Specialty Risk/Non-Standard Claims Resolution Specialist

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 500Since 2022Company Site

Location

United States

Posted

19 days ago

Salary

Not specified

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

We are seeking a highly organized, detail-oriented, and customer-focused Non-Standard Claims Adjuster to support our deposit replacement and surety programs. In this role, you will manage first-party claims involving non-standard policy language and complex contractual agreements. Success requires strong analytical skills and the ability to interpret policy forms, lease agreements, financial ledgers, and supporting addenda with accuracy and confidence.

You will work directly with property managers, policyholders, and internal stakeholders to drive fair, thorough, and timely claim outcomes. This role requires clear communication, sound judgment, and the ability to navigate nuanced coverage positions while maintaining a high level of professionalism and empathy.

This position is ideal for an adjuster who thrives in a fast-paced, evolving environment and enjoys working within specialty programs. The right candidate is adaptable, solutions-oriented, and comfortable balancing high claim volume with exceptional service delivery and compliance standards.

Who You Are

  • Highly motivated and growth-oriented.
  • Passionate adjuster who cares deeply about the customer experience.
  • Empathetic, exercising patience and understanding in every interaction.
  • Urgent but balanced, working with a sense of urgency without overextending.
  • Creative problem-solver, finding innovative ways to resolve claims efficiently.
  • Comfortable with conflict, viewing it as an opportunity to collaborate.
  • Curious, wanting to know the whole story to make informed decisions.
  • Anti-status quo, taking action to improve processes and outcomes.
  • Communicative, able to break down complex topics and ensure clarity.
  • Possessing a sense of humor to keep things light when needed.

What you'll do

  • Provide prompt, courteous, and high-quality customer service.
  • Manage a high volume of low-complexity claims; set and adjust reserves appropriately.
  • Gather necessary information and documentation to initiate the claims process.
  • Analyze contracts, financial ledgers, lease agreements, and addenda to determine claim validity.
  • Ensure compliance with state regulations, policy provisions, and internal procedures.
  • Communicate with all involved parties and issue payments within the set authority.
  • Contribute to the continuous improvement of claims guidelines, best practices, and workflows.
  • Oversee and direct investigative service providers, working closely with clients and stakeholders.
  • Stay informed on industry trends, legal decisions, and policy changes affecting claims handling.

Qualifications

  • Bachelor’s degree preferred (but if you meet the other qualifications, don’t let that stop you from applying!).
  • 3 years of experience in general claims handling or related insurance roles.
  • Ability to interpret non-standard policy language, contract terms, and lease agreements.
  • Have active adjuster license(s) and be willing to obtain all required licenses within 60 days.
  • Familiarity with state regulations, policy provisions, and claims procedures.
  • Strong analytical skills—able to evaluate complex data and make sound decisions.
  • Curious, proactive, and always looking for better ways to do things.
  • The desire for continuous learning and professional growth.
  • Willingness to travel for client and claim needs.
  • Excellent verbal and written communication skills with strong attention to detail.
  • Superior organizational skills—able to prioritize and manage workload efficiently.
  • Comfortable with an Apple laptop, Google Docs, Sheets, and other relevant software.

Benefits

  • Generous health-insurance package with nationwide coverage, vision, & dental.
  • 401(k) retirement plan with employer matching.
  • Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy after 8 months of continuous work.
  • Work from anywhere to facilitate your work-life balance.
  • Apple laptop, large second monitor, and other quality-of-life equipment.

Job Requirements

  • Bachelor’s degree preferred (but if you meet the other qualifications, don’t let that stop you from applying!).
  • 3 years of experience in general claims handling or related insurance roles.
  • Ability to interpret non-standard policy language, contract terms, and lease agreements.
  • Have active adjuster license(s) and be willing to obtain all required licenses within 60 days.
  • Familiarity with state regulations, policy provisions, and claims procedures.
  • Strong analytical skills—able to evaluate complex data and make sound decisions.
  • Curious, proactive, and always looking for better ways to do things.
  • The desire for continuous learning and professional growth.
  • Willingness to travel for client and claim needs.
  • Excellent verbal and written communication skills with strong attention to detail.
  • Superior organizational skills—able to prioritize and manage workload efficiently.
  • Comfortable with an Apple laptop, Google Docs, Sheets, and other relevant software.

Benefits

  • Generous health-insurance package with nationwide coverage, vision, & dental.
  • 401(k) retirement plan with employer matching.
  • Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy after 8 months of continuous work.
  • Work from anywhere to facilitate your work-life balance.
  • Apple laptop, large second monitor, and other quality-of-life equipment.

Related Categories

Related Job Pages

More Claims Specialist Jobs

Trend Health Partners logo

Claims Analyst III

Trend Health Partners

An independent, tech-enabled payment integrity company.

Claims Specialist20 days ago
Full TimeRemoteTeam 201-500Since 2018H1B No Sponsor

Claims Analyst III analyzing claims for overpayments

United States
$70K - $80K / year
National Seating & Mobility logo

MIR Specialist

National Seating & Mobility

No matter your mobility and accessibility needs, NSM is here to provide you with 360-degree Complete Mobility Solutions.

Claims Specialist20 days ago
Full TimeRemoteTeam 1,001-5,000Since 1992

Coordinates with the Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier (RTS), and other office support personnel to ensure all operational procedures are completed in accordance with company policy and within expected time frames. Responsible...

Microsoft ExcelMicrosoft WordMicrosoft OutlookDME billinginsurance verificationcodingclaims processingdocumentation review
United States
SageSure Insurance Managers logo

Senior Liability Claims Adjuster, Complex

SageSure Insurance Managers

SageSure is an insurance company and division of Insight Catastrophe Group, a New York-based company that delivers property risk management services. As an empl

Claims Specialist20 days ago
Full TimeRemote

Senior Liability Claims Adjuster handling complex property insurance claims

United States
Claims Specialist20 days ago
Full TimeRemoteTeam 1,001-5,000Since 2013

Bodily Injury Claims Adjuster investigating and negotiating claims for Aspire General Insurance

Alabama + 19 moreAll locations: Alabama, Arizona, California, Florida, Hawaii, Kansas, Louisiana, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Michigan, Mississippi, Missouri, Pennsylvania, Tennessee, Texas, Wisconsin
$33 - $37 / hour