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.
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.
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.
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.
Tarificateur(trice) principal(e) / Senior Underwriter
$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...
Yesterday
Account Specialist (Madison, WI)
$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...
1 week ago
$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...
1 week ago
QA Specialist - Service Management Quality (Journeyman)
$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...
1 week ago
$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...
2 days ago
Senior Trial Attorney, Remote (San Diego, CA)
$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...
5 days ago
$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...
2 weeks ago
$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...
2 days ago
Fusion Product Engineer Senior Consultant
$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...
2 weeks ago
$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...
Yesterday
$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...
Reposted 2 days ago
Medical Account Specialist II- Hematology -Portland, OR; Boise, ID; Reno, NV
$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...
3 weeks ago
$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...
1 week ago
$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...
1 week ago
$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...
Reposted 1 week ago
RN Care Management Supervisor (Maternity/NICU Focus)
$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...
Today
Junior Product Analyst and Quality Assurance - Remote
$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...
Reposted today
Compensation Analyst II - Remote
$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...
Today
Clinical Specialist, Philadelphia
$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...
Today
Account Specialist (Burlington, MA)
$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...
1 week ago
Manager, Clinical Pharmacy Operations
$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...
Today
Clinical Support Representative - Buffalo
$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...
1 week ago
$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...
1 week ago
Account Specialist (Boston, MA)
$160K - $192K *
Deliver exceptional sales and support within the healthcare sector, building productive relationships with providers while driving product adoption and ensuring patient access to innovative therapies...
4 weeks ago
$61K - $129K *
Lead legal research and support for AUSAs, analyzing complex cases and drafting documents. Collaborate with attorneys to ensure compliance with laws and procedures while managing habeas corpus and imm...
1 week ago
What does a Claims Specialist do?
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?
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?
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?
Yes. Ladders features vetted professional jobs paying $100,000 or more, including Claims Specialist opportunities when available.