insurance claims specialist

State of Arizona

<div><div><div><div><div><ul><li>541302
</li></ul></div><div><ul><li>PHOENIX
</li></ul></div><div><ul><li>INDUSTRIAL COMMISSION
</li></ul></div><div><ul><li>Full-time
</li></ul></div><div><ul><li>Closing at: Jun 16 2026 - 23:55 MST
</li></ul></div></div><p></p><div><div><h1 class="jobSectionHeader"><b>INDUSTRIAL COMMISSION</b></h1>
<h2 class="jobSectionHeader"><b><i>Are you ready to work for an exceptional state agency that works to protect the life, health, safety, and welfare of the employees in the State of Arizona? Apply with us! The Industrial Commission of Arizona (ICA) is committed to the highest standards of compliance, demonstrating leadership in all areas, and teaching and working with employers and employees to make them successful. A thriving workforce in Arizona is what we strive for and work towards each day.</i></b></h2>
</div><h3 class="jobSectionHeader"><b>W/C INSURANCE CLAIMS SPECIALIST 2</b></h3>
<div>Job Location:
</div><div><h4 class="jobSectionHeader"><b>Address: Claims Division/Compliance Section</b><br>
<b>800 W. Washington Street, Phoenix, AZ 85007</b></h4>
</div><div>Posting Details:
</div><div><h4 class="jobSectionHeader"><b>Salary: $17.05 - $17.60</b><br>
<b>
</b></h4><h4 class="jobSectionHeader"><b>Grade: 17</b><br>
<b>
</b></h4><h4 class="jobSectionHeader"><b>Closing Date: June 16, 2026</b></h4>
</div><div>Job Summary:
</div><div><p>This position is responsible to audit incoming claims documents for compliance with applicable workers compensation claims management laws, statutes, and case laws.</p>
<p><i>
This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.</i></p>
<p><i>
The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State&rsquo;s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.</i></p>
</div>
<div>Job Duties:
</div><div><div>Essential Duties and Responsibilities include but are not limited to:<br>
<ul><li>This position will critically analyze submitted forms for compliance and issue appropriate awards when indicated.</li><li>Audit insurance carriers, self-insured employers and third-party administrators adjusting workers&rsquo; compensation claims.
</li><li>Reviews all notices, attached medical and/or documentation to verify it supports current change of status and/or calculation of wage and awards. After analysis, specialist will issue correct corresponding award, notification, or document.
</li><li>Answer incoming phone calls from injured workers, attorneys, interested parties, claim adjusters, medical providers, and the general public.
</li><li>Matches documents lacking information to existing Commission claims files by researching information in Claims database and for creating a new claim file for documents received when there is no existing claim file.</li><li>Provides backup assistance to data entry, error resolution, insurance or combine/delete, as requested and
</li><li>Participates in Arizona Management System (AMS) and daily Huddle board.</li><li>Attends staff meetings, seminars, conferences, training classes.</li></ul></div></div><br>
<div>
Knowledge, Skills &amp; Abilities (KSAs):
</div><div><div>Knowledge in<br>
<ul><li>Basic knowledge or ability to learn of applicable workers compensation claims management laws, statutes, and case laws.
</li><li>Basic Medical terminology.
</li><li>Microsoft Office Suite; Outlook, Word, Excel, Google Office Suite, Gmail, Sheets and Docs</li><li>Basic English</li><li>Basic Mathematics</li><li>The insurance industry claims adjusting standards and practices.
</li></ul><ul><li>Skill in:</li><li>Communicating verbally and in writing to resolve disputes with interested parties.
</li><li>Basic analysis of insurance, medical and legal documents.
</li><li>Reviewing and interpreting Arizona Workers' Compensation laws, rules, procedures, and court decisions</li><li>Critical thinking</li><li>Time Management</li><li>Initiative and attention to detail</li><li>Customer service</li><li>Organizing and planning</li><li>Basic Business process acumen, management skills including workflows and information management.
</li></ul><ul><li>Ability to:</li><li>Interpret medical records to determine physical limitations for injured workers.</li><li>Manage heavy workload with high level of accuracy and production.</li><li>Learn computer systems and applications.</li><li>Work well within a diverse and inclusive office environment.</li><li>Process documents in a timely manner and within established productivity standard.</li><li>Prioritizes work within established time frames.</li><li>Manage time effectively and meet deadlines.</li><li>Adapt to changing circumstances.</li><li>Demonstrate initiative and attention to detail.</li><li>Exercise discretion and judgment.</li><li>Works well under pressure.</li><li>Perform job responsibilities incorporating lean management and principles of the Arizona Management System.</li><li>Produce high quality, nearly error-free output.</li></ul></div></div><br>
<div>
Selective Preference(s):
</div><div><p>The ideal candidate for this position will have:<br>
Claims adjusting license, certification (WCCA, WCCP, CPCU) or designation relating to workers' compensation.</p><br>
</div>
<div>Pre-Employment Requirements:
</div><div><p><i>All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).</i></p>
</div>
<div>Benefits:
</div><div><p>The Arizona Department of Administration offers a comprehensive benefits package to include:
<br>
Sick leave<br>
Vacation with 10 paid holidays per year<br>
Health and dental insurance<br>
Retirement plan<br>
Life insurance and long-term disability insurance<br>
Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance</p><br>
<p><i>
By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.</i></p>
<p><i>
For a complete list of benefits provided by The State of Arizona, please visit our </i><i>benefits page</i></p>
</div>
<div>Retirement:
</div><div><p>You will be eligible to participate in the state employee health/disability insurance plan, and you are required to participate in the Arizona State Retirement System (ASRS). ASRS participation may begin immediately or upon your 27th week of employment. Contributions are matched by the employer.</p>
</div>
<div>Contact Us:
</div><div><p>If you have any questions please feel free to call 602-542-5559 or email HR@azica.gov for assistance.</p></div></div></div></div></div>

