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.
$87K - $109K *
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Senior Manager HR Regulatory Compliance
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Transform patient care by verifying eligibility, coordinating benefits, and ensuring insurance coverage. Play a key role in obtaining prior authorizations and addressing patient inquiries efficiently...
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Join a team that's pivotal in driving commercial performance and product adoption. Engage healthcare providers, build relationships, and support innovative therapies while collaborating with cross-fun...
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Manage all facets of a federal travel program, ensuring compliance and efficiency in a high-volume environment. Drive improvements in processes and provide urgent support for travelers, while maintain...
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$64K - $147K *
Shape the future of business analysis by documenting requirements, collaborating with stakeholders, and delivering innovative solutions. Drive project success through effective communication and manag...
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Manager, Pricing and Underwriting
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Join a dynamic team to lead pricing and underwriting functions, driving financial analysis and risk evaluation. Collaborate with supervisors and analysts to enhance pricing strategies and support clie...
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$114K - $210K *
Champion the development of regulatory documents for global submissions, managing timelines and cross-functional collaboration to ensure quality and compliance with industry standards while mentoring...
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Regional Internal Consultant, Life Internal Sales (Remote) - Evergreen
$56K - $104K *
Empower financial professionals by building strategic relationships, delivering tailored solutions, and driving growth across your territory. Leverage your consultative sales expertise to enhance clie...
2 weeks ago
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$80K - $90K *
Join a team that's dedicated to providing risk mitigation services across multiple clients. You'll develop and implement safety programs, evaluate their effectiveness, and collaborate with vendors to...
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Join a dynamic team to drive platform solutions, aligning technical and business strategies. Leverage your expertise to influence architecture and mentor peers, ensuring impactful outcomes across the...
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$112K - $193K *
Innovate the future of AI-driven revenue cycle products, leading strategy, commercialization, and product delivery. Collaborate across teams to drive adoption and revenue growth while navigating compl...
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$75K - $135K *
Join a team that's dedicated to enhancing care for high-acuity populations. You'll assess, coordinate, and optimize personalized care plans while collaborating with healthcare providers to ensure qual...
4 weeks ago
Senior Insurance Product Development Manager - Multiline -Remote US
$120K - $170K *
Elevate your career by driving innovative product development and enhancements in commercial property and casualty insurance. Collaborate across departments to implement best practices and ensure oper...
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$80K - $95K *
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$138K - $243K *
Lead the charge in shaping personal lines pricing strategy through advanced actuarial analysis, collaboration with cross-functional teams, and innovative product development to drive market performanc...
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$225K - $265K *
Transform healthcare interoperability by leading product strategy and market growth. Leverage deep industry insights to enhance payer-provider collaboration, drive operational excellence, and oversee...
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Business Analyst (NCPDP) - Remote
$95K - $115K *
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Sr Director, Collections and Recoveries
$169K - $250K *
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$80K - $95K *
Lead compliance initiatives across multiple states, ensuring adherence to healthcare regulations. Collaborate with operations to localize policies, deliver training, and monitor regulatory changes, dr...
Reposted yesterday
Virtual Diagnostic Specialist - East
$80K - $95K *
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6 days ago
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.