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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$80K - $95K *

Unlock your potential by leading a dynamic team in quality assurance and operational integrity. Drive risk management initiatives, mentor professionals, and enhance operational efficiency across diver...

Pittsburgh, PARemote

5 days ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$113K - $197K *

Lead the charge in defining product strategy and roadmap, translating business objectives into actionable plans. Collaborate with cross-functional teams to ensure successful implementation and operati...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Optimize clinical research processes by conducting comprehensive monitoring visits, ensuring adherence to quality standards, and facilitating effective communication among project teams and sites acro...

Toronto, ONRemote

5 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$120K - $170K *

Lead innovative risk analysis and premium production, driving collaboration across teams to enhance management and professional liability insurance products that resonate with brokers and clients alik...

United StatesRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $130K *

Drive new business growth by leveraging your expertise in Workers' Compensation and IME. Build strong relationships with key stakeholders and deliver tailored solutions to meet client needs, while exp...

Rochester, NYRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Empower compliance excellence by leading audits, risk assessments, and investigations. Collaborate with teams to ensure adherence to healthcare regulations and promote ethical practices while adapting...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$112K - $193K *

Shape the future of clinical documentation integrity across six hospitals in AZ and NV. Lead operations, enhance documentation practices, and collaborate with healthcare leaders to drive performance a...

Phoenix, AZRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$168K - $247K *

Elevate your career by leading a dynamic underwriting team, driving innovation, and shaping strategic initiatives to enhance competitive advantage while fostering a culture of excellence and growth in...

RemoteRemote

4 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$125K - $175K *

Unlock your potential by leading risk management initiatives, collaborating with stakeholders to assess project risks, and developing comprehensive risk strategies. Engage clients and enhance your exp...

RemoteRemote

3 weeks ago

  •   11 - 15 years exp.  •   Real Estate & Construction

$141K - $177K *

Drive strategic initiatives and operational excellence by leading technology solutions, collaborating with stakeholders, and ensuring project success through effective management and innovative proble...

Chicago, ILRemote

6 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$135K - $160K *

Join a dynamic team leading underwriting and product strategy for commercial accounts. Drive profitable growth, enhance client relationships, and innovate processes while managing a high-performing te...

Arizona, USRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$110K - $130K *

Elevate financial transparency by leading statutory reporting and audits. Collaborate across teams to ensure compliance and data integrity, while providing actionable insights to support leadership in...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$67K - $182K *

Lead the charge in driving operational excellence and strategic direction for a high-performing underwriting team, ensuring quality Medicare underwriting services that support profitable growth and bu...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

Engage and develop strategic relationships to drive sales growth in the insurance sector. Utilize your expertise in crop insurance to meet and exceed sales goals while fostering key agent partnerships...

Iowa, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$120K - $224K *

Pioneer innovative insurance solutions by analyzing complex risks and underwriting programs. Collaborate with partners to develop strategies, mentor teams, and drive profitable growth while ensuring c...

RemoteRemote

3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$100K - $115K *

Manage and mentor the Revenue Cycle Team to enhance service delivery, ensure compliance, and improve operational efficiency. Oversee daily activities, monitor performance, and develop processes to ach...

Minnesota, USRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$85K *

Shape the future of marketing strategies by analyzing trends, collaborating with sales, and executing campaigns that foster brand engagement and growth, while measuring performance to adapt for optima...

United StatesRemote

4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$120K - $150K *

Empower stakeholders by leading the complete contracting lifecycle for strategic suppliers and partners. Collaborate cross-functionally to negotiate complex agreements, manage risks, and optimize cont...

Morrisville, PARemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$88K - $105K *

Elevate procurement efficiency by supporting contract operations, developing documentation, and liaising with stakeholders. Play a key role in ensuring compliance with regulations while managing compl...

Silver Spring, MDRemote

1 week ago

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

$137K - $232K *

Manage complex workers' compensation cases, providing litigation services and strategic legal advice. Lead case handling from investigation to trial, ensuring optimal outcomes while mentoring support...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Unlock potential by providing strategic legal guidance on privacy and data protection. Collaborate with cross-functional teams to ensure compliance with U.S. and global regulations while managing comp...

Nevada, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$80K - $95K *

Analyze provider network data to ensure accuracy and compliance. Collaborate with teams to maintain critical information, generate reports, and support quality improvement initiatives in provider admi...

United StatesRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $129K *

Lead risk management initiatives by analyzing complex data to identify potential risks. Develop and implement operational controls to enhance efficiency and compliance within ACG AORs, ensuring alignm...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$164K - $305K *

Join a team that's redefining account management by driving growth and retention for complex health systems. Build strategic relationships with C-suite executives and lead cross-functional teams to de...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$85K - $100K *

Champion life underwriting transformation initiatives by analyzing requirements, facilitating project lifecycles, and collaborating with cross-functional teams to enhance operational excellence and im...

United StatesRemote

6 days ago

  •   5 - 7 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.