W/C INSURANCE CLAIMS SPECIALIST 2

Foundation Laboratory

<p>We are seeking Full-Time Billers/Claims Collections Specialist to join our team!</p><p><b>Qualifications:</b></p><ul><li>Minimum two years of experience as a Biller is preferred.</li><li>Laboratory Billing Experience Preferred.</li><li>Correct, appeal and resubmit denied claims or charges.</li><li>Audit patient accounts for proper billing and status.</li><li>Verify, update/edit and approve charges for billing.</li><li>Contact clients or patients regarding account information, diagnosis or verification of payer information.</li><li>Provide customer service to clients or patients in regards to their account balance, statement, pricing and collection of payment.</li><li>Knowledge of ICD-10, NCD/LCD and NCCI guidelines.</li><li>Regular, reliable and predictable attendance required.</li><li>Related experience in a laboratory setting is a plus.</li><li>Bilingual - Spanish is a plus.</li></ul><p><b>Desired Attributes:</b></p><ul><li>Ability to multitask</li><li>Strong interpersonal skills</li><li>Ability to function with the highest level of quality and care</li><li>Strong organizational skills</li></ul><p>Job Type: Full-time</p><p>Pay: $19.00 - $22.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Biller/Claims Specialist

Claims Specialist

Hudson Insurance Group

<div>
 <strong>
  About Us
  <br/>
  <br/>
 </strong>
 Headquartered in New York City with offices throughout the U.S. and in Vancouver, Canada, Hudson is a market-leading specialty insurer that offers a wide range of property and casualty insurance products to corporations, professional firms and individuals through retailers, wholesalers and program administrators.
 <br/>
 <br/>
 Hudson underwrites specialty primary and excess insurance on an admitted basis through Hudson Insurance Company and on a non-admitted basis through Hudson Specialty Insurance Company and Hudson Excess Insurance Company. Hudson Insurance Company is admitted in all U.S. jurisdictions. Hudson has surplus lines eligibility in all U.S. jurisdictions through Hudson Specialty Insurance Company and Hudson Excess Insurance Company.
 <br/>
 <br/>
 Collectively known as Hudson Insurance Group, its companies are rated A (Excellent) by A.M. Best, Financial Size Category XV. Hudson Insurance Group is the U.S. Insurance Division of Odyssey Group, a leading worldwide underwriter of reinsurance and specialty insurance and wholly owned by Fairfax Financial Holdings Limited.
 <br/>
 <br/>
 <strong>
  Position Description:
 </strong>
 The Claims Specialist is responsible for the coverage analysis, investigation, negotiation and settlement of financial lines claims, including cyber, D&amp;O and/or E&amp;O.
 <br/>
 <br/>
 <strong>
  Skills, Knowledge And Abilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   5 years of claims or litigation experience handling cyber liability claims, both primary and excess required. Additional experience handling D&amp;O, E&amp;O (medical, employers, architects, engineers, insurance agents and/or lawyers) and/or other financial lines claims preferred.
  </li>
  <li>
   Experience with determining coverage on insurance policies with multiple coverage types.
  </li>
  <li>
   Experience handling claims on a nationwide basis.
  </li>
  <li>
   Ability to travel to mediations, as required.
  </li>
  <li>
   Must possess good writing and presentation skills for internal and external reporting and projects.
  </li>
  <li>
   Must be able to partner with our Program administrators to support program growth.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Education/Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s degree required, JD preferred.
   <br/>
   <br/>
  </li>
 </ul>
 The pay range for this role is $75,000 - 150,000. The specific offer will depend on an applicant&rsquo;s skills and other factors.
 <br/>
 <br/>
 We are an E-Verify employer - all hired positions require successfully passing an E-Verify Check.
 <br/>
 <br/>
 Navigate the links below to learn more about careers at OdysseyRe.
 <br/>
 <br/>
 Workplace Initiatives
 <br/>
 <br/>
 Career Areas for Professionals
 <br/>
 <br/>
 A Rewarding Workplace
 <br/>
 <br/>
 Follow us on LinkedIn for company highlights
 <br/>
 <br/>
 #Hudson
</div>


