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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$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...

Missouri, USRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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...

RemoteRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Business Services

$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...

Newark, NJRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Durham, NCRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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...

North Carolina, USRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Business Services

$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...

Durham, NCRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$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...

United StatesRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$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...

North Carolina, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$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...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Mountain Home, TNRemote

2 days ago

  •   5 - 7 years exp.  •   Energy & Utilities

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Fort Worth, TXRemote

Yesterday

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Information Technology

$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...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

North Carolina, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Legal & Accounting

$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...

St. Louis, MORemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

California, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Virginia, USRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$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...

California, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

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.