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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$132K - $198K *

Unlock potential by leading complex litigation cases in a collaborative environment. This role requires a seasoned attorney to independently manage cases from inception to trial, ensuring effective co...

New York, NYRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Join a team that's dedicated to enhancing patient outcomes through strategic clinical support and education. Drive revenue growth by increasing product adoption and ensuring customer satisfaction acro...

Pennsylvania, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $100K *

Drive sales growth by supporting market teams with technical expertise in Axalta products, enhancing customer satisfaction through training, effective communication, and collaboration across various s...

Illinois, USRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$107K - $172K *

Shape the future of cash management by enhancing forecasting capabilities and providing critical insights for strategic decision-making, operational planning, and capital allocation in a dynamic envir...

RemoteRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$117K - $163K *

Transform the employee experience by leading U.S. and Canadian benefits and compensation operations. Help optimize global processes and drive improvements in operational excellence within a collaborat...

CanadaRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$64K - $120K *

Grow your career as a Senior Account Manager, leading client coverage analysis, mentoring peers, and fostering strong relationships with clients and carriers while managing complex accounts and ensuri...

Texarkana, TXRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$101K - $197K *

Empower your career by leading global regulatory strategies for medical devices and diagnostics. Collaborate with cross-functional teams to ensure compliance and drive market access while mentoring ot...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$94K - $151K *

Join a team that's shaping the future of insurance products by leading strategic initiatives, ensuring compliance, and driving market analysis. Collaborate with product managers to define vision and e...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$67K - $108K *

Optimize collaboration and data governance by managing Microsoft 365 services, focusing on SharePoint Online and data protection. Partner with teams to enhance compliance, security, and operational ef...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$88K - $154K *

Analyze and enhance compensation strategies, ensuring competitive and compliant practices. Collaborate with HR and management to optimize job descriptions, conduct market analysis, and deliver insight...

United StatesRemote

6 days ago

  •   8 - 10 years exp.  •   Real Estate & Construction

$106K - $137K *

Partner with us to develop a profitable agency force, ensuring agents excel in utilizing our products and services. Foster strong relationships, conduct training, and drive compliance while monitoring...

Ohio, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$99K - $135K *

Transform strategic partnerships by driving revenue growth and expanding market presence. Engage with national agencies and brokers to build long-term relationships while managing complex accounts and...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$156K - $312K *

Join a team that's dedicated to helping families understand their financial risks and secure their futures. You'll connect with clients, prepare personalized coverage options, and guide them through t...

St. Petersburg, FLRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$120K - $240K *

Unlock potential by guiding families in securing mortgage protection. This role offers mentorship and growth opportunities, allowing you to develop personal production and leadership skills while maki...

Newnan, GARemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$108K - $162K *

Grow your career with a dynamic role leading product tax governance and compliance. Collaborate across teams to assess risks, design tax strategies, and ensure adherence to federal and state regulatio...

Columbus, OHRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $120K *

Engage in complex contract administration, ensuring compliance and strategic alignment. Collaborate with stakeholders to navigate contractual obligations and develop innovative solutions that support...

Virginia, USRemote

1 week ago

  •   5 - 7 years exp.  •   Information Technology

$79K - $105K *

Advance hospital billing and coding audits by leading site evaluations, developing protocols, and guiding stakeholders on compliance. Collaborate on special projects and ensure accuracy in documentati...

Hopewell, NJRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $116K *

Lead the charge in delivering comprehensive case management services, ensuring quality care and optimal health outcomes for members. Collaborate with healthcare teams to assess needs, develop care pla...

Delaware, USRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Healthcare

$135K - $160K *

Empower the development of consumer banking products by providing expert legal guidance throughout their lifecycle, ensuring compliance with regulations and collaborating with cross-functional teams t...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Legal & Accounting

$102K - $154K *

Advance customer success by managing complex escalations, driving cross-functional improvements, and enhancing workflows. Lead high-severity issue resolution while fostering a structured, customer-cen...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Enterprise Technology

$75K - $90K *

Transform financial insights into strategic initiatives, supporting planning and analysis as the organization scales. Collaborate across teams to enhance budget management, reporting, and performance...

United StatesRemote

Reposted 2 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$93K - $115K *

Transform the leasing landscape by driving product adoption and broker engagement. As a key partner, you'll enhance AI tools, ensure data accuracy, and build relationships that empower brokers to deli...

Chicago, ILRemote

Yesterday

  •   5 - 7 years exp.  •   Real Estate & Construction

$110K - $130K *

Unlock potential by leading clinical reimbursement strategies across skilled nursing facilities, ensuring compliance and optimal performance through collaboration with multidisciplinary teams to enhan...

United StatesRemote

Reposted 1 month ago

  •   5 - 7 years exp.  •   Healthcare

$130K - $159K *

Champion innovative employee benefit solutions, providing expert guidance on plan design, compliance, and administration. Utilize strong analytical skills to enhance retirement planning services acros...

Chicago, ILRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Staffing

$106K - $131K *

Partner with us to enhance safety and risk management for clients by conducting thorough assessments, recommending strategic solutions, and delivering training programs. Join our dedicated team to dri...

Maryland, USRemote

Reposted 5 days ago

  •   8 - 10 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.