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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1
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$85K - $130K *

Lead complex projects to successful completion by developing integrated plans, managing risks, and aligning stakeholders across business and technology teams to ensure effective execution and continuo...

Des Moines, IARemote

5 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$95K - $159K *

Champion integrated evidence strategies that drive enterprise decision-making. Collaborate cross-functionally to create actionable plans that align with global objectives, ensuring timely delivery of...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $140K *

Elevate healthcare consulting by leading complex actuarial projects, developing financial models, and advising clients on policy impacts. Collaborate with teams to analyze data, mentor analysts, and e...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Business Services

$80K - $95K *

Join a team that's dedicated to advanced support for industrial control systems. As a key escalation point, you'll tackle complex issues, drive system stability, and mentor junior staff in a dynamic 2...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Technical Services

$120K - $145K *

Empower your career by leading a dynamic disputes team to ensure timely resolution of cardholder claims, optimize operational efficiency, and minimize fraud losses while collaborating across the organ...

Omaha, NERemote

6 days ago

  •   5 - 7 years exp.  •   Information Technology

$125K - $150K *

Develop and implement sales strategies to drive growth and profitability in the California region. Lead a Business Development team, ensuring alignment with company goals while fostering strong relati...

CanadaRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$69K - $95K *

Engage with stakeholders to prioritize and refine product backlogs, ensuring clarity and efficiency in development. Collaborate with cross-functional teams to drive innovative solutions and enhance us...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$68K - $105K *

Help us lead enterprise-wide incident responses and internal investigations into misconduct, ensuring compliance and effective fraud detection while collaborating across departments to uphold organiza...

RemoteRemote

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$100K - $130K *

Develop and implement business rules for credit strategy, collaborating with Risk, Compliance, and Tech teams. Ensure accurate decision logic, maintain documentation, and support testing for optimized...

United StatesRemote

1 month ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $95K *

Drive procurement excellence by managing supplier relationships and optimizing processes. Take ownership of sourcing strategies, ensuring compliance and cost savings while mentoring team members in a...

RemoteRemote

Today

  •   5 - 7 years exp.  •   Energy & Utilities

$85K - $160K *

Champion the growth of TEG product line by providing clinical expertise, training, and support to enhance customer utilization and satisfaction. Drive sales expansion through relationship building and...

Minnesota, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Drive compliance and sustainability by advising clients on environmental regulations, managing projects, and developing practical solutions. Collaborate with teams to ensure adherence to air, stormwat...

United StatesRemote

Reposted today

  •   8 - 10 years exp.  •   Technical Services

$110K - $130K *

Join a team that's on the forefront of operational security, overseeing security events, managing tools, and enhancing processes to protect vital data while collaborating across various technology dom...

RemoteRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$95K - $115K *

Optimize your career with a role that drives compensation strategy, providing analytical insights and support for competitive pay practices while mentoring junior analysts and ensuring compliance with...

Chicago, ILRemote

2 days ago

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

$152K - $269K *

Transform the specialty insurance landscape by leading a dynamic team in managing and growing a regional Excess portfolio. Drive strategic initiatives, enhance broker relationships, and achieve financ...

Chicago, ILRemote

Reposted 1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$119K - $200K *

Take ownership of complex General Liability claims, providing expert coverage analysis and strategic litigation support. Collaborate with claims teams and underwriting partners to optimize outcomes an...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $130K *

Manage client engagements in credit risk services, providing tailored financial analysis and due diligence. Lead and mentor staff while driving business development and ensuring quality control across...

Conshohocken, PARemote

3 weeks ago

  •   5 - 7 years exp.  •   Legal & Accounting

$80K - $95K *

Lead the execution of clinical trials by monitoring site activities, ensuring compliance with regulations, and collaborating with teams to achieve study objectives. Play a key role in training site st...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$54K - $116K *

Drive your career by resolving appeals and grievances across products. Collaborate with multiple teams to ensure timely, customer-focused responses while identifying trends and recommending solutions...

Kentucky, USRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$180K - $200K *

Drive compliance excellence by leading regulatory strategy and governance, ensuring scalable infrastructure for service contracts and insurance programs across North America. Collaborate with executiv...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Information Technology

$72K - $130K *

Lead the oversight of charge description master and billing analysis, enhancing revenue integrity across the organization. Collaborate with departments to improve charging practices and ensure complia...

Kentucky, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $105K *

Tackle medical claims audits in a dynamic remote environment, collaborating with a skilled team to ensure compliance and accuracy in Skilled Nursing Facility reviews while enhancing audit processes an...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Information Technology

$96K - $128K *

Unlock potential by managing procurement processes, ensuring vendor compliance, and facilitating bid preparations. Collaborate with project teams to optimize purchasing strategies and maintain operati...

United StatesRemote

4 weeks ago

  •   Less than 5 years exp.  •   Technical Services

$138K - $206K *

Lead the charge in sophisticated insurance defense litigation, managing a diverse caseload as a Senior Trial Attorney. Enjoy the flexibility of a fully remote role while delivering exceptional legal s...

New York, NYRemote

2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$87K - $109K *

Lead the execution of medium to large-scale projects, ensuring adherence to stakeholder specifications and project timelines. Collaborate across teams to enhance project management processes and deliv...

Little Rock, ARRemote

Yesterday

  •   5 - 7 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.