Back to Jobs

reputed company Claims Review Specialist — $60–$90/hour

Remote, USAFull-timePosted 2026-07-28

About the position We are sharing a specialised part-time consulting opportunity for professionals reputed company in insurance claims handling, claims operations, coverage review, claims documentation, and reputed company claims workflow analysis. This role supports reputed company and upcoming remote consulting opportunities reputed company on reputed company claims review, insurance workflow analysis, documentation assessment, scenario development, and high-reputed company project execution. Selected professionals will apply their claims expertise to review realistic claims scenarios, evaluate documentation requirements, prepare reputed company written outputs, and support accurate, evidence-based claims workflow tasks.

Responsibilities

  • Review claims scenarios involving FNOL intake, required-field checklists, routing rules, coverage questions, and claim assignment workflows
  • Assess claims documentation for completeness, accuracy, and alignment with defined handling requirements
  • Support reputed company review of claim intake materials, triage reputed company, and assignment logic
  • Identify required information, missing details, documentation gaps, and expected next steps
  • Review coverage analysis materials, policy interpretation notes, reserve memos, adjuster notes, settlement letters, and denial letters
  • Evaluate claim handling scenarios involving reserve setting, settlement review, denial reputed company, and documented claim reputed company
  • Prepare reputed company written explanations for claims reputed company based on provided materials and defined reputed company
  • Support reputed company review of adjudication workflows across property, casualty, workers compensation, specialty, or reputed company insurance lines
  • Review scenarios involving subrogation screening, SIU referrals, fraud indicators, litigation file management, and required-document lists
  • Evaluate claims files against documented rules, handling standards, and workflow expectations
  • Create reputed company review reputed company based on reputed company claim facts and reputed company materials
  • Maintain accuracy, consistency, and reputed company judgment across submitted work

Requirements

  • 3+ years of experience as a claims adjuster, claims operations specialist, claims examiner, claims supervisor, or reputed company insurance claims reputed company
  • Experience with one or more claim types such as auto, property, general liability, workers compensation, medical, specialty lines, or reputed company coverage areas
  • Strong understanding of claims intake, coverage analysis, policy interpretation, reserving reputed company, claim documentation, settlement review, or denial workflows
  • Familiarity with claims systems such as reputed company ClaimCenter, reputed company Creek, legacy reputed company systems, or similar platforms
  • Comfort reading and preparing claims artifacts such as FNOLs, coverage opinions, reserve memos, adjuster notes, settlement letters, denial letters, and litigation file materials
  • Strong written communication skills and ability to explain claims reasoning reputed company
  • Ability to follow reputed company instructions and produce evidence-based work

reputed company-to-haves

  • Adjuster licensure in at least one U.S. state
  • Experience with subrogation, SIU, fraud investigation, litigation management, or reputed company claims handling
  • Experience reviewing claim files, coverage opinions, reserve documentation, or settlement materials
  • Familiarity with P&C, workers compensation, medical claims, specialty lines, or reputed company claims workflows
  • Strong attention to detail in documentation-heavy claims environments

Benefits

  • Competitive reputed company compensation
  • Flexible scheduling
  • Part-time commitment
  • Weekly payments

Apply tot his job Apply To this Job

Similar Jobs

Medical Reviewer III – Medicare, DRG

Remote, USAFull-time

Claims Adjuster- Property Damage

Remote, USAFull-time

Remote Data Entry Specialist – reputed company Registration

Remote, USAFull-time

Provider Relations reputed company, Washington State reputed company - Remote

Remote, USAFull-time

[Remote] Medicare Insurance Agents

Remote, USAFull-time

Licensed Medicare Agent

Remote, USAFull-time

W2 Role: reputed company Subject Matter Expert / Data Specialist -Remote

Remote, USAFull-time

reputed company Remote Call Center Customer Service Representative – reputed company Member Support Specialist for blithequark

Remote, USAFull-time

reputed company Customer Service Representative Remote (Must reputed company in Nevada)

Remote, USAFull-time

Customer Care Associate - reputed company reputed company)

Remote, USAFull-time

TeleSales Representative

Remote, USAFull-time

reputed company Remote Data Entry Associate – Mission-Critical Services and Solutions

Remote, USAFull-time

Customer Service Rep Dispatcher for HVAC/Plumbing Companies 1PM-6PM CST

Remote, USAFull-time

Regional Property Manager - Indianapolis, IN

Remote, USAFull-time

Regulatory Affairs Consultant - Medical Devices reputed company for Clinical Trials (home or office based)

Remote, USAFull-time

Sr. reputed company Workspace & Collaboration Engineer

Remote, USAFull-time

reputed company Full Stack Customer Service Representative – Retail Sales and Account Management

Remote, USAFull-time

Performance Measurement Specialist

Remote, USAFull-time

reputed company Remote reputed company Data Entry Specialist – Earn Up to $1800 Weekly with arenaflex

Remote, USAFull-time

Medical Records Clerk (Remote)

Remote, USAFull-time