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.
Employee Benefits Senior Risk Advisor
$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...
Reposted 1 week ago
Account Executive - IntelliScript (Remote)
$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...
Reposted 3 weeks ago
Account Manager - Business Insurance (Staffing)
$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...
2 weeks ago
Senior Manager, Internal Controls
$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...
4 weeks ago
$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...
Reposted 3 weeks ago
$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...
1 week ago
Cross-Centers Service Delivery Operations Lead
$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...
3 weeks ago
Area Sales Manager, Ambulatory Care, Upstate New York
$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...
2 weeks ago
$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...
2 weeks ago
Director Underwriting - Remote
$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...
1 week ago
$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...
2 days ago
$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...
1 week ago
$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...
Today
$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...
3 weeks ago
Senior Insurance Product Development Manager - Multiline -Remote US
$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...
1 week ago
Associate Director, Pharmacovigilance (US)
$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...
1 week ago
$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...
Yesterday
Document Control Specialist - Remote, US
$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...
2 weeks ago
Pathology Coder III - Remote - 140825
$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...
Reposted yesterday
$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...
1 week ago
Senior Underwriter - S&S Small Business Excess
$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...
2 weeks ago
Senior Care Management Business Consultant
$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...
2 days ago
Account Executive - Clinical Documentation Solutions Remote
$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...
1 week ago
Account Specialist (Wilkes Barre, PA)
$160K - $192K *
Drive commercial performance by engaging healthcare providers and executing territory plans. Collaborate with cross-functional teams to support product launches and enhance patient access to innovativ...
1 week ago
Lead Quality Program Strategist
$87K - $157K *
Unlock the potential of quality improvement initiatives by analyzing trends and collaborating with stakeholders to enhance Medicare quality ratings and member experiences through strategic program imp...
1 week 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.