Claims Specialist

Claims Specialist

Shift Schedule : Monday to Friday / 8 : 00AM to 5 : 00PM / REMOTE

Term : 7 months with a possibility of term extension

Payrate : USD 31.24 / hr

Job Summary :

The Claims Specialist is responsible for handling time-loss and catastrophic claims from start to finish, ensuring accuracy, compliance, and timely resolution. This role involves evaluating compensability, calculating benefits, setting reserves, and coordinating with medical and legal professionals. The ideal candidate demonstrates sound judgment, strong analytical skills, and a commitment to providing fair and efficient claims management in accordance with state and agency policies.

Job Description :

Investigate, evaluate, and determine compensability of time-loss and catastrophic claims.

Calculate average monthly wage, set reserves, and authorize indemnity and medical payments.

Maintain and update claims systems; negotiate settlements when applicable.

Coordinate activities with nurse case managers, attorneys, and other specialists.

Ensure ICD codes and medical documentation remain compliant for Medicare purposes.

Manage litigation in collaboration with the Attorney General's Office or outside counsel.

Must Haves :

4+ years of experience in claims management, including indemnity or catastrophic claims.

Arizona Adjuster's License (active and in good standing).

Strong understanding of workers' compensation laws and processes.

Proficiency in Google Suite (Docs, Sheets, Drive, Gmail).

Excellent written and verbal communication skill.

Nice to haves :

Experience using Salesforce or similar CRM / claims management software.

Knowledge of ICD coding and Medicare compliance requirements.

Experience coordinating with medical, legal, and subrogation professionals.

Prior work with government or state agencies preferred.

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan.

Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year.

Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.