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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$100K - $130K *

Join a team that's driving corporate governance and entity management. This role offers significant responsibility, collaboration across departments, and opportunities for growth in a fast-paced envir...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Technical Services

$94K - $155K *

Join a team that's dedicated to enhancing underwriting excellence through analytics and innovation. Lead a skilled group of underwriters, manage complex cases, and collaborate across teams to improve...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $155K *

Drive strategic growth by developing marketing plans and securing new business opportunities. Foster agency relationships, achieve sales targets, and leverage market research for decision-making in a...

Mississippi, USRemote

Reposted 6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$74K - $98K *

Champion regulatory audit excellence by leading PACE audits, ensuring compliance, and driving cross-functional collaboration to enhance operational readiness and continuous improvement across the orga...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $99K *

Shape the future of regulatory submissions by ensuring high-quality QC reviews of clinical documents. Collaborate with global teams to meet project timelines while maintaining compliance with industry...

United StatesRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$85K - $90K *

Empower organizational excellence by leading comprehensive audits, identifying process improvements, and fostering collaborative relationships with finance and operational leaders to enhance overall e...

Atlanta, GARemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $95K *

Lead the charge in managing daily accounts receivable operations across multiple profit centers. Oversee a team, ensuring timely invoicing, collections, and adherence to internal controls while optimi...

Texas, USRemote

Today

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

$195K - $351K *

Lead the charge in developing strategic communications for enterprise functions, translating complex priorities into compelling narratives that enhance engagement, trust, and alignment across the orga...

San Antonio, TXRemote

2 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$71K - $94K *

Elevate underwriting excellence by managing Middle Market and Construction renewals, fostering agency relationships, and mentoring team members to ensure optimal service and compliance in a dynamic en...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$88K - $147K *

Join a dynamic team as you manage key client relationships, coordinate program launches, and drive measurable outcomes. Leverage your expertise to ensure operational excellence and long-term client sa...

RemoteRemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$200K - $250K *

Drive transformative enterprise sales by pioneering BGO's AI-first strategy. As the first seller, you'll build a robust pipeline, shape the sales playbook, and establish BGO as a leader in innovative...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Business Services

$110K - $130K *

Advance progress at construction firms by leading assurance engagements, overseeing teams, and ensuring compliance. Leverage 8+ years of public accounting expertise to deliver high-quality financial r...

Hunt Valley, MDRemote

2 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$117K - $176K *

Drive charge capture excellence by collaborating with clinical leaders to standardize processes, enhance revenue management, and implement best practices across complex procedure areas in a dynamic he...

Sacramento, CARemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Join a dynamic team to transform client loyalty data into actionable insights, driving strategic initiatives and enhancing customer engagement through innovative data visualization and collaboration w...

Atlanta, GARemote

2 weeks ago

  •   Less than 5 years exp.  •   Business Services

$150K - $235K *

Join a team that's redefining business processes through digital transformation. Lead cross-functional initiatives, ensuring scalable and standardized practices that align with strategic goals while f...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$65K - $98K *

Transform your career by engaging clients and providing tailored insurance solutions. Leverage your sales expertise to manage leads and build relationships, all while contributing to strategic sales t...

RemoteRemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$60K - $99K *

Transform healthcare billing by ensuring accurate coding and compliance. Collaborate across departments to resolve issues impacting revenue cycle goals, utilizing expertise in ICD-10, CPT, and HCPCS f...

Camden, NJRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$134K - $249K *

Drive your career forward by leading the development and implementation of strategic networking contracts. Oversee negotiations, manage team resources, and support market launches while enhancing heal...

Florida, USRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$116K - $174K *

Elevate regulatory strategies for global product approvals and compliance. Lead negotiations with authorities, manage complex projects, and drive innovative solutions to ensure successful market intro...

Illinois, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $100K *

Join a team that's dedicated to building strong client relationships through face-to-face sales. Leverage your expertise in outside sales to drive growth and maximize your earning potential in a dynam...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Legal & Accounting

$100K - $120K *

Unlock potential by educating healthcare providers on an AI-driven prognostic assay for early and late distant recurrence risk in breast cancer patients, driving adoption through consultative sales an...

Virginia, USRemote

Reposted 2 days ago

  •   Less than 5 years exp.  •   Healthcare

$230K - $250K *

Drive new-logo growth by selling enterprise solutions to independent insurance agencies. Collaborate with Solution Consultants to convert prospects into long-term customers while managing relationship...

Washington, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$202K - $250K *

Elevate the Personal Care department by driving strategic billing and claims initiatives, optimizing processes for accuracy and compliance, and leading a high-performing team to achieve operational ex...

United StatesRemote

4 days ago

  •   11 - 15 years exp.  •   Healthcare

$120K - $240K *

Inspire growth by connecting with clients, analyzing their needs, and providing tailored mortgage protection solutions. Enjoy flexible work options while making a meaningful impact on clients' financi...

Charleston, SCRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $120K *

Join a team that's driving growth by acquiring and retaining key clients through consultative sales. Leverage your expertise in financial products to build a robust pipeline and achieve revenue object...

Princeton, NJRemote

2 weeks ago

  •   Less than 5 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.