Explore Claims Specialist Jobs

Discover Claims Specialist opportunities for experienced professionals on Ladders. Browse vetted roles with salaries of $100,000 or more across insurance, healthcare, workers’ compensation, and other industries. Claims specialists investigate claims, assess documentation, interpret policies, and help organizations reach accurate, timely resolutions.

What Does a Claims Specialist Do?

Responsibilities vary by employer and specialty, but may include reviewing claim submissions, gathering evidence, interviewing claimants or witnesses, evaluating coverage and liability, calculating payments, and documenting decisions. Senior specialists may manage complex or high-value cases, resolve escalations, identify fraud indicators, and coordinate with legal, medical, underwriting, or customer service teams.

Skills and Qualifications

Employers commonly seek strong analytical, communication, and negotiation skills; close attention to detail; and the ability to manage sensitive information and competing deadlines. Familiarity with insurance policies, claims platforms, regulatory requirements, and industry-specific practices can be valuable. Some positions require relevant licenses, certifications, or experience in a specialty such as property and casualty, medical, disability, or workers’ compensation claims.

Find Your Next Claims Specialist Role

Claims Specialist job titles and requirements differ across organizations. Explore opportunities on Ladders to compare roles, industries, and compensation, and focus your search on positions that align with your experience and career goals. Ladders features vetted professional jobs paying $100,000 or more.

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$80K - $95K *

Unlock your potential as a Commercial Property General Adjuster, where you'll investigate and resolve complex claims, negotiate settlements, and mentor junior staff in a dynamic environment. Embrace t...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$100K - $158K *

Lead a regional workers' compensation claims organization, driving performance and excellence in adjudication, customer service, and compliance. Foster a culture of improvement and collaboration while...

Lansing, MIRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$88K - $150K *

Lead contract management initiatives by drafting, negotiating, and overseeing agreements while collaborating with cross-functional teams to enhance efficiency and support strategic legal operations in...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$100K - $120K *

Build strong client relationships, optimize risk management strategies, and drive growth with a focus on commercial accounts. Collaborate with teams to ensure profitability, operational excellence, an...

Asheboro, NCRemote

1 month ago

  •   5 - 7 years exp.  •   Finance & Insurance

$72K - $117K *

Transform your career by providing exceptional service as you investigate and settle large property claims. Leverage your expertise in fire and water losses while utilizing advanced technology to supp...

Colorado, USRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$65K - $110K *

Join a dynamic team to manage and negotiate complex bodily injury claims while providing exceptional customer service through innovative tools. Enjoy the flexibility of remote work while resolving cas...

Florida, USRemote

1 month ago

  •   5 - 7 years exp.  •   Finance & Insurance

$81K - $134K *

Lead the charge in managing complex 1st party property claims, conducting thorough inspections, and ensuring fair resolutions. Foster relationships with stakeholders while mentoring junior staff in a...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $95K *

Join a team that's dedicated to leading and enhancing Casualty claims operations. Oversee daily activities, provide coaching, and ensure compliance while fostering a culture of excellence in customer...

RemoteRemote

4 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$135K - $200K *

Drive profitable growth by underwriting middle market GL accounts in a non-admitted environment. Leverage strong broker relationships, evaluate risks, and mentor junior underwriters while ensuring com...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$86K - $113K *

Engage with clients as a trusted partner, driving satisfaction and growth through effective management of healthcare operations and strategic initiatives. Collaborate across teams to enhance service d...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $130K *

Join a team that's driving product strategy through data analysis and insights. Collaborate with cross-functional teams to enhance product performance, uncover growth opportunities, and influence stra...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$173K - $200K *

Elevate rebate product strategy by leading development, driving growth, and enhancing operational performance. Collaborate across teams to ensure compliance and deliver measurable outcomes that align...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Business Services

$127K - $243K *

Empower the underwriting strategy and performance across regions by leveraging data and insights. Collaborate with diverse teams to enhance profitability, mitigate risks, and elevate the member experi...

San Antonio, TXRemote

Reposted yesterday

  •   8 - 10 years exp.  •   Finance & Insurance

$80K - $120K *

Join a team that's dedicated to supporting contracts within the Defense and Civil Space Market. Leverage your analytical skills and contract knowledge to ensure compliance and drive project success in...

Virginia, USRemote

1 week ago

  •   Less than 5 years exp.  •   Information Technology

$76K - $142K *

Lead advanced accounting functions, ensuring compliance with GAAP and SAP. Prepare complex financial reports and analyses while collaborating with auditors. Drive financial accuracy and support manage...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$68K - $115K *

Transform vehicle damage claims evaluation by leveraging digital tools and industry expertise. Collaborate with stakeholders to ensure compliance and deliver exceptional service while managing complex...

Washington Metro, DCRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$140K - $185K *

Transform complex commercial property risks into profitable solutions. Leverage your expertise in underwriting to manage a dedicated book of business, mentor junior staff, and collaborate with brokers...

San Diego, CARemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $107K *

Manage homeowner claims by investigating, evaluating, and settling property losses. Collaborate with insured parties and contractors to ensure compliance and satisfaction while progressing to advanced...

California, USRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Manage and optimize Epic Professional Billing workflows, focusing on Claims and Remittance. Serve as a key resource for end-users, troubleshooting issues and enhancing billing processes to ensure accu...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $190K *

Lead the charge in underwriting and managing complex enterprise accounts, driving profitable business through strategic broker partnerships while mentoring junior underwriters and shaping portfolio st...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$70K - $126K *

Join a dynamic team to enhance compliance initiatives, manage regulatory reporting, and lead projects. Play a key role in developing policies, conducting audits, and ensuring adherence to state and fe...

Missouri, USRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$68K - $105K *

Unlock potential by conducting thorough property inspections, assessing damages, and facilitating swift claims resolutions while delivering exceptional customer service and leveraging advanced estimat...

RemoteRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$88K - $105K *

Champion compliance initiatives by developing programs and training materials, ensuring adherence to regulations across UPMC. Collaborate with various departments to mitigate risks and enhance ethical...

Pittsburgh, PARemote

Yesterday

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$94K - $148K *

Empower healthcare providers by navigating reimbursement challenges and ensuring patient access to specialty medications. Collaborate with stakeholders to educate on complex insurance processes and re...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$120K - $165K *

Join a dynamic team as a Managing Consultant, driving innovative solutions in Revenue Integrity. Oversee engagements, enhance client relationships, and lead project teams to optimize financial perform...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Business Services

Frequently Asked Questions (FAQ)

  • What does a Claims Specialist do?question toggle

    A Claims Specialist reviews and investigates claims, evaluates coverage and supporting information, documents findings, and helps determine appropriate resolutions or payments. Duties depend on the employer and claims specialty.

  • What qualifications are commonly required for Claims Specialist jobs?question toggle

    Requirements vary, but employers often value claims or insurance experience, analytical and communication skills, attention to detail, and familiarity with relevant policies and systems. Some roles may require licenses, certifications, or specialized industry knowledge.

  • Which industries hire Claims Specialists?question toggle

    Claims Specialists work in insurance and may also support healthcare, workers’ compensation, employee benefits, and other organizations that process claims.

  • Can I find Claims Specialist jobs paying $100,000 or more on Ladders?question toggle

    Yes. Ladders features vetted professional jobs paying $100,000 or more, including Claims Specialist opportunities when available.