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.
$110K - $130K *
Transform quality assurance by leading a dedicated team, ensuring compliance, and managing complex client projects. Drive excellence in drug importation and quality documentation while fostering stron...
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Senior Market Research Consultant
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Join our team to enhance healthcare operations by managing benefit configurations, ensuring accuracy in prior authorizations and process improvements while collaborating across departments to optimize...
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Account Specialist (Bedford, NH)
$160K - $192K *
Transform healthcare engagement by driving commercial performance and building strong relationships with providers. Collaborate cross-functionally to support product launches and ensure patient access...
1 week ago
$120K - $145K *
Elevate healthcare reimbursement processes by leading legal strategies on billing disputes and regulatory compliance. Collaborate with teams to create innovative solutions and build legal frameworks t...
1 week ago
QA Lead, Healthcare Encounters | Remote | W2 Only.
$110K - $130K *
Shape the future of healthcare quality assurance by leading a team to ensure accurate encounter data processing, validation, and compliance. Drive test strategy and execution while collaborating with...
3 weeks ago
Senior Analyst, Decision Science (Market Analyst)
$105K - $129K *
Drive impactful market analysis and reporting as a Senior Analyst, leveraging data to guide strategic investments and growth opportunities. Collaborate with teams to enhance decision-making and optimi...
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$69K - $125K *
Join a dynamic team to oversee quality of care investigations and improvement initiatives, ensuring compliance with regulatory standards while enhancing patient outcomes and organizational efficiency...
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$92K - $137K *
Join a team that's dedicated to fostering agent relationships and driving profitable growth. You'll assess agent performance, ensure compliance with company policies, and facilitate effective communic...
2 days ago
$120K - $145K *
Support and enhance accounting functions by managing close processes, ensuring compliance with GAAP, and overseeing financial reporting. Collaborate with finance teams to drive improvements and integr...
3 days ago
Remote Application Systems Analyst
$80K - $100K *
Innovate solutions as a Remote Application Systems Analyst, enhancing business applications and processes. Collaborate with teams to troubleshoot issues, improve system performance, and ensure data in...
Reposted yesterday
Trial Representative, Workers' Compensation (San Bernardino, CA)
$85K - $130K *
Join our team to drive impactful Workers' Compensation trials, ensuring client advocacy and strategic case management across the Los Angeles area. Leverage your expertise to negotiate settlements and...
2 days ago
Configuration Lead, Compensation
$117K - $161K *
Drive your career with this strategic role, leading Workday Compensation solutions. Collaborate with cross-functional teams to optimize compensation processes, ensuring alignment with business goals a...
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Senior Manager, Product Data Governance & Lifecycle Management?
$135K - $175K *
Transform product data governance and lifecycle management by leading cross-functional teams, ensuring compliance, and optimizing processes for efficient product development and manufacturing across t...
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$95K - $115K *
Lead systematic evaluations of risk management processes to enhance governance. Collaborate with stakeholders to assess internal operations, present findings, and recommend improvements that optimize...
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Senior Manager of Commercial Systems (REMOTE)
$110K - $130K *
Inspire the evolution of commercial systems, enhancing integration and automation across platforms like Salesforce and HubSpot. Drive AI adoption to streamline workflows, ensuring data integrity and r...
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$110K - $130K *
Champion legal excellence by providing comprehensive support across various law areas, including contracts, mergers, and regulatory compliance. Collaborate with internal teams to deliver timely counse...
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Operations Excellence Lead, Pet Insurance - REMOTE
$87K - $162K *
Engage in transformative process improvement initiatives, collaborating with leaders to analyze and redesign workflows. Drive efficiency and quality across multiple business units, creating lasting va...
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Manager - Credit Operations - Remote
$91K - $163K *
Lead transformative credit operations by optimizing workflows, enhancing AI integration, and driving process excellence. Collaborate across functions to manage multi-million-dollar portfolios and ment...
2 weeks ago
$73K - $136K *
Champion the financial reporting process for Institutional Retirement Solutions, ensuring accuracy and compliance with GAAP and statutory requirements. Collaborate with diverse teams to enhance produc...
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$64K - $158K *
Drive impactful actuarial projects by collaborating across teams to enhance our rating systems, ensuring data accuracy and operational efficiency in both medical and dental lines of business. Attentio...
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$90K - $110K *
Empower the Foot and Ankle team by driving growth and building key relationships. Engage with surgeons in the operating room and support sales initiatives to enhance product adoption and customer sati...
3 weeks ago
$95K - $115K *
Unlock potential by managing complex government contracts, ensuring compliance and strategic alignment while collaborating with cross-functional teams to drive innovation and mitigate risks in a dynam...
3 weeks ago
In-House Trial Attorney (Remote)
$95K - $115K *
Transform legal strategies by managing cases with urgency and precision. Leverage your trial experience to drive outcomes, maintain organized documentation, and ensure compliance with legal standards...
2 days ago
$110K - $140K *
Transform your career by managing employee benefits for diverse clients. Collaborate with Producers and Executives to deliver exceptional service, analyze plans, and drive compliance while fostering s...
2 weeks 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.