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.
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.
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.
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.
Risk Consultant, Loss Prevention - Ontario region
$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...
3 weeks ago
Sales Specialist II, Finance Solutions (R-19931)
$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...
1 month ago
$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...
6 days ago
Sr. Field Adjuster, Homeowner Claims - San Jose (Local)
$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...
1 month ago
Senior Supervisory Attorney - Complex Claim Unit
$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...
2 days ago
RN Clinical Documentation Specialist Lead- Quality Reviewer - Remote
$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...
6 days ago
$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...
2 days ago
Managing Consultant - Clinical Documentation Integrity (CDI) - 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...
3 weeks ago
Access Manager - Healthcare Claims, PAs, Reimbursement & Appeals
$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...
6 days ago
$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...
2 weeks ago
Medical Account Specialist II- Oncology- Los Angeles East
$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...
2 weeks ago
Specialist, Regional Internal Consultant (Remote)
$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...
6 days ago
Specialist, Regional Internal Consultant (Remote)
$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...
6 days ago
Account Specialists (St. Paul, MN)
$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...
1 week ago
Property Adjuster - Field Estimating - Louisville, KY
$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...
4 weeks ago
Consumer Marketing Sponsorships & Promotions Senior Consultant II
$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...
Reposted 2 days ago
Specialist, Workers' Compensation
$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...
5 days ago
$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...
Yesterday
Sr. Field Adjuster, Homeowner Claims - Philadelphia, PA (Local)
$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...
1 week ago
Risk Control Consultant-North Carolina
$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...
4 weeks ago
Actuarial Analyst III (Government Programs Trend & AI)
$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...
1 week ago
Contracts Officer, UNC Clinical Research Partners
$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...
1 week ago
Liability Claims Examiner - Remote - Anywhere in Canada
$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...
1 week ago
TPA - Tier 3 Claim Owner - Virtual
$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...
Today
Remote Medical Director, Appeals
$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...
2 weeks ago
What does a Claims Specialist do?
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?
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?
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?
Yes. Ladders features vetted professional jobs paying $100,000 or more, including Claims Specialist opportunities when available.