Top 124 Claims specialist Jobs in Franklin, Tn

Quality Assessment Claims Specialist
Lyft —Nashville, TN
- $50,180 - $62,730 a year
- Remote
- Mid-level
- Continuous improvement
- Fair chance
- Commuter assistance
- Paid parental leave
1d
Senior Claims Operations Specialist
Lyft —Nashville, TN
- $50,180 - $62,730 a year
- Remote
- Writing skills
- Mid-level
- Fair chance
- Commuter assistance
- Paid parental leave
1d
VA Claims Specialist II
Allsup Employment Services —Nashville, TN
- $35,360 - $45,000 a year
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Mentoring
- Health savings account
- Paid holidays
Quick Apply
11h
Appeals Specialist
BlueCross BlueShield of South Carolina —Nashville, TN
- Full-time
- Customer service
- Word processing
- English
- Health insurance
- Dental insurance
Eligibility & Benefits Specialist
Oshi Health —Nashville, TN
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
9h
Collections Specialist - Healthcare
Summit Healthcare Mgmt —Nashville, TN
- Full-time
- Research
- Mid-level
- High school diploma or GED
Quick Apply
7h
Collections Specialist - Remote
Surgery Partners —Nashville, TN
- Remote
- Customer service
- Research
- Mid-level
- Health savings account
- Health insurance
Quick Apply
9d
APPEALS LITIGATION SPECIALIST DIRECTOR - 80080
TennCare —Nashville, TN
- $67,764 - $108,060 a year
- Full-time
- Background check
- Management
- Writing skills
- Work from home
4d
Business Office Specialist - Part Time Days
Williamson Health —Franklin, TN
- Part-time
- Microsoft Outlook
- Medical office experience
- Office
- Health insurance
- Dental insurance
Quick Apply
Claims Specialist
CKE Restaurants Holdings, Inc —Franklin, TN
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
Revenue Cycle Specialist I
AP Health —Nashville, TN
- Full-time
- Hybrid work
- 1 year
- Communication skills
- Entry level
Quick Apply
10d
Payment Integrity Specialist
Council Capital —Nashville, TN
- $75,000 - $80,000 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- US work authorization
Insurance Follow-Up Specialist
IVX Health —Brentwood, TN
- $22 - $25 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health savings account
- AD&D insurance
Quick Apply
9d
Auto Liability Specialist I
First Acceptance Services Inc —Nashville, TN
- Full-time
- Remote
- Basic math
- Windows
- High school diploma or GED
- Continuing education credits
Transportation Specialist, Carrier Services
Amazon.com Services LLC —Nashville, TN
- $19.51 - $26.25 an hour
- Full-time
- Microsoft Excel
- Mid-level
- High school diploma or GED
- Employee assistance program
- 401(k) matching
Insurance Verification Specialist
Tennessee Orthopaedic Alliance —Brentwood, TN
- Hybrid work
- Mid-level
- High school diploma or GED
- Organizational skills
- Profit sharing
- Health insurance
Lead Patient Service Specialist | Outpatient Radiology| Vanderbilt Imaging Services
Vanderbilt Health —Nashville, TN
- Weekends as needed
- Microsoft Excel
- Marketing
- Ability to walk for extended periods
- Health insurance
5d
Customer Experience Category Specialist
Quince —Nashville, TN
- $26 an hour
- Remote
- Background check
- Writing skills
- Continuous improvement
- Paid training
- Health insurance
Revenue Specialist, Worker's Compensation (REMOTE)
EnableComp —Franklin, TN
- Full-time
- Remote
- Microsoft Outlook
- Customer service
- Computer literacy
Quick Apply
4d
Billing Specialist
MERCY HEALTH SERVICES INC —Franklin, TN
- Spanish
- Mid-level
- High school diploma or GED
Quick Apply
14d

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Quality Assessment Claims Specialist

Lyft -
Nashville, TN

Apply Now

Job Details

$50,180 - $62,730 a year
1 day ago

Benefits

Commuter assistance
Paid parental leave
Health insurance
Paid time off
Parental leave
Vision insurance
401(k) matching

Qualifications

Constructive feedback for students

Full Job Description

At Lyft, our purpose is to serve and connect. We aim to achieve this by cultivating a work environment where all team members belong and have the opportunity to thrive.

