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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$55K - $109K *

Engage in leading the dental Provider Relations team, enhancing provider relationships and operational effectiveness. Drive network management activities to ensure member access to care and improve pr...

United StatesRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $181K *

Transform your career by leading the strategy and execution of service orchestration capabilities, driving integration and automation for enterprise services while collaborating with cross-functional...

Illinois, USRemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$125K - $145K *

Unlock potential by leading complex underwriting projects for national clients. Collaborate with diverse teams to develop strategies and ensure compliance in the evolving leave industry, while mentori...

California, USRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$95K - $115K *

Join a dynamic team as you drive client success in healthcare IT. Collaborate with cross-functional teams to enhance client experiences and optimize product usage, ensuring satisfaction and retention...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$132K - $221K *

Drive enterprise-wide legal support for global contracting activities, focusing on procurement and technology transactions. Collaborate with cross-functional teams to manage risks and ensure complianc...

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2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $135K *

Lead the charge in delivering complex projects from initiation to close, ensuring alignment among stakeholders, effective risk management, and adherence to timelines while utilizing AI tools to enhanc...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $118K *

Join a team that's driving strategic financial decisions by managing complex Treasury activities, analyzing risks, and enhancing operational efficiencies. Influence liquidity and banking relationships...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$76K - $142K *

Empower growth by cultivating strong sales relationships and executing strategic initiatives to drive profitability within a designated territory, leveraging expertise in commercial insurance and effe...

California, USRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Join a team that's dedicated to advancing clinical research excellence, ensuring compliance and data integrity while fostering strong partnerships with investigative sites to enhance patient recruitme...

San Juan, PRRemote

Today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

Empower clinical research excellence by engaging with sites, ensuring compliance, and enhancing patient recruitment. Drive performance through strategic partnerships and advanced monitoring techniques...

Seattle, WARemote

Today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$167K - $229K *

Lead the charge in transforming clinical decision-making strategies within health insurance, ensuring compliance and quality in medical reviews while advancing innovation in medical management and cro...

United StatesRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$130K - $180K *

Transform business objectives into legal strategies by providing expert counsel on corporate law, insurance products, and regulatory compliance. Collaborate across departments to support innovative in...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$70K - $94K *

Champion your career by leading audits and coding for medical records, ensuring compliance with industry standards and tackling fraud investigations to enhance service delivery across health plans...

Newark, NJRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $222K *

Champion the future of healthcare analytics by leading product discovery and delivery for AI-driven claims processing solutions. Collaborate with cross-functional teams to enhance operational efficien...

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3 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$72K - $97K *

Empower individuals by coordinating personalized care plans for seniors and members with disabilities. Collaborate with healthcare providers and manage caseloads while enjoying a flexible, remote work...

United StatesRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Unlock potential by leading compliance initiatives in the health insurance sector. Drive program effectiveness, manage audits, and ensure adherence to state and federal regulations while fostering a c...

Monterey, CARemote

2 weeks ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$120K - $240K *

Join a team that's dedicated to empowering families through mortgage protection. You'll engage with clients, assess their needs, and present tailored coverage options, all while enjoying flexible work...

Denver, CORemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$206K - $413K *

Join our team to lead in Physical Medicine and Rehabilitation, providing oversight, improving utilization, and guiding medical policy. Collaborate with staff and external partners to enhance healthcar...

RemoteRemote

Reposted 5 days ago

  •   5 - 7 years exp.  •   Healthcare

$171K - $202K *

Drive the creation and oversight of a risk framework that balances growth with security. Partner with cross-functional teams to implement risk strategies operationally, while conveying insights to exe...

United StatesRemote

1 month ago

  •   8 - 10 years exp.  •   Enterprise Technology

$101K - $142K *

Transform compensation consulting by developing and administering programs, analyzing market data, and providing expert guidance to clients, all while ensuring project deliverables are met in this dyn...

Ohio, USRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Join a team that's dedicated to driving growth in enterprise sales for cloud-based HR solutions. Collaborate with internal partners to exceed revenue goals while fostering strong client relationships...

Florida, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$85K - $110K *

Optimize clinical DRG audits by ensuring accuracy and consistency in coding. Mentor auditors, recommend process improvements, and conduct quality reviews to enhance performance and compliance in a rem...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Business Services

$125K - $150K *

Elevate your legal career by leading contract negotiations and leveraging AI to enhance deal-making efficiency. Collaborate with teams to refine processes and ensure quality execution, making a signif...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Legal & Accounting

$150K - $180K *

Lead the future of patient experience by driving strategic initiatives and operational excellence in a high-volume healthcare contact center. Collaborate with cross-functional teams to enhance service...

United StatesRemote

Reposted yesterday

  •   8 - 10 years exp.  •   Healthcare

$94K - $164K *

Unlock potential by leading research and analysis to identify system impacts, dependencies, and business needs. Collaborate with stakeholders to enhance processes and deliver clear requirements in a d...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

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.