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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$68K - $113K *

Join a team that's dedicated to transforming disability claims through expert clinical assessments. Collaborate with healthcare providers and utilize your clinical expertise to improve patient outcome...

United StatesRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$171K - $318K *

Champion actuarial leadership by directing advanced analytics and modeling initiatives to support strategic goals across multiple business areas while fostering team development and communication with...

Baltimore, MDRemote

Reposted 2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$110K - $150K *

Elevate payment integrity operations by leading a team focused on dispute resolution, compliance, and provider education. Drive data analysis and operational excellence to enhance collaborative relati...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$83K - $140K *

Join a dynamic team to drive insurance product design and implementation. Collaborate cross-functionally to manage projects, ensuring alignment with strategic goals while facilitating effective busine...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$100K - $115K *

Lead the charge in managing a dynamic team to adjudicate complex workers' compensation claims, ensuring timely resolutions and innovative solutions for diverse clients while fostering a culture of gro...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$173K - $240K *

Empower your career by diving into the dynamic world of cyber reinsurance. Collaborate with seasoned underwriters, analyze cedant data, and grow your expertise in treaty submissions, while building vi...

United StatesRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$77K - $138K *

Lead the charge in enhancing workplace safety by conducting thorough loss analyses, on-site surveys, and providing actionable recommendations to improve safety programs and reduce hazards for policyho...

Tennessee, USRemote

5 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$241K - $402K *

Join a team that's redefining the Casualty Claim landscape by leading strategic initiatives, managing high-severity claims, and collaborating with industry leaders to drive operational excellence and...

RemoteRemote

3 weeks ago

  •   11 - 15 years exp.  •   Finance & Insurance

$115K - $130K *

Lead the charge in managing client relationships by overseeing a dedicated team of Project Managers and Technical Analysts, ensuring high-quality service delivery, effective project execution, and str...

Overland Park, KSRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$120K - $145K *

Drive compliance excellence by leading insurance operations, optimizing processes, and mitigating risks across a commercial loan servicing portfolio while ensuring adherence to regulatory and investor...

RemoteRemote

Yesterday

  •   5 - 7 years exp.  •   Finance & Insurance

$85K - $128K *

Empower sales teams with technical support and presentations to secure new business, enhance customer integration, and optimize product utilization. Collaborate on sales strategies and troubleshoot ex...

RemoteRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$79K - $127K *

Empower your career by analyzing contracts and pricing strategies to optimize profitability and growth. Utilize your underwriting expertise to assess risks, support internal initiatives, and guide tea...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$130K - $153K *

Lead complex auto and property subrogation litigation, managing cases from investigation to resolution. Collaborate with claims teams, develop recovery strategies, and represent the company in court t...

RemoteRemote

5 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$100K - $130K *

Join a team that's dedicated to driving legal excellence and risk management. As a Senior Commercial Paralegal, you'll draft and negotiate agreements, coordinate legal responses, and support cross-dep...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Technical Services

$70K - $94K *

Support the development and analysis of Medical Cost Action Plans, collaborating with stakeholders to track expenses and identify cost-containment initiatives. Utilize data analysis to drive informed...

Newark, NJRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$116K - $145K *

Help us lead the charge in catastrophe risk analytics, blending modeling science and data engineering. Drive team performance, set technical standards, and translate model outputs into strategic under...

Chicago, ILRemote

3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$100K - $120K *

Advance your career by leading revenue cycle initiatives, enhancing compliance, and driving process improvements across multiple teams while ensuring data integrity and supporting innovative healthcar...

Shreveport, LARemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$113K - $197K *

Lead regulatory and compliance oversight for Operations, ensuring accuracy and efficiency. Collaborate with enterprise partners to enhance operational processes, implement automation, and drive contin...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Shape the future of clinical research data integrity by leading a dedicated team. Drive operational excellence, ensure compliance, and foster cross-functional partnerships to enhance data quality and...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $119K *

Transform the landscape of fraud detection by leading a skilled SIU team. Oversee investigations, collaborate with law enforcement, and ensure compliance while mentoring staff to uphold integrity in h...

Newark, NJRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$118K - $186K *

Partner with us to defend insurance lawsuits, prepare legal documents, and provide expert opinions. This role requires strong litigation skills and the ability to manage complex cases in New Jersey co...

West Orange, NJRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$101K - $146K *

Elevate the insurance verification and authorization process by managing staff, developing strategies, and ensuring excellent service delivery while resolving complex patient financial needs in a coll...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$66K - $96K *

Optimize compliance efforts by researching regulations, submitting filings, and collaborating with teams to ensure insurance products meet state requirements. This role requires analytical skills and...

Portland, ORRemote

Reposted today

  •   Less than 5 years exp.  •   Finance & Insurance

$72K - $117K *

Join a team that's dedicated to providing exceptional service as you investigate and settle large property claims. Utilize your expertise in fire and water losses while leveraging technology to suppor...

Memphis, TNRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$126K - $170K *

Elevate your career by driving risk selection and profitability in a dynamic Excess Liability Division. Collaborate with clients and internal teams to deliver tailored insurance solutions while mainta...

United StatesRemote

Yesterday

  •   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.