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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$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

$64K - $120K *

Engage with clients to understand their business needs and risk management strategies. Drive revenue growth by coordinating coverage, servicing accounts, and ensuring high-quality client interactions...

Anchorage, AKRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$85K - $100K *

Shape the future of field operations by translating business needs into actionable user stories. Collaborate with diverse teams to enhance workflow and drive standardization to create measurable opera...

United StatesRemote

Reposted 2 days ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$80K - $95K *

Elevate healthcare by educating providers on genetic testing initiatives through virtual platforms. Collaborate cross-functionally to enhance diagnostic strategies and advocate for stakeholder educati...

Denver, CORemote

5 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$120K - $175K *

Join a dynamic team to represent healthcare professionals in medical malpractice litigation. Leverage your legal expertise and client interaction skills while collaborating with senior litigators to d...

Valhalla, NYRemote

1 week ago

  •   Less than 5 years exp.  •   Legal & Accounting

$160K - $192K *

Inspire commercial success by engaging healthcare providers and driving product adoption. Collaborate with cross-functional teams to support launches and optimize patient access, ensuring impactful re...

United StatesRemote

4 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$95K - $115K *

Drive provider network excellence by managing data integrity, overseeing contract configurations, and leading cross-functional teams to enhance operational efficiency and compliance in a dynamic TPA e...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$125K - $150K *

Unlock your potential by leading the development of innovative DRGV services, enhancing billing and coding optimization. Collaborate across teams to create scalable solutions that drive operational ex...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$103K - $161K *

Drive strategic growth by establishing and nurturing key partnerships with Enterprise Claims carriers, ensuring service excellence and collaboration across internal teams to enhance business outcomes...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$111K - $139K *

Build strategic supplier relationships to drive growth and profitability. Lead cross-functional initiatives, negotiate contracts, and mentor a high-performing team while ensuring supplier performance...

Missouri, USRemote

2 weeks ago

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$78K - $113K *

Join us to lead the Professional Coding Operations team, ensuring accurate coding practices and compliance. Collaborate with stakeholders, mentor staff, and drive improvements in coding efficiency and...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$91K - $114K *

Support clinical trial monitoring activities, ensuring protocol compliance and data integrity while collaborating with site staff to advance innovative treatments and therapies...

RemoteRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $88K *

Accelerate progress at expanding customer accounts by driving annual recurring revenue and enhancing retention through structured sales strategies and digital engagement, while managing a high-volume...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Media

$80K - $95K *

Join a dynamic team as you manage clinical research sites, ensuring compliance and quality throughout all study phases. Build strong relationships, oversee monitoring activities, and contribute to tea...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$87K - $122K *

Drive impactful change as a Senior Product Analyst, leading cross-functional teams to deliver secure, scalable Workday Compensation solutions. Mentor junior analysts and influence strategic decisions...

Mississauga, ONRemote

1 week ago

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

$106K - $175K *

Join a dynamic team to drive growth and profitability through strategic partnerships with agents and brokers. Leverage your expertise in sales and insurance to optimize relationships and implement inn...

RemoteRemote

4 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$124K - $170K *

Champion regulatory strategies to accelerate product approvals and compliance. Lead a dynamic team in supporting innovative medical devices, ensuring alignment with global regulations while fostering...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $90K *

Analyze and deliver data management solutions to support public health research, utilizing advanced statistical software and collaborating with project leaders to enhance data quality and reporting fo...

Massachusetts, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$88K - $105K *

Lead the charge in managing complex subcontracts, ensuring compliance and effective negotiation while supporting procurement across diverse projects in a dynamic, remote environment...

Virginia, USRemote

Today

  •   Less than 5 years exp.  •   Information Technology

$115K - $158K *

Shape the future of healthcare by leading the Organic Risk Adjustment program. Drive strategic initiatives, foster collaboration across teams, and implement innovative solutions to enhance performance...

United StatesRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$88K - $105K *

Analyze trends and develop strategic reports to enhance revenue cycle efficiency. Collaborate with management and key departments to identify opportunities and risks, presenting data-driven insights t...

Los Angeles, CARemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$175K - $334K *

Unlock potential by providing expert legal counsel in healthcare regulations, guiding internal stakeholders and senior management while ensuring compliance and mitigating risks across the organization...

Rhode Island, USRemote

Yesterday

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

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.