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.
Senior Client Delivery Manager - Revenue Cycle (REMOTE)
$100K - $120K *
Drive operational excellence as a trusted advisor, managing high-impact client accounts to translate complex data into strategic insights, guiding executive decision-making, and fostering client relat...
Reposted 1 week ago
Clinical Documentation Integrity Supervisor
$110K - $159K *
Inspire excellence in clinical documentation by leading a team of specialists, ensuring quality assurance, and fostering professional development. Collaborate with stakeholders to enhance operational...
Reposted today
Clinical Documentation Integrity Supervisor
$110K - $159K *
Empower the Clinical Documentation Integrity team by ensuring staff competency through quality assurance, training, and performance management. Collaborate on action plans and foster associate develop...
Yesterday
Clinical Documentation Integrity Supervisor
$110K - $159K *
Lead the charge in enhancing clinical documentation integrity by supervising staff, conducting quality reviews, and fostering professional development. Collaborate with teams to implement effective st...
2 weeks ago
Senior Associate, Insurance Compliance
$80K - $95K *
Drive compliance excellence by overseeing complex insurance activities, ensuring adherence to investor and regulatory standards while mentoring junior team members and enhancing operational processes...
3 weeks ago
Senior Underwriter - Non-Profit
$87K - $120K *
Transform the nonprofit sector by managing agency relationships, driving growth, and ensuring compliance. Leverage your underwriting expertise to enhance portfolio performance and develop new business...
3 weeks ago
$117K - $160K *
Champion profitable growth by managing E&S commercial property and casualty underwriting. Leverage strong technical skills and relationships to assess risks, deliver competitive quotes, and optimize p...
1 week ago
Account Specialist, Des Moines, IA
$160K - $192K *
Optimize commercial performance by engaging healthcare providers and driving product adoption. Collaborate with cross-functional teams to support launches and enhance patient access to innovative ther...
1 week ago
Risk Management Specialist - Assistant Director
$127K - $171K *
Engage with our Enterprise Risk Management team to enhance risk practices across business functions. As a trusted advisor, you'll lead initiatives, assess risks, and influence strategies to balance ri...
Today
Account Specialist (Toledo, OH)
$160K - $192K *
Transform healthcare engagement by driving commercial performance and building strong relationships with providers. Collaborate cross-functionally to support product launches and ensure patient access...
6 days ago
Retirement Plan Specialist I (Financial Advisor/401k Participants) (Remote) (Kelsey Harris)
$70K - $95K *
Grow your career with a remote role assisting clients in navigating retirement solutions. Leverage your financial expertise to build relationships and provide guidance, all while enjoying a supportive...
5 days ago
Program Specialist, Care Management
$74K - $119K *
Transform healthcare delivery by coordinating strategic programs that enhance clinical and operational excellence. Collaborate with diverse teams to implement innovative solutions, ensuring compliance...
1 week ago
$90K - $110K *
Unlock potential by leading compliance initiatives and advising leadership on regulatory strategies. This role ensures adherence to laws, mentors staff, and collaborates with stakeholders to mitigate...
2 days ago
$90K - $125K *
Advance underwriting excellence by evaluating and pricing risk for self-funded health plans. Collaborate with cross-functional teams to ensure profitability and competitive positioning while mentoring...
5 days ago
AVP, Risk and Analytics - Specialty Finance
$175K - $326K *
Lead risk and analytics for Specialty Finance, shaping frameworks and strategies to enhance risk-adjusted performance. Collaborate with stakeholders to ensure effective risk management and product str...
Today
$80K - $95K *
Transform the property claims landscape by leading a dynamic team, driving process improvements, and ensuring exceptional client relationships while overseeing complex claims adjudication and team per...
Today
$74K - $124K *
Drive risk management and IT auditing excellence by assessing controls, evaluating risks, and delivering actionable insights. Collaborate effectively across teams to enhance the internal control envir...
Reposted 4 weeks ago
HCS Apps Systems Analyst Sr - Hospital Billing
$86K - $124K *
Join us to provide high-level technical support for applications and interfaces, enhancing IT tools across the health system. Engage in project management, systems design, and vendor coordination to d...
1 week ago
Senior Actuarial Analyst: Commercial Lines - Remote
$92K - $135K *
Grow your career with a dynamic role providing actuarial support for commercial lines, managing projects, analyzing market trends, and ensuring compliance while advancing your actuarial expertise thro...
6 days ago
API IT Solutions Analyst II - Remote
$74K - $99K *
Engage with cross-functional teams to deliver enterprise APIs, ensuring seamless integration and support for mission-critical applications. Collaborate with partners to translate business needs into t...
Yesterday
Commercial Auto/Trucking, Premises, and General Liability Attorneys
$100K - $275K *
Join a dynamic team of attorneys specializing in Commercial Auto, Premises, and General Liability. Leverage your litigation skills in a supportive environment that values collaboration and professiona...
2 weeks ago
Medical Information Specialist
$80K - $95K *
Unlock potential by delivering expert medical information support to healthcare professionals, ensuring safe product use through timely, evidence-based responses and effective communication across mul...
2 weeks ago
DIRECTOR/SR. DIRECTOR, DESIGN - REIMBURSEMENT SUPPORT
$135K - $160K *
Join a team that's dedicated to crafting and implementing effective patient support programs. As a strategic leader, you will drive program design, coordinate stakeholder engagement, and ensure succes...
Reposted 3 weeks ago
$71K - $95K *
Empower the future of EDI and integration systems by designing, developing, and managing solutions that enhance business processes, ensuring reliability and efficiency while collaborating with cross-f...
2 weeks ago
HIM Outpatient Coding Supervisor
$68K - $113K *
Lead the charge in optimizing coding accuracy and compliance by analyzing complex patient care documentation, providing expert guidance, and enhancing coder education to ensure adherence to ethical st...
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.