Insurance Claims Specialist (Remote)

About the role

We are seeking a mid-level Insurance Claims Specialist to join our remote team. The role involves evaluating, processing and managing insurance claims while ensuring accuracy, compliance and timely resolution for our policyholders.

Key responsibilities

• Review, assess and process insurance claims in line with company policies.
• Verify claim documentation, supporting evidence and policy coverage.
• Investigate discrepancies, potential fraud indicators and communicate findings.
• Interact with policyholders, adjusters, healthcare providers, repair vendors and other stakeholders.
• Determine claim eligibility, recommend settlements and maintain accurate claim records.
• Monitor claim progress to meet service standards and provide status updates.
• Support audits, compliance reviews and regulatory reporting.
• Prepare reports, claim summaries and operational performance updates.

Required profile

• Bachelor’s degree in Business Administration, Finance, Insurance, Risk Management, Law or related field.
• 2–5+ years of experience in insurance claims, claims administration or related roles.
• Strong understanding of insurance policies, coverage and claims processes.
• Excellent analytical, investigative and problem-solving abilities.
• High level of professionalism, confidentiality and attention to detail.

Required skills

• Experience with insurance claims management systems such as Guidewire or similar.

What we offer

• Flexible remote work environment.
• Opportunity to contribute to customer-focused claims operations.
• Exposure to insurance, risk management and regulatory compliance.
• Professional development opportunities.