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

$135K - $180K *

Join a team that's dedicated to handling complex insurance legal matters, representing clients in civil litigation. Leverage your expertise to develop strategies, conduct trials, and draft legal docum...

CanadaRemote

5 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$119K - $201K *

Empower your legal career by managing complex workers' compensation cases, providing strategic litigation services, and delivering expert legal advice to ensure optimal outcomes for clients and claims...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$191K - $305K *

Champion innovative healthcare solutions by leveraging clinical expertise to enhance value-based strategies, drive operational excellence, and foster strategic partnerships for improved member care an...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$61K - $98K *

Transform the landscape of risk management by overseeing collections and funding returns, analyzing transaction patterns, and collaborating with teams to resolve complex cases while driving process im...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$160K - $192K *

Drive commercial performance by engaging healthcare providers and executing territory plans. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$95K - $115K *

Unlock your potential by leading quality initiatives and training programs to enhance team performance and compliance. Collaborate with management to drive operational excellence and support colleague...

United StatesRemote

5 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$92K - $153K *

Join a team that's dedicated to enhancing patient access by managing reimbursement challenges and providing education to healthcare providers. This role requires strong relationship-building skills an...

RemoteRemote

Today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$72K - $120K *

Empower your career by managing reimbursement support in a dynamic environment. Collaborate with healthcare providers to navigate patient reimbursement challenges, ensuring optimal service delivery an...

Tennessee, USRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $133K *

Join a team that's dedicated to enhancing patient access by managing reimbursement challenges. This role involves educating healthcare providers, coordinating support services, and ensuring optimal pa...

Georgia, USRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$92K - $153K *

Join the charge in optimizing patient reimbursement services while managing interactions between providers and manufacturer representatives. Deliver education and support across a defined territory wh...

California, USRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$120K - $240K *

Empower your career by connecting with clients and providing tailored mortgage solutions. Enjoy flexible work options while receiving mentorship and support to achieve your financial goals and persona...

Reading, PARemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$120K - $240K *

Shape the future of financial security by guiding families in mortgage protection. Leverage our training and mentorship to connect with clients, assess their needs, and present tailored coverage optio...

Peoria, AZRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $100K *

Empower People Operations by optimizing processes across the employee lifecycle. Collaborate cross-functionally to enhance efficiency, drive improvements, and maintain high-quality HR services while s...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$320K - $400K *

Lead the charge in establishing a robust enterprise data risk management framework, ensuring effective oversight of data and AI risks while guiding senior leaders on critical technology issues to alig...

Charlotte, NCRemote

3 weeks ago

  •   11 - 15 years exp.  •   Finance & Insurance

$84K - $130K *

Partner with us to conduct risk assessments and strategize loss prevention for clients, providing technical guidance and support while ensuring compliance and effective safety practices across the Ill...

Kentucky, USRemote

Reposted 5 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$89K - $119K *

Lead the charge in regulatory compliance by managing global submissions, advising on strategies, and ensuring adherence to standards. Collaborate with cross-functional teams to enhance efficiency and...

Irvine, CARemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$122K - $214K *

Innovate underwriting strategies and technology solutions to enhance decision-making, efficiency, and profitability. Collaborate across teams to implement scalable capabilities that improve customer a...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$80K - $95K *

Join us to lead comprehensive audits and compliance reviews, ensuring adherence to federal and state regulations while enhancing operational effectiveness across various departments. Drive risk assess...

Galveston, TXRemote

4 weeks ago

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

$66K - $106K *

Lead the charge in conducting medical record reviews and applying clinical judgment to ensure accurate claim payment decisions while supporting fraud investigations and compliance efforts...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Aerospace & Defense

$138K - $243K *

Transform the underwriting landscape by leading a dedicated team in complex decision-making. Collaborate to enhance relationships and ensure service excellence, driving consistent, high-touch experien...

United StatesRemote

4 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$177K - $236K *

Shape the future of economic capital modeling by developing and enhancing internal analytics capabilities, collaborating across teams to drive data-driven business decisions and optimize capital alloc...

RemoteRemote

3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$108K - $130K *

Unlock your potential by leading customer projects, ensuring seamless communication, and driving success in healthcare solutions. Collaborate with diverse teams to enhance client satisfaction and oper...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$230K - $310K *

Shape the future of global employment law by providing strategic counsel to HR and Talent teams. Guide regulatory compliance, develop jurisdiction-specific policies, and manage employment disputes whi...

United StatesRemote

1 week ago

  •   11 - 15 years exp.  •   Finance & Insurance

$93K - $97K *

Contribute to program success by supporting planning, execution, and management of projects. Analyze data, prepare reports, and optimize resources to ensure objectives are met within scope, time, and...

United StatesRemote

1 week ago

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

$100K - $115K *

Drive operational excellence by overseeing daily functions, enhancing customer satisfaction, and fostering innovation. Collaborate with stakeholders to manage projects and maintain high-quality standa...

Charlotte, NCRemote

Reposted today

  •   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.