Auto-Owners Insurance

<div><p>A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.</p><p></p><p><b>
Job Description</b></p><p></p><p><b>
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.</b></p><p></p><p>
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to:</p><ul><li>
Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss.</li><li>
Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage.</li><li>
Follow claims handling procedures and participate in claim negotiations and settlements.</li><li>
Deliver a high level of customer service to our agents, insureds, and others.</li><li>
Devise alternative approaches to provide appropriate service, dependent upon the circumstances.</li><li>
Meet with people involved with claims, sometimes outside of our office environment.</li><li>
Handle investigations by telephone, email, mail, and on-site investigations.</li><li>
Maintain appropriate adjuster&rsquo;s license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute.</li><li>
Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials.</li><li>
Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule.</li><li>
Assist in the evaluation and selection of outside counsel.</li><li>
Maintain punctual attendance according to an assigned work schedule at a Company approved work location.</li></ul><p></p><p><b>
Desired Skills &amp; Experience
</b></p><ul><li>A minimum of three years of insurance claims related experience.</li><li>
The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision.</li><li>
The ability to effectively understand, interpret and communicate policy language.</li><li>
The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues.</li></ul><p></p><p><b>
Benefits</b></p><p>
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!</p><p></p><p><b>
Equal Employment Opportunity</b></p><p>
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.</p><p></p><ul><li><b>Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.</b></li></ul><p></p><h3 class="jobSectionHeader"><b>
#LI-DNI</b></h3></div>

Bodily Injury Claims Specialist

Gainwell Technologies LLC

<div><div><div><div><div><p>Claims Specialist- Anchorage, AK (Hybrid)
</p></div></div></div></div><div><div><div><div><b>Date: </b>Jun 8, 2026
</div></div></div></div><div><div><div><div><b>Location:
</b>Any city, AK, US, 99999
</div></div></div></div><div><div><div><div><b>Req ID: </b>36193
</div></div></div></div><div><div><div><div><b>Work Mode: </b>Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><div>Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.</div><div></div><div><div><div><div><b><br>
Summary</b></div>
</div><div><div>
As <b>Claims Specialist- Anchorage, AK (Hybrid)</b>, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve &mdash; a community&rsquo;s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare&rsquo;s biggest challenges. Here are the details on this position. HMS is hiring Claims Specialists to support our Alaska account. These positions processes moderately complex claims for our Alaska Medicaid client. They will make decisions on payment of medical claims using the existing policy and rules to ensure accurate and timely completion.</div></div></div><div></div><div><div><div><b><br>
Your role in our mission</b></div>
</div><div><ul><li>Review and research suspended medical claims and adjudicate them per DHS policy.</li>
<li>Refer claims to Utilization Review and Provider Services units.</li>
<li>Maintain necessary documentation.</li>
<li>Participate in meetings as necessary.</li>
<li>Participate in process improvement sessions.</li>
<li>Train as a back-up for other areas, such as document control, courier, and customer service desk.</li>
<li>Other duties as assigned</li>
</ul></div></div><div><div><div><b>What we're looking for</b></div>
</div><div><ul><li>Ability to work both independently and as part of a team.</li>
<li>Strong communication skills with the ability to communicate clearly and effectively in writing and verbally.</li>
<li>Ability to access and retrieve information using a PC.</li>
<li>Intermediate understanding of Microsoft Office products.</li>
<li>Organizational skills to balance and prioritize work, and analytical and problem-solving skills.</li>
</ul></div></div><div><div><div><b>What you should expect in this role</b></div>
</div><div><ul><li>Hybrid role with ability to work in the Anchorage, AK office preferred, with the possibility of working remotely from another state for the right candidate. The person will need to work Alaska Time hours.</li></ul><br>
<div></div>
<div>
#LI-LS2</div>
<div>
#LI-HYBRID</div></div></div></div><br>
<div></div>
<div>
The pay range for this position is $37,500.00 - $53,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</div><br>
<div></div>
<div>
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</div><br>
<div></div>
<div><i>
Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></div></div></div></div></div></div><p></p>

Claims Specialist- Anchorage, AK (Hybrid)

