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Pie Insurance
Denver, CO, United States (remote)
30+ days ago
Miami, FL, United States (on-site)
15 days ago
Jacksonville, FL, United States (on-site)
19 days ago
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21 days ago
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21 days ago
Jacksonville, FL, United States (on-site)
26 days ago
Orlando, FL, United States (on-site)
29 days ago
Pie Insurance
Denver, Colorado, United States, 1755 Blake Street (remote)
30+ days ago


Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.
Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make.

The Claims Specialist will play a critical role in ensuring quality claim file management, service level agreements are met, and regulatory requirements are satisfied all while helping to create and provide an industry leading customer claims experience. This will be completed by working with internal and external partners to drive performance, identify trends, and report findings to internal Pie Leaders. While this Claims Specialist role does not currently involve active claim handling, this position may require claim handling activities as our program grows.

How You’ll Do It

  • Claims Quality Assurance (QA)

    • Responsible for ensuring claims are handled in accordance with established guidelines and service instructions. 
    • Ensures timely completion of file reviews, calibration sessions and analysis reports.
    • Identify claim handling trends by applying industry knowledge of the claims process, policies & procedures, and regulatory environment.
    • Meet regularly with Claims Leadership to provide QA results and recommendations for opportunities for improvement.
  • Claims Technical Oversight

    • Provide technical direction on claim decisions and resolution in partnership with our external Third Party Administrator (TPA) partner within the assigned authority level.
    • Assist as necessary in providing claim status to agents and insureds, coverage verification and loss run reports, etc.
  • Claims Customer Service

    • Serve as a point of contact for our partner agents and customers to provide general claim guidance and help set claim process expectations.
    • Participate in interactions with TPA adjusters and claims partners to drive optimized claims outcomes and top-notch claims experience.
    • Advocate to ensure that Pie has a leading claims customer experience.
    • Work to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols and processes. 
  • Analytics 

    • Support Pie’s efforts to gather data to better inform our decisions, reporting and overall performance. 
    • Use data to generate reports to inform on claims program trends and performance to goals.
    • Work collaboratively with Pie leaders and teams in Product, Underwriting, Compliance, Sales, and Customer Success to analyze data and metrics.


  • High School Diploma or equivalent is required.
  • Bachelor's Degree or equivalent experience with some college coursework is preferred.
  • Minimum of 2-years workers’ compensation claims experience is required. 
  • Requires at least one Claims Adjuster License in one of the following states: NY, IL, IN, MO, NE, WI, FL, GA (multiple states preferred)
  • Strong communication (written and verbal) skills, to deliver more complex information effectively.
  • Strong  problem solving skills to be able to manage complex tasks and work through to solutions with little guidance and direction.
  • Awareness of your own tasks, and how it impacts the team and deliverables.
  • Experience using G-Suite Tools, and collaboration tools like Slack is preferred.
  • Developed knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements.
  • Demonstrated knowledge and experience in claim adjudication, medical management and litigation management.
  • Developing ability to analyze and take necessary action in multiple focus areas, based on several data points.
  • Ability to use skills to overcome conflict and reach beneficial outcomes. 

Job Information

  • Job ID: 68008964
  • Workplace Type: Remote
  • Location:
    Denver, Colorado, United States, 1755 Blake Street
    New York, United States
    Illinois, United States
    Indiana, United States
    Missouri, United States
    Nebraska, United States
    Wisconsin, United States
    Florida, United States
    Georgia, United States
  • Company Name For Job: Pie Insurance
  • Position Title: Claims Specialist - Workers' Compensation
  • Job Function: Adjuster,
  • Industry: Workers Comp
  • Job Type: Full-Time
  • Job Duration: Indefinite
  • Min Education: H.S. Diploma/Equivalent
  • Min Experience: 2-3 Years
  • Required Travel: 0-10%
  • Salary: $60,000.00 - $80,000.00 (Yearly Salary)
Denver , CO , US

Hello, we're Pie Insurance. We are a tech-obsessed company that is pioneering a new approach toward small business insurance. Our team is on a mission to make commercial insurance less expensive, simpler, and more transparent. Easy as pie, in fact. Join us to do meaningful work in a fast-paced environment where your contribution will have an impact.

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