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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$90K - $140K *

Empower a dynamic team in optimizing revenue cycle services, driving process improvements, and ensuring compliance while fostering client relationships to achieve operational and financial success in...

RemoteRemote

4 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$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

$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

6 days 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

$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...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Information Technology

$125K - $190K *

Join a team that's redefining legal support in the P&C insurance sector. Collaborate closely with business leaders, providing practical legal guidance on contracts and regulatory matters while fosteri...

Texas, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$58K - $105K *

Unlock your potential by managing the full contracting lifecycle, supporting critical agreements for Medicare Advantage and Commercial operations, while collaborating with diverse teams to enhance com...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$99K - $164K *

Drive your career forward as a Senior Actuarial Analyst, performing complex pricing analyses and collaborating with leadership to develop effective pricing strategies that align with organizational go...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$101K - $204K *

Unlock potential by leading the redesign of People Operations processes. Drive operational excellence through strategic assessments, workflow mapping, and implementation of innovative solutions that e...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$90K - $110K *

Partner with us to ensure exceptional client engagement by managing the entire client lifecycle in revenue cycle management, driving success through effective liaison between operational teams and cli...

Dallas, TXRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$69K - $125K *

Lead the charge in crafting high-quality proposals and managing complex RFP processes while ensuring alignment with customer specifications and company standards under tight deadlines...

United StatesRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$179K - $280K *

Tackle complex legal management challenges by leading multi-office operations and enhancing organizational excellence. Drive talent development and operational improvements while ensuring high-quality...

United StatesRemote

4 weeks ago

  •   11 - 15 years exp.  •   Finance & Insurance

$94K - $148K *

Shape the future of logistics solutions by driving sales strategies, collaborating with teams, and fostering client relationships. This impactful role requires strategic planning to achieve revenue ta...

California, USRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

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.