claim reserves, develop strategic action plans, and monitor pending claims. Collaborate with defense counsel during litigation and maintain relationships with independent adjusters.
remote, TN, United StatesFull TimeEntry with Degree
Arizona Department of Administration
Audit incoming claims documents for compliance with workers compensation laws; analyze submitted forms and issue awards; audit insurance carriers and self-insured employers; review notices and medical documentation; match documents to claims files; provide backup assistance for data entry and error…
remote, AZ, United States$34k/yrFull TimeJunior (<2 years)
Crowell & Moring
Review and analyze health care claim files for payor/provider disputes, identifying patterns and administrative issues.
remote, CA, United States$76k – $140k/yrFull TimeMiddle (2-4 years)Builders Insurance Group
Manage a diverse caseload of general liability and construction defect claims, conducting thorough investigations and coverage analyses. Oversee the claims process, establish reserves, assess liability, and negotiate claims for resolution.
remote, Atlanta, GA, United StatesFull TimeSenior (5+ years)King'S Insurance Staffing
Manage a portfolio of 90-110 Commercial General Liability and Auto claims through investigation, evaluation, litigation, settlement, and closure. Review policy language for coverage issues, conduct investigations to determine liability and damages, and establish reserves.
remote, CT, United States$100k – $130k/yrFull TimeSenior (5+ years)CorVel Career Site
Manage non-complex medical only and minor lost-time liability claims under supervision. Confirm policy coverage, determine claim validity, establish reserves, and authorize payments. Communicate claim status to customers and clients, adhere to guidelines, and collaborate on complex claims as needed.
remote, United States$53k – $85k/yrFull TimeJunior (<2 years)Gallagher
Manage moderately complex Liability claims through the full claim life cycle, including coverage analysis, investigation, evaluation, and resolution.
remote, United States$150k/yrFull TimeSenior (5+ years)CorVel Corporation
Manage non-complex medical only Workers’ Compensation claims, confirming policy coverage and claim acknowledgment. Determine claim validity and compensability, establish reserves, and authorize payments.
remote, United States$34k – $54k/yrFull TimeJunior (<2 years)
Nationwide
Investigate and evaluate claims, analyze coverage, and develop claim resolution strategies. Manage reserves and ensure compliance with company standards. Collaborate with business partners and provide insights on claims and policy wording. May assist in training and mentoring team members.
remote, United States$88k – $164k/yrFull TimeLead / Manager
Crawford & Company
Administers non-complex short term claims, conducting investigations to confirm coverage and determine liability. Verifies policy coverage, establishes reserve requirements, and approves payments of medical bills.
remote, Boise, ID, United StatesFull TimeJunior (<2 years)
Cincinnati Financial
Investigate and adjust large and complex property claims, analyze property coverage forms, resolve coverage and value questions, prepare and evaluate estimates, assist in catastrophe situations, and prepare detailed reports.
remote, United States$90k – $120k/yrFull TimeSenior (5+ years)10,000,000+ more jobs available!
