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.
$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...
5 days ago
Litigation Attorney Workers' Compensation (California)
$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...
1 week ago
$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...
3 weeks ago
$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...
1 week ago
Account Specialist (Worcester, MA)
$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...
1 week ago
Manager - Total Performance | WC, GL, AUTO and PD
$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...
5 days ago
$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...
Today
$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...
1 week ago
$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...
1 week ago
$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...
Reposted 4 weeks ago
$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...
2 weeks ago
$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...
2 weeks ago
Sr. People Operations Specialist
$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...
3 weeks ago
$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...
3 weeks ago
Safety and Loss Prevention Consultant
$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...
Reposted 5 days ago
Senior Regulatory Affairs Specialist (Remote/East Coast Preferred)
$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...
3 weeks ago
Director, Property & Casualty Staff Underwriting
$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...
1 week ago
Senior Compliance Analyst (Remote within Texas) - Office of Institutional Compliance
$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...
4 weeks ago
Medical Review Analyst - Medicare
$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...
3 weeks ago
$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...
4 weeks ago
Capital Modeling Lead, P&C Insurance - Remote
$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...
3 weeks ago
Client Success Manager, Payer Retrieval
$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...
1 week ago
$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...
1 week ago
$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...
1 week ago
$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...
Reposted today
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.