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.
Commercial Insurance Specialist - Must have Wisconsin P&C License Mark remote
$80K - $120K *
Join a dynamic team as a Commercial Insurance Specialist, where you'll assess business needs, recommend tailored insurance solutions, and build lasting client relationships while working remotely acro...
2 weeks ago
Revenue Cycle Systems Analyst - HB Claims
$63K - $108K *
Elevate your career by implementing and optimizing revenue cycle systems. Collaborate with cross-functional teams to enhance billing processes, ensuring efficiency and user satisfaction while supporti...
6 days ago
Senior Construction Underwriter
$94K - $164K *
Empower your career by managing a profitable middle-market construction book. Leverage your E&S underwriting expertise to build relationships, identify opportunities, and drive growth with minimal sup...
1 week ago
EHR Applications Analyst II, Claims
$70K - $105K *
Collaborate with cross-functional teams to enhance EHR workflows, improve operations, and optimize patient care through effective configuration and analysis of Professional Billing Claims applications...
1 week ago
Remote Insurance Broker - U.S.
$120K - $240K *
Inspire growth by engaging clients to assess their needs and present tailored mortgage protection solutions, leveraging training and mentorship to drive success in a flexible work environment...
3 weeks ago
$82K - $155K *
Drive optimization and automation in claims processes, ensuring scalable growth and operational excellence through technology and innovation. Lead, mentor, and develop teams while collaborating across...
4 weeks ago
Senior Billing Process Systems Analyst
$79K - $150K *
Elevate billing processes by overseeing design and governance within Oracle, ensuring efficiency and accuracy in invoicing. Collaborate with cross-functional teams to drive improvements and mentor jun...
2 weeks ago
$78K - $119K *
Advance your career by investigating complex fraud cases, collaborating with various stakeholders, and developing anti-fraud strategies. Utilize your expertise to analyze evidence, document findings...
1 week ago
Account Specialist (Palm Springs, CA)
$160K - $192K *
Drive commercial performance by engaging healthcare providers and executing territory plans. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative...
1 week ago
$164K - $245K *
Transform vendor legal operations by leading negotiations and enhancing processes. Collaborate with cross-functional teams to streamline agreements and empower stakeholders, ensuring efficiency and sc...
1 week ago
Senior Manager, Payment Integrity - Vended Audit Programs
$107K - $199K *
Optimize cost recovery initiatives by managing vendor partnerships and streamlining processes. Collaborate with health plans to achieve budget targets and present actionable insights to senior managem...
Reposted yesterday
General Adjuster - Seattle, Washington - Property & Casualty
$85K - $131K *
Investigate and adjust complex property and casualty claims, including bodily injury and third-party damages. Collaborate with stakeholders to assess liability, estimate costs, and prepare detailed re...
2 weeks ago
Senior Provider Comp Analyst - Remote
$72K - $130K *
Unlock your potential by driving complex provider compensation projects, providing analytical support, and collaborating with leadership to enhance compensation strategies within a dynamic healthcare...
5 days ago
Senior Business Information Solutions Consultant
$110K - $130K *
Lead the charge in driving new revenue growth through consultative solution selling, leveraging data and analytics to help clients mitigate risk and enhance operational performance across diverse indu...
5 days ago
Senior Compliance Analyst - Advertising Review
$85K - $100K *
Champion compliance excellence by reviewing retail communications to ensure adherence to regulations and firm policies. Collaborate with teams to maintain high standards and support organizational goa...
1 week ago
Team Lead, Long-Term Disability Claims
$89K - $147K *
Join a team that's dedicated to delivering exceptional long-term disability claims management. Lead efforts to enhance customer service, drive team performance, and ensure compliance while fostering a...
3 weeks ago
Edifecs EDI Analyst Transaction Specialist
$110K - $130K *
Drive EDI transaction accuracy and compliance by managing workflows, analyzing partner requirements, and ensuring data integrity. Collaborate with stakeholders to resolve issues and support operationa...
2 weeks ago
Auto Physical Damage Appraiser - Field
$99K *
Advance the Auto Physical Damage operation by expertly evaluating vehicle damage, negotiating claims, and ensuring compliance with all regulatory standards while providing excellent customer service t...
Reposted 3 weeks ago
$130K - $160K *
Play a key role in global sanctions compliance, overseeing risk management and regulatory adherence. Collaborate with international teams to establish standards and guidelines while ensuring effective...
Reposted 3 weeks ago
General Liability Litigation Senior Claim Representative/Consultant - Western / Eastern Region
$62K - $127K *
Join a team that's dedicated to delivering exceptional customer service while managing complex general liability claims. Collaborate with legal partners to develop strategies for effective resolution...
3 weeks ago
Director, Claims Program Management, Property & Casualty, Remote
$91K - $171K *
Drive the claims strategy and governance across diverse P&C programs. Lead a high-performing team, modernizing operations through data and process redesign while ensuring compliance and financial perf...
4 weeks ago
Account Specialist, Spasticity & Movement Disorder - Bethesda/Rockville, MD
$95K - $115K *
Elevate your career by promoting innovative products to community practices and health systems. Build strong relationships across various medical departments while exceeding sales goals and providing...
1 week ago
Senior Commercial Actuarial Reserving Manager - Remote
$177K - $236K *
Manage and lead a team of Actuarial Analysts, driving innovation and delivering critical reserve analyses for commercial lines. Build strong relationships across internal and external stakeholders, en...
Reposted 1 week ago
$94K - $179K *
Lead the charge in resolving complex property claims, utilizing your expertise to investigate, evaluate, and negotiate high-severity losses. Operate independently in a remote and field-based role, mak...
3 weeks ago
$120K - $240K *
Join a team that's dedicated to empowering clients with tailored mortgage protection solutions. This role offers flexibility and mentorship, allowing you to connect, advise, and support clients while...
3 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.