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.
Senior Privacy Specialist (Broker-Dealer)
$104K - $187K *
Champion privacy initiatives by serving as a key consultant and partner across teams, ensuring compliance and ethical use of personal information in a complex regulatory environment. Drive privacy mat...
3 weeks ago
Sr. Epic Application Analyst - Professional Billing and Claims
$73K - $132K *
Join a team that's dedicated to optimizing Epic Professional Billing workflows. Leverage your expertise to analyze, design, and implement solutions while collaborating with stakeholders to enhance ope...
6 days ago
$110K - $130K *
Lead and expand strategic client relationships, driving satisfaction and revenue growth. Collaborate cross-functionally to deliver high-impact solutions and manage large-scale initiatives while ensuri...
2 weeks ago
$75K - $90K *
Accelerate progress at the intersection of insurance and client service, supporting lead brokers while developing your own expertise. Build relationships, manage accounts, and contribute to business g...
4 weeks ago
Sr Communications Specialist (External Channels - Optum Insight) - Remote
$72K - $130K *
Lead external channel strategy and execution, ensuring Optum Insight's expertise reaches target audiences while enhancing reputation through effective content activation and audience engagement across...
Today
Manager, Accounts Receivable Services - Remote
$80K - $95K *
Accelerate progress at our Accounts Receivable Services team by leading daily operations, ensuring quality standards, and fostering client relationships. Drive team performance through training and pr...
Today
Senior Actuarial Analyst, Medicare Part D
$79K - $158K *
Empower a dynamic actuarial team by analyzing financial risks and supporting quarterly forecasts. Collaborate across functions to drive insights for government services pharmacy products, ensuring eff...
Reposted 5 days ago
$75K - $90K *
Analyze pharmacy claims audits to ensure compliance with PBM contracts. Contribute to data quality checks, financial evaluations, and operational efficiencies while collaborating with internal teams a...
3 weeks ago
Commercial Real Estate Underwriter - Remote
$72K - $130K *
Drive impactful credit analysis by underwriting commercial loan requests, collaborating with analysts and portfolio managers to enhance our credit portfolio while ensuring compliance with regulatory s...
3 weeks ago
$88K - $121K *
Join a team that's redefining financial analytics by developing cutting-edge predictive models. Collaborate globally, analyze large datasets, and drive impactful solutions in the financial services in...
2 weeks ago
DAI Data Governance/Financial Management
$90K - $189K *
Lead the integration of financial data within multi-Agency programs, optimizing analytics and governance practices as a key subject matter expert in a collaborative environment focused on government s...
Reposted 2 weeks ago
Associate Director, Compliance
$110K - $130K *
Drive the enhancement of Compliance Monitoring and Testing programs, ensuring regulatory alignment and effective risk management. Collaborate with stakeholders to improve operational efficiency and su...
1 week ago
$90K - $105K *
Shape the future of underwriting training by designing and delivering impactful programs that enhance risk assessment skills and employee engagement, while collaborating across teams to foster a cultu...
2 weeks ago
Senior Defined Benefit Data Analyst/Scientist
$85K - $95K *
Drive data quality and analysis in Defined Benefits administration, serving as a subject matter expert. Collaborate on data-intensive projects, ensuring accuracy and efficiency while supporting client...
Yesterday
Healthcare Consulting Associate - Revenue Cycle
$100K - $145K *
Advance healthcare outcomes by leading project teams to design and implement tailored revenue cycle solutions, fostering collaboration and driving transformation in mission-driven organizations. Empow...
Reposted 4 weeks ago
$100K - $152K *
Grow and manage a profitable large account portfolio by applying underwriting expertise, building broker relationships, and driving strategic agency performance insights. Collaborate with regional lea...
Reposted 5 days ago
Payment Policy Research Analyst
$105K - $162K *
Partner with us to identify and develop innovative payment policies that drive cost savings and enhance healthcare delivery. Collaborate with stakeholders to assess opportunities and influence strateg...
1 week ago
Sr. Clinical Specialist, Interventional Technologies, WA DC
$85K - $160K *
Optimize clinical sales support for advanced vascular solutions, driving product adoption and exceptional patient outcomes. Collaborate with sales and clinical teams to enhance training, education, an...
1 week ago
Cyber Risk and Compliance Specialist
$95K - $115K *
Unlock potential by leading IT SOX compliance and enhancing global security culture. Balance technical auditing with advocacy, ensuring financial integrity and regulatory adherence while fostering a r...
Reposted 6 days ago
Manager, Quality Assurance (LTSS)
$104K - $143K *
Join a dynamic team to lead Quality Assurance efforts in Long-Term Services and Supports. Oversee compliance, collaborate with external partners, and drive operational excellence while ensuring adhere...
1 week ago
Technical Specialist II, GHG Inventory
$70K - $95K *
Drive the future of GHG emissions verification by leading audits, analyzing data, and ensuring compliance with industry standards. Collaborate with clients to enhance transparency and accuracy in emis...
6 days ago
Solution Engineer (Billing Specialist)
$105K - $130K *
Join a team that's redefining billing solutions in the legal sector. Leverage your expertise in law firm financial operations to support sales efforts, conduct client demos, and enhance our innovative...
2 weeks ago
$157K - $262K *
Drive enterprise vendor management strategy by overseeing vendor relationships, governance, and performance. Collaborate with cross-functional teams to ensure compliance, optimize costs, and enhance o...
2 weeks ago
Senior Coding Compliance Auditor - Outpatient
$76K - $131K *
Join a team that's redefining healthcare compliance by leading detailed coding audits, mentoring auditors, and driving innovative solutions to enhance compliance and operational excellence in a dynami...
3 weeks ago
Clinical Case Manager Behavioral Health SNP
$54K - $116K *
Elevate member care by utilizing advanced clinical judgment and collaboration to assess needs, coordinate services, and enhance health outcomes through effective crisis intervention and comprehensive...
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.