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Claims Consultant Jobs

15 Job Offers

Claims Consultant
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Join a dynamic team in Brisbane as a Claims Consultant, supporting Australian pet owners with exceptional service. Leverage your Certificate IV in Veterinary Nursing and clinical expertise to assess claims with precision. Enjoy perks like paid ME Days, volunteer leave, parental leave, and pet ins...
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Australia , Brisbane
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76800.00 AUD / Year
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Randstad
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Wc Claims Consultant
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United States , Portland
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80000.00 - 110000.00 USD / Year
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Alera Group
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Claims Consultant - Pet Insurance
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Qualified Vet Nurse seeking a career change? Join a leading Australian pet insurer as a Claims Consultant in Brisbane. Use your clinical expertise to assess claims, review medical histories, and support pet owners—without the physical clinic strain. Enjoy a Monday-Friday schedule, onsite parking,...
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Australia , Brisbane
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74500.00 - 76800.00 AUD / Year
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Randstad
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Medicaid Claims Operations Consultant
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Seeking a **Medicaid Claims Operations Consultant** in Montgomery, AL, to lead MMIS modernization and transition to new CPMS/EDS platforms. Requires 10+ years in healthcare IT, 5+ years in MMIS operations (claims, provider management, call centers), and system migration expertise. Advise on opera...
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United States , Montgomery
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110625.00 - 175000.00 USD / Year
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NTT DATA
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Consultant, Claims Processing Oversight
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Senior-level Consultant, Claims Processing Oversight sought to lead configuration oversight and root-cause analysis for FEHB and PSHB medical claims. Requires 15+ years of payer claims operations leadership with Facets, HealthRules, or QNXT. Must have federal program experience and be on-site eve...
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United States
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Not provided
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Kirby Bates Associates
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Consultant, Dental Claims Configuration and Processing
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Seeking a seasoned **Consultant** with **15+ years of dental claims experience** and **5+ years of leadership** for a critical role in the **United States**. You will leverage deep expertise in **claims configuration**, benefit setup, and **claims adjudication** within highly regulated environmen...
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United States
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Not provided
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Kirby Bates Associates
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Technical Claims Consultant - Liability
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United Kingdom , Manchester
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Not provided
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Direct Line Group
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Claims Consultant
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Join Berkshire Hathaway Specialty Insurance as a Claims Consultant in Sydney, Australia. Leverage 3+ years of experience handling Executive & Professional lines claims, including D&O, PI, and Cyber. This customer-facing role demands strong interpersonal skills and a proactive approach to managing...
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Australia , Sydney
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Not provided
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Berkshire Hathaway Specialty Insurance
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Consultant, Claims - Indemnity Specialty
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Nationwide seeks a Claims Consultant for Indemnity Specialty to manage high-complexity claims, including asbestos, toxic tort, and pollution. You will investigate, negotiate, and resolve litigated files with deep industry knowledge. This remote role offers 18+ days PTO, 401(k) match, and a pensio...
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United States
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97000.00 - 180000.00 USD / Year
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Nationwide
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Claims Consultant
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Join RGA as a Claims Consultant in Bangsar, Kuala Lumpur. Leverage your 5+ years of Life & Health claims expertise, including CI and reinsurance. This bilingual role (Chinese/English) focuses on complex claim assessments, client audits, and process improvement. Enjoy a collaborative global enviro...
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Malaysia , Bangsar, Wilayah Persekutuan Kuala Lumpur
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Not provided
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Reinsurance Group of America
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Claims Business Technology Consultant – Assistant
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Join our team as a Claims Business Technology Consultant – Assistant. Provide vital administrative and technical support for complex commercial insurance claims across Workers' Compensation, Auto, and Liability. This detail-oriented role in Philadelphia, New Haven, Chicago, or Troy requires stron...
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United States , Philadelphia; New Haven; Chicago; Troy
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Not provided
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Robert Half
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Claims Consultant
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Seeking an experienced Claims Consultant in Seattle/Lynden to handle Personal & Commercial Lines claims. This role requires a WA Producer License, 5 years' experience, and expertise in coverage analysis and customer service. We offer a comprehensive benefits package including health insurance, 40...
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United States , Seattle; Lynden
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75000.00 - 90000.00 USD / Year
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Brown & Brown UK
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Claims Fraud Consultant
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Join Prima's UK Claims team in Manchester as a Claims Fraud Consultant. Use your expertise in fraud strategy and tools like SIRA to minimize leakage and support complex cases. Enjoy hybrid working, private healthcare, and a role shaping our global claims platform.
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United Kingdom , Manchester
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Not provided
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Prima
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Senior Claims Consultant
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Seeking a remote Senior Claims Consultant in the Pacific time zone. This role requires 5+ years of complex construction claims expertise, including defect, litigation, and wrap programs. You will independently manage high-exposure cases, provide client consultation, and mentor team members. We of...
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United States , Tacoma; Seattle; Portland
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110000.00 - 130000.00 USD / Year
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Alera Group
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Technical and Governance Claims Consultant
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Join our team in Hove as a Technical & Governance Claims Consultant. You will ensure accurate and timely claims administration for Group Protection, utilizing your analytical skills and product knowledge. This role offers a competitive salary, benefits, and focuses on strong governance and custom...
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Location
United Kingdom , Hove
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Salary
26000.00 GBP / Year
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LegalAndGeneral
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About the Claims Consultant role

Embark on a rewarding career path by exploring Claims Consultant jobs, a pivotal role within the insurance and risk management sector. A Claims Consultant is a professional specialist responsible for guiding policyholders through the claims process after an incident, such as an accident, property damage, or theft. This career is ideal for those who are analytical, empathetic, and possess a strong desire to help people during stressful times. The core of the profession involves assessing, investigating, and resolving insurance claims, ensuring a fair and efficient outcome for all parties involved.

Typically, the day-to-day responsibilities of a Claims Consultant are diverse and demanding. They begin by receiving and registering new claims, which involves collecting initial information from the policyholder. A significant part of the role is the meticulous investigation of a claim's validity. This includes analysing policy documents to determine coverage, gathering evidence such as photos, police reports, or expert assessments, and calculating the value of the loss or damage. Claims Consultants are also tasked with making critical decisions on liability and settlement amounts. Throughout this process, they maintain constant communication, managing relationships with claimants, witnesses, legal representatives, and internal stakeholders like underwriters and assessors. Their goal is to settle claims accurately, promptly, and in compliance with all relevant industry regulations and legislation, thereby minimizing financial leakage for their employer.

To excel in Claims Consultant jobs, certain skills and qualifications are universally sought after. Strong analytical and problem-solving abilities are paramount for interpreting complex information and making sound, justified decisions. Exceptional communication skills, both written and verbal, are non-negotiable, as the role requires explaining intricate policy details and processes clearly and compassionately to customers. A high attention to detail is crucial for accuracy in documentation and financial calculations. Most employers look for candidates with a background in business, finance, or law, and prior experience in insurance, customer service, or a call-centre environment is highly beneficial. Key personal attributes include resilience, the ability to prioritize a high-volume workload under pressure, and integrity. Professional progression often involves gaining industry-specific qualifications and demonstrating ongoing competence. If you are seeking a stable, challenging, and people-focused career where you can make a tangible difference, Claims Consultant jobs offer a dynamic and fulfilling professional journey with ample opportunities for growth and specialization.