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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$125K - $130K *

Shape the future of healthcare by driving laboratory diagnostics sales across Arizona. Collaborate with sales teams and customers to deliver innovative solutions that enhance patient care and operatio...

Arizona, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$63K - $111K *

Transform your career by providing vital technical support for classified programs, ensuring the protection of sensitive information through comprehensive security measures and compliance with governm...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Real Estate & Construction

$110K - $130K *

Drive patient access to Provenge by removing reimbursement barriers and collaborating with healthcare stakeholders. Develop strategies to enhance business growth while navigating complex payer policie...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$85K - $268K *

Develop and execute sales strategies for AEDs and related products in the Education and Utility sectors. Drive new business, manage complex sales processes, and collaborate with partners to enhance ma...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$64K - $103K *

Join a team that's dedicated to investigating complex healthcare fraud cases. Utilize your expertise to analyze data, manage investigations, and collaborate with law enforcement to ensure compliance a...

Arkansas, USRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$96K - $161K *

Elevate your career by leveraging your underwriting expertise to assess complex mortality risks. Collaborate with industry professionals, enhance underwriting practices, and maintain strong relationsh...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$140K - $160K *

Innovate by leading global Credit & Collections operations, driving cash performance, and managing customer credit risk. Collaborate with cross-functional teams to enhance processes, ensure compliance...

United StatesRemote

Reposted 1 week ago

  •   8 - 10 years exp.  •   Information Technology

$85K - $97K *

Shape the future of healthcare by conducting clinical case reviews and enhancing product quality for an AI-driven clinical platform. Collaborate with care teams to ensure accurate alert functionality...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Transform patient access by optimizing Epic Cadence workflows. Collaborate with clinical teams to enhance scheduling efficiency and support system improvements, ensuring seamless operations and superi...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$79K - $132K *

Elevate sales performance by driving growth in a designated territory, influencing agents to adopt strategies that enhance profitability and foster long-term relationships while collaborating with int...

Colorado, USRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$159K - $273K *

Drive the growth of actuarial consulting services, leading teams to deliver strategic solutions for Medicare and Medicaid clients while fostering strong relationships and mentoring staff in a dynamic...

Eden Prairie, MNRemote

2 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$70K - $110K *

Unlock your potential by analyzing data and conducting audits to enhance compliance for innovative B2B and B2C platforms. Collaborate with cross-functional teams, apply critical thinking, and gain ins...

United StatesRemote

Reposted today

  •   Less than 5 years exp.  •   Enterprise Technology

$200K - $350K *

Unlock your potential as you structure and manage reinsurance programs, collaborating with cross-functional teams to ensure effective risk transfer and operational excellence in a dynamic environment...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$83K - $129K *

Lead the charge in advanced compliance activities, ensuring administrative solutions align with laws and regulations. Utilize AI tools to enhance efficiency, guide teams, and deliver scalable complian...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $145K *

Empower your career by leading product strategy and development in healthcare. Drive innovation, validate growth opportunities, and collaborate across teams to deliver impactful solutions from concept...

Minneapolis, MNRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$82K - $89K *

Join a team that's advancing cancer care through strategic partnerships and policy influence. This role engages with key stakeholders to enhance patient-centered care and drive organizational prioriti...

Anchorage, AKRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$115K - $192K *

Engineer trusted, reusable data products by transforming architectural designs and business requirements into production-grade solutions. Collaborate with cross-functional teams to deliver innovative...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$92K - $138K *

Join our team to lead the Virtual Utilization Management Program, ensuring clinical excellence and operational efficiency. Collaborate with diverse healthcare professionals to enhance patient care and...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$200K - $398K *

Drive impactful legal strategies in a global clinical research environment, guiding senior leadership on complex regulatory and compliance matters while fostering innovation and risk management across...

RemoteRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$87K - $130K *

Transform customer experiences by providing expert clinical support and education for diabetes management. Engage with patients to enhance product adoption and health outcomes through proactive commun...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $105K *

Support our litigation team by ensuring accurate calendaring and compliance with court deadlines. Collaborate with attorneys to provide timely docketing services, enhancing operational efficiency and...

Los Angeles, CARemote

2 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$85K - $105K *

Elevate your career by joining a dedicated team that ensures accurate litigation calendaring and compliance. Collaborate with attorneys to manage deadlines and enhance service delivery while mitigatin...

San Diego, CARemote

2 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$82K - $172K *

Empower acquisition success by supporting contract specialists in reviewing, coordinating, and managing federal acquisition processes, ensuring compliance and efficiency across all stages of contract...

United StatesRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$94K - $179K *

Lead the charge in managing complex projects from inception to completion, ensuring timely delivery and stakeholder satisfaction while guiding cross-functional teams through the project lifecycle...

United StatesRemote

3 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$125K - $150K *

Elevate your career by leading high-profile client engagements, driving strategic growth, and mentoring teams. Leverage your expertise in risk management and insurance to deliver tailored solutions an...

Cleveland, OHRemote

5 days ago

  •   11 - 15 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.