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

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 structured claims workflow analysis. This role supports reputed company and upcoming remote consulting opportunities focused on structured claims review, insurance workflow analysis, documentation assessment, scenario development, and high-quality project execution. Selected professionals will apply their claims expertise to review realistic claims scenarios, evaluate documentation requirements, prepare structured 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 structured 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 clear written explanations for claims reputed company based on provided materials and defined criteria
• Support structured 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 structured review criteria based on reputed company claim facts and reputed company materials
• Maintain accuracy, consistency, and professional 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 professional
• 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 practice, claim documentation, settlement review, or denial workflows
• Familiarity with claims systems such as Guidewire ClaimCenter, Duck 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 structured 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 hourly compensation
• Flexible scheduling
• Part-time commitment
• Weekly payments

Apply tot his job Apply To this Job