Lyft is looking to add a Quality Assessment Specialist to its growing Claims Operations team. This role is responsible for auditing the accuracy, compliance, and customer experience quality of claims intake and customer interactions — ensuring specialists meet documentation standards, follow SOPs, and deliver a consistent, empathetic experience. You'll balance independent case review with cross-functional calibration, feedback delivery, and process improvement, all in service of operational excellence and an exceptional claims experience for our users.

Responsibilities:

Conduct structured quality reviews of claims intake calls/tickets and customer-interaction touchpoints against a defined rubric including accuracy of documentation, adherence to SOPs, compliance with privacy/regulatory requirements, tone and professionalism
Score interactions using a weighted rubric and maintain consistent, defensible scoring standards across reviewers
Meet a defined audit volume/coverage target per week
Participate in regular calibration sessions with other QA reviewers, Team Leads, and Sr. Specialists to ensure scoring consistency across reviewers and teams
Flag rubric ambiguity and propose rubric updates as workflows or tools change (e.g., new intake fields, new compliance requirements, etc)
Deliver clear, specific, and actionable feedback to specialists and Team Leads based on QA findings
Partner with Team Leads/Trainers to identify coaching opportunities and recurring error patterns
Track and report QA trends (accuracy rates, common errors, compliance gaps) to leadership on a regular cadence
Identify systemic issues (tooling, SOP gaps, training gaps) surfaced through QA data and recommend fixes
Support special projects such as audits, data reconciliation, and new-product rollouts

Experience:

2+ years experience in claims processing, customer support, or a related operations role — ideally with prior QA, audit, or coaching exposure
Prior claims/insurance or contact-center QA experience is a plus, not required
Strong working knowledge of claims intake processes, documentation standards, and relevant compliance requirements
Excellent listening, written, and verbal communication skills — comfortable delivering constructive feedback
High attention to detail and consistency; comfortable making judgment calls against a rubric
Ability to work independently while staying calibrated with a broader QA/reviewer team
Comfortable with data tracking/reporting tools (spreadsheets, dashboards, and internal QA tooling)

Benefits:

Great medical, dental, and vision insurance options with additional programs available when enrolled
Mental health benefits
Family building benefits
Child care and pet benefits
401(k) plan with company match to help save for your future
In addition to 12 observed holidays, salaried team members have discretionary paid time off, hourly team members have 15 days paid time off
18 weeks of paid parental leave. Biological, adoptive, and foster parents are all eligible
Subsidized commuter benefits
Monthly Lyft credits and complimentary Lyft Pink membership

Lyft is an equal opportunity employer committed to an inclusive workplace that fosters belonging. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, age, genetic information, or any other basis prohibited by law. We also consider qualified applicants with criminal histories consistent with applicable federal, state and local law.

This role is fully remote in Nashville, candidates for this role must be based in the Nashville metro area. #Remote

The expected base pay range for this position in the Nashville area is $50,180 - $62,730, not inclusive of potential equity offering, bonus or benefits. Salary ranges are dependent on a variety of factors, including qualifications, experience and geographic location. Your recruiter can share more information about the salary range specific to your working location and other factors during the hiring process.

Apply Now

Refine Your Search

claims specialist jobs in franklin, tn

Quality Assessment Claims Specialist

Senior Claims Operations Specialist

VA Claims Specialist II

Appeals Specialist

Eligibility & Benefits Specialist

Collections Specialist - Healthcare

Collections Specialist - Remote

APPEALS LITIGATION SPECIALIST DIRECTOR - 80080

Business Office Specialist - Part Time Days

Claims Specialist

Revenue Cycle Specialist I

Payment Integrity Specialist

Insurance Follow-Up Specialist

Auto Liability Specialist I

Transportation Specialist, Carrier Services

Insurance Verification Specialist

Lead Patient Service Specialist | Outpatient Radiology| Vanderbilt Imaging Services

Customer Experience Category Specialist

Revenue Specialist, Worker's Compensation (REMOTE)

Billing Specialist

I want to receive the latest job alert for claims specialist in franklin, tn

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