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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$80K - $95K *

Champion efficiency in the revenue cycle as you lead a dedicated billing team. Drive performance improvements, oversee compliance, and identify revenue opportunities while cultivating a culture of exc...

United StatesRemote

Reposted 4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $110K *

Unlock the potential of coding excellence by leading a remote team of medical coders, ensuring accurate and compliant code assignment to enhance patient care through innovative home-based healthcare s...

United StatesRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $130K *

Join a dynamic team to drive revenue growth and build lasting customer partnerships in the commercial roofing sector. Leverage your sales expertise to expand market presence and enhance product adopti...

Virginia, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$80K - $95K *

Lead the charge in driving revenue growth by enhancing product adoption and supporting healthcare accounts. Collaborate closely with sales teams to ensure exceptional procedural coverage and customer...

Ohio, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $95K *

Shape the future of pension administration by leading system changes, resolving complex issues, and translating Defined Benefits requirements into effective technology solutions while collaborating ac...

Florham Park, NJRemote

Yesterday

  •   Less than 5 years exp.  •   Business Services

$114K - $218K *

Shape the future of product development, driving innovation in P&C Auto offerings as you collaborate with teams to ensure compliance, enhance strategies, and analyze market performance for member-focu...

San Antonio, TXRemote

Reposted today

  •   5 - 7 years exp.  •   Finance & Insurance

$135K - $160K *

Lead the strategic design and management of comprehensive benefits programs, ensuring alignment with employee needs and company objectives. Drive innovation and compliance while enhancing employee eng...

United StatesRemote

Today

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Shape innovative programs to enhance patient access and affordability, collaborating with stakeholders to design solutions that drive patient care and project success. Lead the integration of operatio...

North Carolina, USRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$105K - $135K *

Partner with us to lead comprehensive RFP and proposal processes, crafting persuasive technical content and collaborating with cross-functional teams to enhance our credibility in the healthcare secto...

United StatesRemote

5 days ago

  •   8 - 10 years exp.  •   Healthcare

$155K - $259K *

Innovate the future of underwriting by leading strategic initiatives, mentoring talent, and driving excellence in complex risk evaluation. Collaborate across departments to enhance profitability and m...

United StatesRemote

4 weeks ago

  •   11 - 15 years exp.  •   Finance & Insurance

$75K - $90K *

Lead the charge in expanding revenue and driving growth within the Medical Malpractice vertical. Mentor a team of brokers, navigate complex policies, and enhance sales performance in a fast-paced, tec...

Toronto, ONRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$78K - $156K *

Join a dynamic team as you manage complex commercial contracts, balancing legal and business needs. Collaborate with cross-functional stakeholders to drive negotiations and enhance contracting process...

Durham, NCRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$248K - $373K *

Empower healthcare quality by leading evidence-based reviews of member appeals. Collaborate with a skilled team to enhance clinical decision-making and drive improvements in patient care while advanci...

Cypress, CARemote

Today

  •   Less than 5 years exp.  •   Healthcare

$160K - $192K *

Accelerate commercial success by engaging healthcare providers and driving product adoption. Collaborate with cross-functional teams to enhance patient access and support innovative therapies in a dyn...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$73K - $115K *

Help us drive operational excellence in provider data management, ensuring accuracy and efficiency throughout the lifecycle. Collaborate with teams to enhance processes, leverage insights, and impleme...

United StatesRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Explore a pivotal role in transforming tax compliance into operational confidence. Collaborate with senior Sales Engineers to engage enterprise clients, addressing complex challenges and delivering ta...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$137K - $210K *

Champion underwriting excellence and risk management by leading strategic initiatives, optimizing portfolio performance, and fostering cross-functional collaboration to drive profitable growth and enh...

Nebraska, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$87K - $161K *

Transform care management by leading a dedicated team to enhance behavioral health services. Collaborate with community partners to ensure comprehensive, member-centered care while fostering a support...

Illinois, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$88K - $147K *

Inspire and elevate employee engagement through strategic internal communications. Collaborate with leaders to craft and deliver impactful messaging that drives understanding of company goals and fost...

United StatesRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$150K - $180K *

Lead the charge in developing AI and ML capabilities to enhance Medical and Workers' Compensation claims processes. Collaborate with stakeholders to create impactful solutions while building a high-pe...

Somerville, MARemote

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $115K *

Shape the future of client onboarding by leading implementation processes, ensuring satisfaction, and driving best practices in a dynamic environment. Collaborate with teams to enhance client experien...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$200K - $240K *

Champion product innovation in Commercial Casualty, driving strategy and compliance across ownership of Auto, General Liability, and Excess Liability products. Collaborate with teams to ensure effecti...

Maryland, USRemote

Reposted 5 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$80K - $95K *

Educate healthcare providers on patient support programs and reimbursement strategies, addressing access barriers while navigating payer landscapes. Collaborate with internal teams to ensure complianc...

RemoteRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$95K - $115K *

Drive the resolution of complex surety disputes by conducting technical analyses, collaborating with consultants, and advising on construction and claims management, while leading teams to assess risk...

RemoteRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Finance & Insurance

$90K - $115K *

Lead claims litigation activities by managing case strategies and directing teams. Collaborate with diverse stakeholders to ensure compliance with state laws while enhancing claims-handling protocols...

Columbia, MORemote

3 weeks 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.