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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1
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$75K - $90K *

Unlock risk management potential by conducting assessments, preparing reports, and providing expert advice. This flexible, home-based role involves significant travel, ensuring comprehensive risk prev...

CanadaRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$102K - $171K *

Transform customer relationships by understanding business challenges and delivering tailored D&B solutions. Drive account growth through new development and renewals, ensuring alignment between clien...

United StatesRemote

1 month ago

  •   8 - 10 years exp.  •   Business Services

$135K - $165K *

Pioneer operational excellence in Design leadership, managing workflows, prioritizing projects, and developing talent. Collaborate cross-functionally to enhance Design integration in AI-driven product...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $107K *

Drive effective property claims management as a Sr. Field Adjuster, overseeing investigations and resolution of homeowner claims, ensuring thorough evaluations and compliance while enhancing team coll...

California, USRemote

1 month ago

  •   5 - 7 years exp.  •   Finance & Insurance

$113K - $194K *

Champion effective legal representation by managing outside counsel for complex litigation, ensuring adherence to corporate guidelines while providing strategic legal advice to business partners and d...

Madison, WIRemote

2 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $95K *

Lead the CDI Department by acting as a clinical and technical resource, facilitating communication between customers and leadership, and ensuring operational standards are met through effective workfl...

New Orleans, LARemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Lead the charge in compliance initiatives, guiding teams and ensuring adherence to regulations while mentoring staff and driving awareness of compliance programs across the organization...

Missouri, USRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $165K *

Drive the successful transfer of CDI best practices by mentoring client teams, conducting record reviews, and delivering education. Collaborate with healthcare professionals to enhance documentation a...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Business Services

$74K - $87K *

Unlock patient access by managing the insurance verification process, addressing barriers to care, and ensuring seamless coordination among stakeholders to facilitate timely therapy access and support...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$90K - $110K *

Champion the evaluation and management of underwriting risks while leading teams to achieve portfolio goals. Balance individual responsibilities with team collaboration to ensure compliance and adhere...

Massachusetts, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$162K - $220K *

Engage with healthcare professionals to drive oncology product growth. Collaborate with key stakeholders to address customer needs and market dynamics while ensuring compliance and delivering results...

Los Angeles, CARemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$56K - $104K *

Lead the charge in driving growth and retention by serving as a strategic partner to financial professionals. Utilize consultative sales expertise to deliver tailored solutions and enhance client succ...

RemoteRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$56K - $104K *

Elevate your career by serving as a strategic partner to financial professionals, driving growth and client success through consultative sales and relationship management across your territory. Make a...

RemoteRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$160K - $192K *

Shape the future of healthcare by driving commercial performance and building strong relationships with providers. Engage in product launches and optimize patient access to innovative therapies across...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$70K - $115K *

Join a team that's dedicated to delivering exceptional service as you conduct on-site inspections, investigate claims, and negotiate settlements. Leverage your expertise in property adjustments to sup...

Louisville, KYRemote

4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$65K - $110K *

Lead the execution of marketing strategies within sponsorship platforms. Collaborate with stakeholders to manage projects, budgets, and performance analysis, ensuring alignment with marketing goals wh...

Illinois, USRemote

Reposted 2 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$100K - $130K *

Join a team that's redefining Workers' Compensation filings. Leverage your expertise to manage complex engagements, navigate state regulations, and serve as a trusted advisor, ensuring compliance and...

United StatesRemote

5 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$128K - $145K *

Support the full life cycle of vendor contracts, from negotiation to execution. Collaborate with stakeholders to manage legal risks and ensure compliance in a fast-paced environment, focusing on healt...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$80K - $107K *

Join a dynamic team as you investigate and settle homeowner claims, ensuring thorough evaluations and negotiations. This role requires local travel and offers opportunities for professional growth in...

Pennsylvania, USRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$68K - $123K *

Lead the charge in delivering comprehensive safety and risk management services to clients. Conduct assessments, develop training programs, and foster relationships to enhance operational safety acros...

RemoteRemote

4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$87K - $119K *

Join a team that's shaping the future of healthcare analytics by leveraging actuarial expertise and AI integration to drive innovative solutions and enhance decision-making in government programs...

Newark, NJRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Unlock potential by leading contract negotiations for clinical research, ensuring compliance and efficiency in agreements with industry sponsors. Collaborate with diverse teams to enhance processes an...

Chapel Hill, NCRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$67K - $93K *

Join a dynamic team as you examine complex liability claims, ensuring prompt and fair service. Collaborate with stakeholders, direct investigations, and settle claims, all while contributing to a rapi...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$70K - $110K *

Champion the resolution of complex Tier 3 auto claims, leveraging expertise in investigation, liability assessment, and negotiation to ensure effective outcomes while serving as the primary contact fo...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$215K - $408K *

Lead the charge in medical management and quality improvement initiatives, ensuring optimal care delivery and cost-effectiveness. Collaborate with clinical teams to enhance utilization management and...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

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.