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.
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
Fraud Prevention Consultant - Deposit and Check focus
$87K - $114K *
Lead the charge in fraud prevention by analyzing data, assessing risks, and collaborating with teams to enhance fraud protection strategies across the organization. Drive impactful change through exec...
6 days ago
Sales Specialist- Collision Repair, 3M Automotive Aftermarket Division, Seattle, WA
$113K - $139K *
Join a team that's driving sales in the collision repair sector, leveraging innovative solutions and strategic planning to enhance customer relationships and achieve business goals across the US Autom...
3 weeks ago
CAS Clinical Service Manager, CAS- New Jersey
$130K - $140K *
Transform your career by leading regional clinical support initiatives while enhancing patient care. Collaborate with teams and drive strategic execution to achieve business goals in ablation solution...
Reposted 1 week ago
Manager, Pharmacovigilance (US)
$90K - $178K *
Drive excellence in pharmacovigilance by leading teams and ensuring compliance with global safety regulations. Influence patient safety initiatives while managing project delivery across diverse clini...
1 week ago
Manager, Pharmacovigilance (US)
$90K - $178K *
Drive excellence in pharmacovigilance by leading teams and projects, ensuring compliance and safety across clinical trials. Leverage scientific expertise and operational oversight to mentor profession...
1 week ago
$78K - $88K *
Join us to perform actuarial analyses and support healthcare consulting projects. Collaborate with multidisciplinary teams to develop insights, maintain models, and communicate findings effectively wh...
1 week ago
Sales Development Account Manager
$60K - $119K *
Join a dynamic team to drive new customer acquisition and revenue growth. Engage with prospects, manage opportunities, and collaborate across departments to build a robust sales pipeline and enhance c...
Yesterday
Account Executive, Audit Manager
$100K - $170K *
Champion the growth of Audit Manager by driving sales in the healthcare sector. Leverage your expertise in medical billing and coding to engage revenue cycle leaders, manage the sales pipeline, and de...
3 days ago
Long Term Care Account Specialist - Charlotte, NC
$123K - $168K *
Drive growth and product acceptance in a defined territory by building relationships with healthcare providers. Educate stakeholders on product benefits while managing promotional resources and execut...
3 weeks ago
Account Specialist (Peachtree City, GA)
$160K - $192K *
Drive commercial performance by engaging healthcare providers and executing territory plans. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative...
5 days ago
Senior Director Payer Contracting
$150K - $180K *
Join us to lead payer contracting strategies, negotiate complex agreements, and enhance reimbursement performance across diverse healthcare models while managing a high-performing team in a dynamic, r...
3 weeks ago
Clinical Trials Medical Writer
$77K - $92K *
Join a dynamic team as a Medical Writer, where you'll interpret complex clinical protocols and create essential documentation for clinical studies, ensuring high-quality standards and regulatory compl...
2 weeks ago
$80K - $95K *
Transform client relationships by driving account growth and profitability. Leverage your expertise to implement strategic sales plans, enhance communication, and develop tailored solutions while ensu...
2 days ago
Account Specialist (Myrtle Beach, SC)
$160K - $192K *
Shape the future of healthcare by driving commercial performance and building strong relationships with healthcare providers. Engage in product launches and optimize patient access to innovative thera...
1 week ago
$115K - $213K *
Lead the charge in transforming actuarial insights into actionable strategies. Collaborate with cross-functional teams to optimize risk management and enhance financial performance through innovative...
Yesterday
$150K - $200K *
Lead client engagements by leveraging tax expertise to drive revenue growth, manage complex planning discussions, and enhance client relationships while ensuring strategic alignment across teams for o...
6 days ago
$132K - $154K *
Elevate customer engagement by leading strategic initiatives in the insurance sector. As a trusted advisor, you'll bridge client needs with platform capabilities, driving revenue and enhancing Solutio...
Yesterday
Senior Manager, Brand & Specialty Rx Contracts
$119K - $186K *
Lead the negotiation and administration of Branded & Specialty Rx contracts, ensuring alignment with business strategies and stakeholder interests. Collaborate with internal teams to optimize processe...
1 week ago
$80K - $95K *
Manage and optimize operations for a centralized intake team, ensuring efficient referral processing across multiple services. Drive performance improvements, staff development, and cross-functional c...
1 week ago
Healthcare Capture and Opportunity Management Specialist
$80K - $95K *
Drive impactful strategies by leveraging research and insights to advance government health opportunities. Collaborate with leaders to enhance competitive positioning and secure meaningful work that b...
1 week ago
Account Specialist, Urology - St. Louis, MO
$90K - $110K *
Join a team that's dedicated to promoting innovative products to community practices and health systems. Build and maintain relationships across various medical specialties while driving sales and pro...
3 weeks ago
Associate Managed Care Liaison Director
$206K - $282K *
Join a dynamic team to leverage clinical expertise in managed care, enhancing access to Neurocrine products. Collaborate with stakeholders, deliver impactful presentations, and drive strategic initiat...
3 weeks ago
$120K *
Lead the charge in transforming product data governance and analytics. Establish a unified source of truth for product metrics, drive strategic KPI development, and enhance transparency across teams t...
3 days ago
$80K - $95K *
Lead the charge in delivering high-quality behavioral health care by reviewing and authorizing treatment for youth with behavioral and substance abuse issues, ensuring adherence to clinical standards...
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.