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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$150K - $210K *

Transform your career by driving profitable business with enterprise clients. Leverage your underwriting expertise to manage complex accounts, mentor peers, and shape portfolio strategies while foster...

United StatesRemote

6 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$150K - $180K *

Drive your career with a leadership role focused on Revenue Integrity, overseeing strategic direction, performance metrics, and team development to enhance operational efficiency and client satisfacti...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$140K - $145K *

Deliver exceptional underwriting expertise by independently evaluating complex Commercial Casualty risks, with a focus on Commercial Auto, General Liability, and Excess Liability to drive informed dec...

Maryland, USRemote

Reposted 5 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$224K - $403K *

Join a team that's transforming data governance and quality in Property & Casualty. Lead initiatives that ensure trusted, compliant data across the enterprise, driving strategic decisions and enhancin...

San Antonio, TXRemote

3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$94K - $124K *

Lead operational excellence by managing our CLM platform, ensuring efficient contract processes and seamless collaboration among stakeholders, vendors, and technology to optimize procurement operation...

United StatesRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Transform your career by leveraging your underwriting expertise to mentor others, handle complex inquiries, and drive process improvements in personal lines insurance. Join a dynamic team dedicated to...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$100K - $120K *

Join a team that's dedicated to redefining risk management in construction. Utilize your extensive knowledge to collaborate with clients nationwide, enhancing their operational effectiveness while min...

RemoteRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Shape the future of healthcare revenue integrity by ensuring compliance and optimizing revenue capture through strategic oversight and collaboration across departments, fostering a culture of accounta...

Los Angeles, CARemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$114K *

Advance clinical documentation quality by conducting thorough reviews and facilitating physician interactions to enhance accuracy and compliance in medical records, ensuring optimal patient care and r...

RemoteRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$65K - $108K *

Transform the auto appraisal process by inspecting vehicles, estimating repair costs, and collaborating with repair facilities to ensure accurate claim settlements while delivering exceptional custome...

RemoteRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Finance & Insurance

$85K - $100K *

Join a dedicated team as you empower Oncology patients by providing holistic care, navigating healthcare systems, and ensuring access to life-changing therapies while collaborating with healthcare pro...

CanadaRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$95K - $130K *

Lead the charge in selling commercial roofing products, driving new business and profitability. Collaborate with contractors and distributors while managing customer relationships independently from y...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$110K - $130K *

Drive customer success by leading a dynamic team in delivering high-quality SaaS implementations. Collaborate across functions to enhance performance, navigate challenges, and embrace innovative solut...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$110K - $130K *

Unlock new revenue streams by managing territory and driving sales growth within class action and mass tort law firms. Build strong client relationships and leverage your expertise to establish a pref...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Information Technology

$79K - $158K *

Unlock your potential by developing tools for Actuarial and Underwriting analysis. Collaborate with teams, document processes, and leverage SQL and Excel to drive insights while continuously learning...

Connecticut, USRemote

Yesterday

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$78K - $120K *

Elevate client success by driving adoption and optimizing claims operations. Collaborate with cross-functional teams to deliver measurable business value and enhance customer outcomes in the insurance...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$100K - $120K *

Lead the charge in managing a team of data analysts to develop complex reports, analyze data, and provide technical guidance, ensuring effective communication with clients and senior management while...

Texas, USRemote

2 days ago

  •   8 - 10 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

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$75K - $135K *

Shape healthcare delivery by supervising a utilization management team, ensuring quality adherence to standards. Drive process improvements while mentoring staff in effective care management strategie...

Phoenix, AZRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $235K *

Elevate your legal career by delivering strategic counsel and effective services to Managed Services Organizations and physician practices, while managing complex legal projects and mentoring a team i...

RemoteRemote

2 weeks ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$68K - $126K *

Elevate client success by serving as a strategic partner to financial professionals, driving growth and retention through consultative sales expertise and relationship management across your assigned...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Transform client relationships in the SUD/behavioral health sector, ensuring effective onboarding and ongoing engagement. Leverage your RCM expertise to enhance service delivery, client satisfaction...

Dallas, TXRemote

Reposted 4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Unlock potential by managing and optimizing project-level agreements, ensuring compliance and efficiency in contracting processes while supporting global operations and client needs in a dynamic legal...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$137K - $200K *

Elevate our actuarial capabilities by designing and deploying automated solutions that integrate AI and data analysis, enhancing decision-making across the organization while collaborating with divers...

Portland, ORRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$85K - $105K *

Unlock growth by managing and underwriting a diverse portfolio of Cyber Liability and E&O coverages, ensuring compliance and profitability while fostering strong relationships with partners and broker...

United StatesRemote

2 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.