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

$70K - $104K *

Join a dynamic team as you lead the charge in providing exceptional service to policyholders. Conduct on-site inspections, investigate claims, and utilize advanced technology to ensure swift resolutio...

Houston, TXRemote

2 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$69K - $125K *

Transform regulatory insights into actionable strategies by analyzing national and state legislative activities. Collaborate with legal and business teams to ensure compliance and support effective de...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$87K - $109K *

Analyze and evaluate mortality and morbidity risks while providing technical support to clients. Collaborate effectively in a fast-paced environment, making quality underwriting decisions and contribu...

Ontario, CARemote

Yesterday

  •   5 - 7 years exp.  •   Finance & Insurance

$160K - $192K *

Join a dynamic team to drive commercial performance and enhance patient access through strong relationships with healthcare providers, executing strategic business plans in a pivotal role focused on i...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$90K - $110K *

Lead transformative deployments in healthcare by collaborating with executives and stakeholders. Drive operational change, manage complex projects, and enhance staffing strategies across health system...

San Francisco, CARemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Join a team that's dedicated to enhancing service quality through rigorous quality assurance and process audits. Collaborate with stakeholders to ensure compliance with ITIL practices and drive contin...

Chicago, ILRemote

1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$120K - $190K *

Lead the charge in combating cyber-enabled fraud by investigating complex threats, analyzing digital signals, and collaborating across teams to enhance detection and risk mitigation strategies...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$130K - $153K *

Join the legal frontline to defend insured clients and the Company! Handle complex bodily injury and property damage lawsuits, provide counsel, and stay updated on laws while collaborating with legal...

RemoteRemote

5 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$72K - $116K *

Unlock potential as a mid-level actuarial analyst, applying statistical techniques to enhance insurance pricing, claims analysis, and profitability studies while progressing through the Actuarial Exec...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$117K - $150K *

Champion your actuarial expertise to drive financial reporting and reserve setting for annuities. Collaborate on high-impact projects, adapt to evolving needs, and enhance reporting models in a dynami...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$75K - $124K *

Lead the charge in transforming risk management and compliance through innovative solutions. Collaborate with cross-functional teams to design and implement scalable enterprise applications that enhan...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$127K - $243K *

Explore a pivotal role in shaping narratives that connect employees and the community. Drive impactful communication strategies, enhance brand reputation, and engage diverse audiences through authenti...

San Antonio, TXRemote

Yesterday

  •   8 - 10 years exp.  •   Finance & Insurance

$87K - $157K *

Deliver impactful retention strategies by leading a team focused on enhancing member experience and reducing disenrollment across Medicare markets. Collaborate with cross-functional teams to drive ini...

New York, USRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$162K - $220K *

Engage Oncology specialists and key customers to drive product success. Utilize your expertise in account management and clinical selling to build relationships, identify opportunities, and achieve re...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$100K - $125K *

Join us to lead audit engagements for governmental and nonprofit clients, mentor emerging auditors, and solve complex accounting challenges while delivering exceptional client service in a fully remot...

Florida, USRemote

1 week ago

  •   5 - 7 years exp.  •   Legal & Accounting

$80K - $95K *

Join a team that's transforming local government operations through innovative SaaS implementations. Lead complex projects, collaborate with clients, and drive measurable outcomes while enhancing your...

CanadaRemote

1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$112K - $141K *

Champion innovative legal solutions for healthcare stakeholders, advising on corporate, regulatory, and operational matters. Engage in healthcare transactions, compliance, and health data commercializ...

St. Petersburg, FLRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Champion healthcare excellence by supervising care management teams, ensuring quality service delivery, and optimizing operational workflows. Drive compliance and data collection for specialty program...

South Carolina, USRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$60K - $107K *

Champion quality assurance and delivery processes, enhancing product readiness through oversight of testing, issue management, and release coordination while collaborating with cross-functional teams...

Eden Prairie, MNRemote

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$78K - $131K *

Contribute to the development and administration of competitive compensation programs, ensuring alignment with organizational strategy. Lead projects and provide consultation to HR partners while main...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Empower clinical excellence by delivering expert technical support for neurovascular products. Collaborate with healthcare professionals to enhance patient care, drive product adoption, and ensure suc...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$160K - $192K *

Elevate commercial performance by engaging healthcare providers and driving product adoption. Collaborate with cross-functional teams to support launches and optimize patient access, ensuring complian...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$107K - $199K *

Champion clinical pharmacy operations by leading teams to enhance pharmaceutical care, ensuring compliance and cost-effective drug utilization while developing innovative programs that align with corp...

CanadaRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$85K - $105K *

Elevate customer engagement and streamline medical order processes while collaborating with Territory Managers to enhance market penetration and revenue recognition in a defined territory, ensuring op...

Buffalo, NYRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join a team that's dedicated to managing enterprise AI platforms, ensuring governance, compliance, and support operations. Collaborate across departments to enhance user experience and drive adoption...

Florida, USRemote

1 week 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.