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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
More
1
caret down

$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...

Green Bay, WIRemote

2 weeks ago

  •   Less than 5 years exp.  •   Staffing

$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...

Champaign, ILRemote

6 days ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$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...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$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...

Jefferson City, MORemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

Morristown, NJRemote

4 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$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...

Iowa, USRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

RemoteRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$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...

Seattle, WARemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

Eden Prairie, MNRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Princeton, NJRemote

5 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

Portland, MERemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

Texas, USRemote

2 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$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...

Culver City, CARemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

Farmington Hills, MIRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$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...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

Eatontown, NJRemote

4 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

Bethesda, MDRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

RemoteRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

California, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

Tallahassee, FLRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

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.