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

$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...

United StatesRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

United StatesRemote

Reposted today

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

$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...

United StatesRemote

Yesterday

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

$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...

United StatesRemote

2 weeks ago

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

$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...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Des Moines, IARemote

Today

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

5 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

Las Vegas, NVRemote

5 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

Columbus, OHRemote

Today

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

Florida, USRemote

Today

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

Morrisville, NCRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

RemoteRemote

Yesterday

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

Harrison, NYRemote

2 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$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...

Overland Park, KSRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

North Carolina, USRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$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...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Business Services

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.