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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$110K - $130K *

Lead the charge in clinical study start-up operations, driving team development and ensuring timely site activation. Collaborate cross-functionally to enhance processes, meet regulatory standards, and...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$111K - $144K *

Elevate your career by managing agency relationships and underwriting small business accounts. Drive profitable growth through strategic marketing and effective communication while ensuring compliance...

Illinois, USRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$127K - $243K *

Engage in leading enterprise-level incident management, coordinating cross-functional teams to ensure rapid service restoration during major incidents while maintaining effective communication and adh...

San Antonio, TXRemote

3 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Transform product strategy in Chemical & Workplace Safety by leading initiatives from discovery to delivery. Collaborate across teams to balance customer needs and business goals, driving measurable o...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$80K - $95K *

Unlock potential by leading financial analysis to drive strategic initiatives and support decision-making. Collaborate with stakeholders to enhance financial operations, deliver insights, and manage c...

Georgia, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Retail & Consumer Goods

$107K - $199K *

Redefine pharmacy care by developing formularies and policies, enhancing quality programs, and driving initiatives that improve Medicaid services while collaborating with diverse teams and stakeholder...

United StatesRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$160K - $192K *

Join us to drive commercial performance by engaging healthcare providers, building relationships, and supporting product launches. Collaborate with cross-functional teams to ensure patient access to i...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$100K - $140K *

Grow your career with a dynamic role in clinical support, training surgical teams, and ensuring optimal patient outcomes in complex procedures. Collaborate closely with medical professionals, manage i...

United StatesRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Healthcare

$120K - $165K *

Lead transformative consulting engagements to enhance healthcare coding and middle revenue cycle processes, driving operational efficiency, compliance, and financial performance across diverse project...

United StatesRemote

1 month ago

  •   5 - 7 years exp.  •   Business Services

$148K - $164K *

Optimize cloud security operations by monitoring and securing Azure and AWS environments. Collaborate with teams to integrate security into deployment pipelines and ensure compliance with industry sta...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $145K *

Optimize compensation strategies by providing expert advisory support, leading complex analyses, and enhancing program effectiveness. Collaborate with leaders to ensure alignment with business needs a...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Retail & Consumer Goods

$135K - $180K *

Transform healthcare sales by building strategic relationships within managed care organizations. Drive revenue growth through effective selling and relationship management while maximizing exposure t...

Georgia, USRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $95K *

Champion data-driven decision-making by developing complex models and strategies. Collaborate with cross-functional teams to analyze data, drive impactful operational changes, and fulfill business obj...

Virginia, USRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$89K - $134K *

Shape political engagement strategies by managing PAC operations, ensuring compliance, and providing analysis to enhance alignment with public policy priorities. Collaborate across departments to driv...

Missouri, USRemote

3 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$82K - $132K *

Unlock potential in revenue cycle management by leading innovative solutions, optimizing processes, and collaborating across departments to enhance operational efficiency and maximize revenue impact...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$79K - $132K *

Champion profitable growth by influencing agents and executing sales strategies within a designated territory. Collaborate with partners to drive results and enhance agency relationships, ensuring lon...

Phoenix, AZRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$90K - $95K *

Contribute to the efficiency of IT operations by supporting infrastructure, troubleshooting issues, and mentoring staff. Collaborate in a fast-paced environment to enhance technical capabilities and e...

New York, NYRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Shape the future of health technology by driving regulatory strategies for innovative lab testing, imaging, and AI products. Collaborate with cross-functional teams to ensure compliance and accelerate...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$72K - $130K *

Elevate your career by developing and executing critical reserving and forecasting processes, ensuring consistency and collaboration across teams while analyzing healthcare trends to drive informed de...

Eden Prairie, MNRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Healthcare

$95K - $133K *

Join a team that's building and leading a high-performing Business Development group. Drive prospecting strategies, enhance team performance, and collaborate with Sales and Marketing to accelerate pip...

United StatesRemote

Today

  •   8 - 10 years exp.  •   Business Services

$116K - $194K *

Champion privacy innovation by enhancing digital privacy technologies and controls. Collaborate with cross-functional teams to assess risks, streamline processes, and ensure compliance, while driving...

Bloomfield, CTRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$92K - $138K *

Join a dynamic team to deliver clinical education and support for diagnostic cardiology solutions, enhancing customer experience and driving successful outcomes through expert training and collaborati...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Business Services

$140K - $160K *

Lead complex client engagements by leveraging AI and advanced analytics to deliver actionable litigation insights. Collaborate across teams to design effective solutions, mentor staff, and ensure high...

New York, NYRemote

3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$95K - $115K *

Drive regulatory intelligence initiatives to ensure compliance and support clinical research. Collaborate with experts to assess regulatory changes, track global guidelines, and enhance impact assessm...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$86K - $138K *

Lead actuarial initiatives by leveraging your expertise to analyze complex data, mentor junior staff, and develop innovative solutions that drive informed decision-making and enhance operational effic...

RemoteRemote

2 weeks ago

  •   Less than 5 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.