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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$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

$102K - $184K *

Champion compliance initiatives across a multi-state workforce, ensuring adherence to employment laws. Collaborate with HR and legal teams to mitigate risks, develop policies, and provide training, wh...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$68K - $96K *

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...

Santa Rosa, CARemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $105K *

Elevate cancer detection research by leading systematic evidence reviews, mentoring junior staff, and managing projects to inform guidelines. Collaborate with experts to ensure high-quality outputs an...

RemoteRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$160K - $192K *

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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

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...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$108K - $181K *

Engineer innovative commercial strategies that drive growth and enhance contract management for a fast-evolving portfolio in the controls services domain. Collaborate with cross-functional teams to op...

RemoteRemote

Reposted 4 weeks ago

  •   8 - 10 years exp.  •   Business Services

$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...

Lansing, MIRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $100K *

Collaborate with cross-functional teams to implement and configure innovative solutions on a risk and compliance platform, ensuring customer success through expertise and effective communication in a...

United StatesRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$96K - $118K *

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...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

RemoteRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$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...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

CanadaRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$160K - $227K *

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...

RemoteRemote

2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

Minneapolis, MNRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$72K - $130K *

Engage in enhancing revenue integrity by ensuring accurate coding and charge capture for Cardiac Catheterization and Interventional Radiology services. Collaborate with clinical and operational teams...

Kentucky, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

New York, USRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Lansing, MIRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$80K - $95K *

Optimize the promotional review process by coordinating cross-functional workflows, ensuring compliance, and facilitating timely approvals of marketing materials. Collaborate with internal and externa...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$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...

Des Moines, IARemote

Today

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

1 month ago

  •   8 - 10 years exp.  •   Healthcare

$95K - $115K *

Champion innovative solutions as a Business Solutions Analyst, collaborating with healthcare organizations to drive strategic initiatives and operational excellence across diverse projects and deliver...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$169K - $250K *

Optimize operational performance by leading a diverse team in debt collection. Collaborate with stakeholders to drive strategic initiatives, enhance customer experience, and implement improvements acr...

RemoteRemote

3 weeks ago

  •   11 - 15 years exp.  •   Finance & Insurance

$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...

RemoteRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Educate healthcare providers on genetic testing initiatives through virtual platforms. Collaborate cross-functionally to enhance diagnostic strategies and advocate for stakeholder education, ensuring...

Atlanta, GARemote

6 days ago

  •   Less than 5 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.