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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$91K - $163K *

Advance your career by partnering with a dynamic team to drive financial accuracy and enhance rebate program performance through analytical insights and strategic decision-making...

Minnetonka, MNRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$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

$95K - $115K *

Shape the future of client management by leading service teams on large accounts, enhancing carrier relationships, and developing strategic placement and renewal plans to drive success and improve pro...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Finance & Insurance

$177K - $236K *

Empower a team of Actuarial Analysts and Consultants, leading pricing projects and analyses. Foster relationships with clients and stakeholders while ensuring high-quality deliverables and timely proj...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$135K - $185K *

Empower clients with insightful actuarial analyses, leveraging AI and machine learning. Collaborate with analysts and data scientists to enhance client portfolios while developing your expertise in pr...

Chicago, ILRemote

Reposted 4 days ago

  •   5 - 7 years exp.  •   Staffing

$120K - $240K *

Help us empower families by providing essential mortgage protection coverage. Join a supportive team where you can thrive through training and mentorship, making a meaningful impact in clients' lives...

Melbourne, FLRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $95K *

Drive the future of finance data analysis by ensuring accuracy and usability of financial data. Collaborate with finance and data teams to enhance reporting processes and validate data integrity for i...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$93K - $109K *

Innovate alongside executives by providing strategic support to drive organizational success, manage high-stakes priorities, and enhance workflow efficiency. You'll serve as a vital liaison and truste...

United StatesRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$120K - $240K *

Empower clients by connecting, analyzing needs, and providing tailored mortgage protection solutions. Engage in consultations and manage follow-ups to ensure a seamless experience, all while enjoying...

Arlington, TXRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$79K - $117K *

Join a team that's dedicated to ensuring compliance in healthcare billing and revenue integrity. Analyze regulations, conduct audits, and collaborate with departments to enhance revenue cycle processe...

Arizona, USRemote

Reposted today

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

$67K - $108K *

Join a team that's dedicated to enhancing healthcare through innovative technology solutions. Lead projects, collaborate with stakeholders, and ensure optimal application use while mentoring team memb...

RemoteRemote

Reposted 2 days ago

  •   Less than 5 years exp.  •   Healthcare

$136K - $182K *

Redefine commercial pricing strategies by leveraging advanced actuarial analysis, supporting portfolio-level assessments, and mentoring junior colleagues within a dynamic, remote team of professionals...

RemoteRemote

Reposted 3 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$100K - $115K *

Lead client relationships by managing multiple projects in the electronic discovery sector. Drive client satisfaction through effective communication and coordination, ensuring high-quality service de...

Overland Park, KSRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$160K - $192K *

Engage healthcare providers and drive commercial performance in a defined territory. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative therapi...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$61K - $110K *

Drive operational excellence by analyzing data and developing reporting solutions that enhance decision-making and performance in Contact Center operations. Collaborate cross-functionally to deliver a...

Fort Worth, TXRemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$130K - $153K *

Unlock your potential as you collaborate with a dynamic actuarial team, contributing to reserving, pricing, and strategic analysis. This role offers a unique opportunity to enhance your skills and dri...

Salem, ORRemote

2 days ago

  •   5 - 7 years exp.  •   Staffing

$115K - $173K *

Lead the charge in developing and implementing advanced risk segmentation strategies, leveraging statistical methodologies and machine learning to optimize financial returns and enhance model performa...

Southfield, MIRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$176K - $227K *

Lead underwriting strategy and execution for national partners, ensuring profitability and growth. Manage teams, foster relationships, and align practices with corporate objectives while driving perfo...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$77K - $124K *

Unlock your potential by ensuring compliance and consistency in estimating practices for property claims. Collaborate with teams to enhance vendor relationships and support customer needs through effe...

RemoteRemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$207K - $240K *

Shape the future of civil litigation by managing complex insurance defense cases. Engage strategically with stakeholders while leading a team to enhance in-house legal capabilities and deliver excepti...

Fresno, CARemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$135K - $237K *

Unlock potential by leading actuarial strategies that drive innovation and performance. Oversee a team, develop statistical models, and engage with regulators to ensure compliance and support business...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

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.