Remote | Insurance Claims Review Specialist — $60–$90/hour

We are sharing a specialised part-time consulting opportunity for professionals experienced in insurance claims handling, claims operations, coverage review, claims documentation, and structured claims workflow analysis.This role supports current 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.Key ResponsibilitiesProfessionals in this role may contribute to:Claims Intake & Triage ReviewReview claims scenarios involving FNOL intake, required-field checklists, routing rules, coverage questions, and claim assignment workflowsAssess claims documentation for completeness, accuracy, and alignment with defined handling requirementsSupport structured review of claim intake materials, triage decisions, and assignment logicIdentify required information, missing details, documentation gaps, and expected next stepsCoverage, Reserving & Adjudication SupportReview coverage analysis materials, policy interpretation notes, reserve memos, adjuster notes, settlement letters, and denial lettersEvaluate claim handling scenarios involving reserve setting, settlement review, denial decisions, and documented claim outcomesPrepare clear written explanations for claims decisions based on provided materials and defined criteriaSupport structured review of adjudication workflows across property, casualty, workers compensation, specialty, or related insurance linesSpecialized Claims Workflow ReviewReview scenarios involving subrogation screening, SIU referrals, fraud indicators, litigation file management, and required-document listsEvaluate claims files against documented rules, handling standards, and workflow expectationsCreate structured review criteria based on verifiable claim facts and source materialsMaintain accuracy, consistency, and professional judgment across submitted workIdeal ProfileStrong candidates may have:3+ years of experience as a claims adjuster, claims operations specialist, claims examiner, claims supervisor, or related insurance claims professionalExperience with one or more claim types such as auto, property, general liability, workers compensation, medical, specialty lines, or related coverage areasStrong understanding of claims intake, coverage analysis, policy interpretation, reserving practice, claim documentation, settlement review, or denial workflowsFamiliarity with claims systems such as Guidewire ClaimCenter, Duck Creek, legacy carrier systems, or similar platformsComfort reading and preparing claims artifacts such as FNOLs, coverage opinions, reserve memos, adjuster notes, settlement letters, denial letters, and litigation file materialsStrong written communication skills and ability to explain claims reasoning clearlyAbility to follow structured instructions and produce evidence-based workEducational BackgroundA degree or professional background in insurance, risk management, business administration, legal studies, claims management, finance, healthcare administration, or a related field is helpfulEquivalent practical experience in claims adjusting, claims operations, claims supervision, coverage review, or insurance documentation workflows is also highly relevantNice to HaveAdjuster licensure in at least one U.S. stateExperience with subrogation, SIU, fraud investigation, litigation management, or complex claims handlingExperience reviewing claim files, coverage opinions, reserve documentation, or settlement materialsFamiliarity with P&C, workers compensation, medical claims, specialty lines, or commercial claims workflowsStrong attention to detail in documentation-heavy claims environmentsWhy This OpportunityApply insurance claims expertise to structured remote project workContribute to high-quality claims review, documentation assessment, and workflow analysisWork on flexible, project-based assignments aligned with your professional backgroundUse your claims judgment in a focused, detail-oriented consulting environmentRemote structure with competitive hourly compensationContract DetailsIndependent contractor roleFully remote with flexible schedulingPart-time commitment depending on project availabilityCompetitive rates between $60–$90 per hour depending on expertiseWeekly payments via Stripe or WiseProjects may be extended, shortened, or adjusted depending on scope and performanceWork will not involve access to confidential or proprietary information from any employer, client, or institutionAbout The PlatformThis opportunity is available through 24-MAG LLC. We connect experienced professionals with remote consulting opportunities across technical, evaluation, and project-based workstreams.By submitting this application, you acknowledge that your information may be processed by 24-MAG LLC for recruitment and opportunity matching in accordance with our Privacy Policy: https://www.24-mag.com/privacy-policy