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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$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

2 days ago

  •   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

3 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

$87K - $99K *

Transform air quality compliance by leveraging your expertise in permitting and regulatory analysis. Collaborate with clients to develop solutions for emission sources, ensuring adherence to environme...

RemoteRemote

Yesterday

  •   5 - 7 years exp.  •   Business Services

$90K - $110K *

Unlock potential by delivering advanced risk control services, conducting evaluations, and developing value-added recommendations to enhance safety and risk management strategies for specialized comme...

RemoteRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$53K - $117K *

Champion customer satisfaction by leading the auto damage appraisal process, utilizing technical expertise and communication skills to guide clients through repairs and claims efficiently in a dynamic...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$86K - $118K *

Join a team that's dedicated to enhancing consumer experiences through innovative solutions. Leverage your technical expertise in a collaborative environment focused on continuous improvement and impa...

United StatesRemote

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$160K - $192K *

Collaborate with healthcare providers to drive commercial performance and product adoption. Engage in territory business planning, support product launches, and optimize patient access to innovative t...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

Transform client relationships by driving retention and growth through strategic insights and data analysis. Lead negotiations with complex clients, ensuring profitable partnerships while collaboratin...

North Carolina, USRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $240K *

Empower your career with a flexible role that connects clients to tailored mortgage protection solutions. Enjoy mentorship and support while working independently to achieve your financial goals and h...

Amarillo, TXRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$79K - $132K *

Join a dynamic team as a Sales Executive, driving revenue growth and fostering agency relationships. Engage with partners, analyze market trends, and deliver impactful training to enhance performance...

RemoteRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$79K - $132K *

Engage with agencies to drive revenue growth, build relationships, and analyze market trends. Collaborate with leadership to develop strategies, conduct training, and maintain records while actively p...

RemoteRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$120K - $240K *

Grow your career by helping families secure their financial future. Join a supportive team that fosters personal development and leadership opportunities while providing essential mortgage protection...

Myrtle Beach, SCRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$79K - $125K *

Lead the charge in enhancing Employer Health Solutions products, driving market competitiveness through collaboration, strategic analysis, and innovative development. Support regulatory compliance and...

United StatesRemote

Reposted 6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$127K - $243K *

Optimize product development by leading innovative auto offerings and enhancing member experience with data-driven insights. Collaborate cross-functionally in a remote role to drive performance and co...

San Antonio, TXRemote

Reposted today

  •   8 - 10 years exp.  •   Finance & Insurance

$72K - $121K *

Lead and develop a high-performing team in managing short-term disability and absence claims. Drive operational excellence through analytics, coaching, and collaboration, ensuring compliance and excep...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$74K - $148K *

Shape the future of pension administration by leading special projects and ensuring successful data management while collaborating with diverse teams to meet client expectations and drive growth in Bu...

Chicago, ILRemote

1 month ago

  •   5 - 7 years exp.  •   Finance & Insurance

$120K - $145K *

Shape your career by providing strategic legal guidance across commercial, product, and regulatory domains. Collaborate with diverse teams to navigate complex agreements and compliance issues, ensurin...

Philadelphia, PARemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$134K - $249K *

Shape compliance within our health plan by overseeing policy development, audit processes, and regulatory interactions. Drive effective management and communication across all compliance functions to...

Arizona, USRemote

Reposted 1 month ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Transform sales strategies by driving revenue growth and building lasting client relationships. Lead consultative sales efforts across diverse accounts, ensuring tailored solutions meet customer needs...

Jersey City, NJRemote

3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$91K - $163K *

Drive impactful credit decisions by underwriting commercial loans, analyzing financial data, and ensuring compliance. Collaborate with clients and mentor team members while managing risk and enhancing...

Draper, UTRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $110K *

Elevate our Internal Audit function by conducting comprehensive audits, evaluating controls, and ensuring compliance. Collaborate across teams to enhance processes and contribute to effective governan...

RemoteRemote

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.