The Cincinnati Insurance Companies

<div></div><div><div>US-OH-Fairfield<div>
</div></div><div><b>
Description</b><div></div><div><div><p><b><br>
Make a difference with a career in insurance</b></p><p>
At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we&rsquo;re looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person&reg;.</p><p>
If you&rsquo;re ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.</p><p><b>
Build your future with us</b></p><div></div><div><br>
Our Claims Operations department is currently seeking a Claims Reporting Specialist II. The Claims Reporting Specialist is responsible for interpreting data requests (primarily statutory related), communicating with internal and external customers, and reporting claims data on a recurring basis. This individual will ensure data accuracy, completeness, and timely delivery of reports. This role contributes to continuous improvement efforts by identifying opportunities to enhance reporting processes, optimizing data quality, and partnering with data analysts to increase efficiency through automation and standardization.</div><div></div><div><b><br>
Starting pay:</b> The pay range for this position is $40,000 - $47,000 annually. Pay is based on the applicant&rsquo;s education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.</div></div><p></p><div><p><b><br>
Be ready to:</b></p></div><div><ul><li><div>
Provide timely responses to data calls and other requests from states and regulatory entities</div></li></ul></div><div><ul><li><div>
Review and interpret statutory requests to identify procedures for compliance, eliciting input from other departments when needed</div></li></ul></div><div><ul><li><div>
Process and submit data to state regulatory entities related to medical malpractice, workers compensation, catastrophe-related data, or other claim related reporting for statutory bodies, agents, and/or insureds</div></li></ul></div><div><ul><li><div>
Independently extract data using various claims tools</div></li></ul></div><div><ul><li><div>
Collaborate with other analysts on the team and external customers to compile data and streamline processes</div></li></ul></div><div><ul><li><div>
Collaborate with other departments to ensure superior data quality across systems</div></li></ul></div><div><ul><li><div>
Prepare and coordinate data-related statutory audits</div></li></ul></div><div><ul><li><div>
Maintain efficient and effective processes by documenting and updating the steps for each unique reporting request</div></li></ul></div><div><ul><li><div>
Demonstrate autonomy to find resolution on reporting issues</div></li></ul></div><div><ul><li><div>
Assist with training and other reporting assignments as needed</div></li></ul></div><div></div><div><p><b><br>
Be equipped with:</b></p></div><div><ul><li><div>
keen attention to detail</div></li></ul></div><div><ul><li><div>
strong written and verbal communication skills</div></li></ul></div></div><div><div><ul><li><div>
strong analytical and problem-solving skills</div></li></ul></div><div><ul><li><div>
ability to understand and interpret reporting requirements written in a variety of formats</div></li></ul></div><div><ul><li><div>
understanding of internal claim applications and the relationship to reporting</div></li></ul></div><div><ul><li><div>
ability to comprehend technical and logical concepts and adapt quickly to changes</div></li></ul></div><div><ul><li><div>
fluency with Microsoft Excel</div></li></ul></div><div><ul><li><div>
ability to edit and execute queries in order to extract data</div></li></ul></div><div><ul><li><div>
comfortability to learn new tools</div></li></ul></div><div><ul><li><div>
superior time management skills to maintain own workflow, juggle multiple reports simultaneously, meet strict deadlines, and avoid fines/penalties</div></li></ul></div></div><div><div><b>
Bring education and experience from:</b></div></div><div></div><div><ul><li><div><br>
knowledge of insurance industry, including experience with claims or related insurance area</div></li></ul></div><div><ul><li><div>
2+ years of experience with workers&rsquo; compensation claims or reporting (claims or otherwise)</div></li></ul></div><div><ul><li><div>
ability to understand and interpret reporting requirements written in a variety of formats and jargons</div></li></ul></div><div><ul><li><div>
ability to work and communicate effectively with co-workers, external, and internal customers</div></li></ul></div><div><ul><li><div>
intermediate Microsoft Excel skills, including knowledge of vlookups, pivot tables, and other functionality</div></li><li><div>
Qualified candidates have 3+ years of relevant work experience, or an equivalent combination of education and experience</div></li></ul><div></div><p><b><br>
Enhance your talents</b></p><p>
Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you&rsquo;re new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional &ndash; all while enjoying a meaningful career.</p><p><b>
Enjoy benefits and amenities</b></p><p>
Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated.<b> </b>To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities.</p><p><b>
Embrace a diverse team</b></p><p>
As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation; gender identity and transgender status; religion; national origin; age; disability; military service, veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. about the Federal Employment Notices.</p></div></div></div>

Claims - Reporting Specialist II

Search 8354+ Insurance claims specialist jobs near you this June. New roles added regularly across leading industries. Apply today.

8354 insurance claims specialist jobs Near Me

W/C INSURANCE CLAIMS SPECIALIST 2

Biller/Claims Specialist

Claims Specialist

Claims Specialist

Bodily Injury Claims Specialist

Claims Specialist- Anchorage, AK (Hybrid)

Claims - Reporting Specialist II