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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$127K - $243K *

Drive innovative pricing strategies as a Regional Actuary, collaborating with cross-functional teams to enhance state-level product offerings. Leverage advanced actuarial techniques to navigate comple...

San Antonio, TXRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$64K - $120K *

Join a team that's dedicated to delivering exceptional client service by developing tailored insurance solutions, fostering strong relationships, and managing proposals and renewals in a fast-paced en...

Schaumburg, ILRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$60K - $100K *

Drive client satisfaction by managing operations, onboarding, and relationships. Collaborate across teams to ensure service excellence and timely project delivery while addressing complex client needs...

San Diego, CARemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$118K - $189K *

Transform data into actionable insights by leading innovative actuarial solutions. Drive the development of complex data systems, ensuring accuracy and quality for financial reporting while collaborat...

RemoteRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$80K - $95K *

Unlock growth by driving product adoption and enhancing customer engagement in the cardiovascular and endovascular sectors. Collaborate with sales teams to ensure procedural support and improve patien...

South Carolina, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$109K - $149K *

Unlock vendor performance by leading analytics and risk adjustment initiatives across healthcare programs. Drive strategy, manage relationships, and ensure accurate reporting to optimize operational s...

Newark, NJRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$95K *

Shape the future of employment compliance by leading I-9, E-Verify, and EEO initiatives. Drive proactive strategies, enhance training, and ensure audit readiness while supporting a diverse workforce a...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$135K - $175K *

Elevate your career by designing and implementing competitive compensation programs. Collaborate with management and stakeholders to ensure equitable pay structures while analyzing market trends and s...

New York, NYRemote

5 days ago

  •   8 - 10 years exp.  •   Technical Services

$90K - $105K *

Unlock potential by supporting compensation programs through analysis, reporting, and administration. Collaborate with HR and finance teams to ensure accurate employee compensation data and streamline...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$160K - $192K *

Discover a pivotal role in driving commercial performance and patient access. Engage healthcare providers, build relationships, and support product launches while collaborating with cross-functional t...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$149K - $262K *

Help us shape the future of P&C capital performance by leveraging your actuarial expertise to enhance our capital monitoring framework, drive strategic decisions, and collaborate across teams to optim...

Columbus, OHRemote

Today

  •   8 - 10 years exp.  •   Finance & Insurance

$72K - $130K *

Shape operational success as you coordinate end-to-end mailing programs for provider and member notifications, ensuring compliance, quality, and efficiency in production processes while managing vendo...

Minneapolis, MNRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $110K *

Partner with us to drive financial excellence through collaborative analysis and strategic insights. Support vital operational functions, enhance reporting accuracy, and contribute to budget managemen...

Westmont, ILRemote

Reposted today

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$80K - $95K *

Unlock your potential by driving business application solutions and leading requirements elicitation. Collaborate across teams to enhance processes and systems, ensuring alignment with business object...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$120K - $150K *

Transform the landscape of dental negotiations by leading strategic partnerships with payers, optimizing contracts, and driving revenue growth through data-driven insights and collaborative execution...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$110K - $130K *

Accelerate progress at the forefront of litigation support services. Join a dynamic team dedicated to client success, driving sales strategies, and enhancing customer satisfaction while achieving pers...

San Francisco, CARemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $130K *

Unlock potential by becoming a trusted advisor in litigation support services, driving sales growth through client engagement, strategic partnerships, and expert knowledge in Electronic Data Discovery...

Seattle, WARemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$140K - $175K *

Lead transformative insurance program initiatives, overseeing technology enhancements and operational workflows. Collaborate across teams to drive project management and ensure compliance, while optim...

United StatesRemote

Yesterday

  •   8 - 10 years exp.  •   Finance & Insurance

$160K - $192K *

Execute territory business plans to drive commercial performance, engage healthcare providers, and support product launches. Collaborate with cross-functional teams to optimize patient access and ensu...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Drive operational excellence at a leading healthcare organization by leading funded medical accounts receivable. Build a high-performing collections team, enhance cash flow, and ensure compliance whil...

Pennsylvania, USRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$94K - $164K *

Champion innovative business analysis strategies to drive enterprise alignment, enhance decision-making, and deliver measurable outcomes. Collaborate with leadership to shape initiatives that support...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $145K *

Shape the future of cyber claims management by leading a dynamic team, driving strategic initiatives, and ensuring exceptional service delivery while adhering to industry standards and regulatory requ...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$70K - $94K *

Champion care coordination for specialty populations, ensuring efficient resource utilization and high-quality outcomes. Collaborate with healthcare teams to advocate for members and facilitate transi...

Hopewell, NJRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$97K - $155K *

Lead strategic initiatives in commercial lines product management, optimizing profitability and growth. Collaborate with cross-functional teams to develop innovative solutions and mentor others, ensur...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$150K - $206K *

Drive strategic risk management initiatives by leading regulatory audits, enhancing operational processes, and fostering cross-functional collaboration to minimize financial impacts and improve audit...

United StatesRemote

2 weeks ago

  •   8 - 10 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.