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

$80K - $125K *

Lead the resolution of complex reinsurance claims, leveraging analytical skills and strategic decision-making to drive successful outcomes in a collaborative environment focused on high exposure matte...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$95K - $110K *

Join a dynamic team to manage complex General Liability and Professional Liability claims. Leverage your 3-5 years of experience to drive case resolution from first notice to closure, ensuring complia...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $95K *

Unlock potential by leading a dynamic team in specialty claims, balancing management and hands-on support. Drive operational excellence through mentorship, technical expertise, and innovative solution...

Atlanta, GARemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$85K - $90K *

Join us to analyze and adjudicate complex Lost-Time Workers Compensation claims, ensuring timely resolutions and exceptional client service. Leverage your expertise in a dynamic environment while enjo...

Syracuse, NYRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$99K - $118K *

Transform your career by leveraging your clinical and coding expertise to defend appeals for healthcare claims. This role demands independent analysis, strong communication, and proficiency in AI tool...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $126K *

Play a key role in ensuring compliance and integrity across healthcare programs. Collaborate with partners to assess risks, conduct audits, and drive corrective actions while promoting awareness of co...

Missouri, USRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$108K - $200K *

Champion the resolution of complex commercial casualty claims by delivering exceptional customer service, conducting thorough investigations, and collaborating with defense counsel to ensure fair outc...

United StatesRemote

5 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$80K - $90K *

Advance your career by adjudicating complex Workers Compensation claims, ensuring timely resolutions while providing exceptional client support in a dynamic and collaborative environment, with opportu...

Syracuse, NYRemote

1 month ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $93K *

Join a team that's dedicated to managing complex commercial liability claims. You'll negotiate settlements, investigate coverage, and ensure compliance while maintaining high standards in a fast-paced...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$72K - $109K *

Lead the charge in managing claims by verifying coverage, initiating customer contact, and resolving complex issues. Collaborate with legal teams and ensure compliance while mentoring junior staff and...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$85K - $105K *

Join us to analyze and adjudicate complex workers compensation claims, delivering innovative solutions in a dynamic environment. Collaborate with clients across industries while enjoying professional...

United StatesRemote

2 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$130K - $150K *

Elevate your career by driving growth in the Surety business, collaborating with brokers, and underwriting a profitable portfolio while leveraging innovative technologies to enhance operations and ach...

Baltimore, MDRemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$95K - $115K *

Drive the management of complex Commercial Casualty Excess claims, ensuring thorough investigations, effective negotiations, and timely resolutions. Collaborate with legal teams and mentor staff while...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $147K *

Transform complex claims management by supervising 1st and 3rd party auto and commercial injury claims. Lead a remote team, ensuring compliance and operational excellence while fostering strong relati...

RemoteRemote

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$83K - $108K *

Join us to manage and evaluate non-litigated general liability claims, ensuring compliance and optimal resolution. Leverage your expertise to analyze, negotiate, and support claims across our operatio...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$95K - $100K *

Unlock potential by overseeing complex claims, providing expert guidance, and driving innovative solutions in a dynamic environment. Collaborate with diverse teams to enhance claim handling and foster...

CanadaRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$85K - $90K *

Analyze complex general liability claims to ensure timely resolution and compliance with industry standards. Collaborate with clients and vendors to deliver innovative solutions while managing litigat...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$130K - $180K *

Join a team that's dedicated to expanding our Environmental Impairment Liability book. Leverage your underwriting expertise to drive growth, mentor junior staff, and collaborate across departments to...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$103K - $186K *

Grow your career with us by leading our claims operations team to enhance member service and drive operational excellence. You'll coach employees and implement process improvements to meet our busines...

San Antonio, TXRemote

Reposted today

  •   5 - 7 years exp.  •   Finance & Insurance

$87K - $157K *

Lead the execution of the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with stakeholders to provide regulatory guidance, conduct audits, and enhance complia...

RemoteRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$76K - $90K *

Manage a multidisciplinary team overseeing clinical claim reviews, ensuring productivity and quality metrics are met. Lead staff development, analyze workflows for efficiency, and serve as a subject m...

Mississippi, USRemote

Reposted 2 days ago

  •   5 - 7 years exp.  •   Information Technology

$80K - $107K *

Optimize claims resolution by managing moderate to high complexity cases, ensuring compliance with regulations while employing independent judgment and negotiation skills to achieve favorable outcomes...

Escondido, CARemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $95K *

Lead a dynamic recovery team to maximize subrogation efforts across diverse claims, ensuring compliance and quality control while providing expert guidance and training to colleagues for optimal resol...

Pennsylvania, USRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$95K - $104K *

Lead a dynamic team to adjudicate complex liability claims, driving innovative solutions for diverse clients. Collaborate with experts to enhance processes and ensure exceptional service in a rapidly...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $90K *

Champion the analysis and resolution of complex liability claims, ensuring timely adjudication and client satisfaction. Collaborate with a dedicated team while leveraging industry expertise across mul...

United StatesRemote

1 week ago

  •   Less than 5 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.