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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$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

$64K - $129K *

Engage in enhancing our digital platforms through user collaboration, requirement gathering, and solutions application. This role focuses on supporting user satisfaction and promoting effective system...

RemoteRemote

Reposted 2 days ago

  •   Less than 5 years exp.  •   Real Estate & Construction

$90K - $110K *

Build strategic sales pipelines to drive new business growth in employee benefits solutions, focusing on client relationships, prospecting, and customized solutions to meet diverse organizational need...

RemoteRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$85K - $199K *

Transform client engagement through proactive solution-based sales, driving revenue within the health insurance sector. Collaborate closely with teams to develop tailored strategies and nurture execut...

Brookfield, WIRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Legal & Accounting

$64K - $120K *

Drive client success by managing customized service plans, building relationships, and ensuring accurate delivery of insurance solutions. Collaborate with a dynamic team to meet client needs and enhan...

Schaumburg, ILRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $130K *

Empower growth by leading SOX and MAR compliance programs, overseeing consultants, and implementing a scalable control environment. Drive governance and quality oversight while collaborating with inte...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$100K - $120K *

Elevate clinical research by assisting with study design, medical monitoring, and compliance to ensure effective execution of clinical trials and contribute positively to patient outcomes in alignment...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$127K - $216K *

Champion risk adjustment initiatives by leading enterprise-wide programs, ensuring compliance and accuracy in data reporting. Collaborate with cross-functional teams to optimize processes and enhance...

Tennessee, USRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $145K *

Transform enterprise service delivery by leading cross-center operations, enhancing efficiency, and ensuring high-quality IT services across multiple locations. Drive initiatives that improve performa...

United StatesRemote

3 weeks ago

  •   11 - 15 years exp.  •   Information Technology

$165K - $175K *

Transform a high-performing sales team in Upstate New York, guiding them through market changes and fostering growth. Leverage healthcare expertise to drive performance, develop talent, and implement...

New York, USRemote

2 weeks ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$139K - $250K *

Lead the charge in driving strategic product development for a diverse insurance portfolio, collaborating with stakeholders to enhance performance and achieve revenue targets throughout the product li...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$124K - $211K *

Transform your career by leading underwriting teams, driving pricing strategies, and ensuring financial performance. Collaborate across departments to influence business growth and deliver sustainable...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$110K - $125K *

Engage with a dynamic team to oversee copy responsibilities, crafting compelling content across various mediums. Collaborate creatively to drive engagement for diverse audiences, including healthcare...

United StatesRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$164K - $305K *

Lead the charge in developing strategic relationships with C-suite executives to drive growth, retention, and value realization across complex health systems, ensuring integrated solutions and measura...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$100K - $120K *

Lead the charge in directing clinical rehabilitation operations across multiple practices, ensuring quality patient care and achieving financial and operational objectives through effective management...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Lead the charge in enhancing rehabilitation operations across multiple facilities. Drive clinical excellence, manage staff, and ensure compliance while fostering a supportive environment for both pati...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $170K *

Elevate your career by driving new product development and enhancements in commercial property and casualty insurance. Collaborate across departments to implement best practices and ensure operational...

Lansing, MIRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$112K - $223K *

Lead global pharmacovigilance initiatives, ensuring compliance and operational excellence while guiding teams through complex safety reporting challenges across diverse therapeutic areas and trial pha...

RemoteRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$74K - $124K *

Lead audit remediation initiatives by coordinating with stakeholders, analyzing findings, and developing strategies to enhance internal controls and audit readiness, ensuring successful outcomes for f...

RemoteRemote

Yesterday

  •   Less than 5 years exp.  •   Business Services

$88K - $154K *

Transform document management processes by overseeing workflows, tracking, and compliance for critical projects. Leverage your expertise to enhance efficiency and ensure accurate record retention whil...

United StatesRemote

2 weeks ago

  •   11 - 15 years exp.  •   Real Estate & Construction

$78K - $103K *

Champion accurate coding by interpreting diagnoses and resolving claim errors in this remote role. Leverage your expertise to ensure compliance with CPT, ICD-10, and HCPCS standards while collaboratin...

United StatesRemote

Reposted yesterday

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

$82K - $97K *

Join a dynamic team to enhance client interactions and drive sales support. Leverage your logistics expertise to identify growth opportunities and streamline operations, ensuring exceptional service a...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Transportation

$67K - $127K *

Drive the analysis of underwriting data to maintain a profitable Excess business. Collaborate with teams and manage broker relationships while enhancing your underwriting expertise through training an...

Morristown, NJRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$100K - $120K *

Shape the future of healthcare operations by leading transformative initiatives that enhance care management effectiveness, streamline workflows, and drive measurable outcomes across clinical programs...

Harrisburg, PARemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $125K *

Drive new business in healthcare technology by engaging with hospitals and ambulatory organizations. Leverage AI-enabled solutions and clinical documentation services to meet client needs and achieve...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Information Technology

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.