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.
$110K - $130K *
Join a team that's dedicated to creating impactful medical education content for healthcare providers and patients. Collaborate closely with scientific and account teams to deliver high-quality materi...
Reposted yesterday
$87K - $157K *
Lead the charge in managing complex, large-scale programs to drive strategic objectives. Collaborate with cross-functional teams, oversee project execution, and deliver executive-level communications...
2 days ago
senior claims adjuster (Remote)
$80K - $95K *
Champion the resolution of complex general liability claims by investigating, negotiating, and collaborating with stakeholders to ensure effective outcomes while upholding company values and financial...
3 weeks ago
$95K - $115K *
Join a dynamic team to oversee regulatory compliance and enhance our Quality Management System. Lead audits, identify risks, and drive continuous improvement while mentoring colleagues and collaborati...
1 week ago
$110K - $130K *
Drive healthcare transformation by leading advanced consulting initiatives, enhancing delivery systems, and improving health outcomes. Collaborate with clients and stakeholders to implement strategic...
2 weeks ago
Clinical Applications Specialist
$80K - $95K *
Help us deliver exceptional training and support for medical imaging equipment, enhancing customer experiences through expertise and mentorship while traveling frequently to engage with healthcare pro...
Today
$74K - $92K *
Empower our channel partner division by managing operational activities, coordinating RFPs, and driving cross-functional collaboration to enhance sales and partner engagement. Your insights will shape...
Yesterday
Account Specialist (Norfolk, VA)
$160K - $192K *
Grow your career by engaging healthcare providers and driving commercial success. Collaborate with cross-functional teams to support product launches and enhance patient access to innovative therapies...
1 week ago
Lead RN, Utilization Management
$100K - $130K *
Lead the charge in enhancing member care as you coach and develop clinical teams, oversee daily operations, and ensure compliance with regulatory standards while driving quality improvements and opera...
1 week ago
Senior / Global Regulatory Labeling Strategist
$125K - $150K *
Champion global labeling strategy for innovative therapies, leading complex initiatives from development to post-approval. Collaborate with cross-functional teams to ensure compliance and high-quality...
1 week ago
Field Reimbursement Manager, Oncology
$110K - $130K *
Advance your career by educating healthcare providers on patient support programs, access options, and reimbursement processes. Collaborate with oncology stakeholders to enhance patient care and navig...
3 weeks ago
Field Reimbursement Manager, Oncology
$110K - $130K *
Elevate patient care by educating healthcare providers on access and reimbursement strategies for oncology therapies, while collaborating with internal teams to enhance patient support and navigate pa...
3 weeks ago
Field Reimbursement Manager, Oncology
$110K - $130K *
Educate healthcare providers on patient support programs and reimbursement tools. Collaborate with oncology stakeholders to manage accounts and report payer trends. Maintain relationships with provide...
3 weeks ago
Field Reimbursement Manager, Oncology
$110K - $130K *
Transform healthcare access by educating providers on patient support programs and reimbursement tools. Collaborate with oncology stakeholders to enhance patient care and navigate payer policies, ensu...
3 weeks ago
Field Reimbursement Manager, Oncology
$110K - $130K *
Transform healthcare access by educating providers on reimbursement and patient support programs. Collaborate with oncology stakeholders to navigate payer policies and enhance patient care through eff...
3 weeks ago
Field Reimbursement Manager, Oncology
$110K - $130K *
Unlock your potential by educating healthcare providers on patient support programs, reimbursement tools, and access options. Collaborate with oncology stakeholders to enhance patient care and navigat...
3 weeks ago
Field Reimbursement Manager, Oncology
$110K - $130K *
Empower healthcare providers by educating them on patient support programs, access options, and reimbursement processes. Collaborate with internal teams to enhance account management and stay updated...
3 weeks ago
Field Reimbursement Manager, Oncology
$110K - $130K *
Partner with us to educate healthcare providers on patient support programs, access options, and reimbursement processes. Leverage your oncology expertise to enhance provider relationships and navigat...
3 weeks ago
Field Reimbursement Manager, Oncology
$110K - $130K *
Unlock potential by educating healthcare providers on patient support programs, reimbursement tools, and access options. Collaborate with internal teams to manage accounts and report payer trends whil...
3 weeks ago
Associate Director, Medical Strategic Operations (Sponsorships)
$175K - $219K *
Optimize medical sponsorship strategies and operations by collaborating with stakeholders, managing budgets, and ensuring timely execution of congress activities while enhancing process efficiency and...
Today
Senior Sales Specialist – Government Risk State Business
$199K - $370K *
Optimize your sales expertise by driving revenue in state government sectors. Leverage your knowledge of procurement processes to build relationships and close deals, while collaborating with a top-ti...
3 weeks ago
Senior Associate, Commercial Workout Officer - Remote
$93K - $170K *
Pioneer your career by managing distressed commercial real estate loans, focusing on complex restructurings and maximizing recovery in NYC's rent-regulated multifamily sector. Leverage your expertise...
3 weeks ago
Manager, Clinical Data Management
$110K - $130K *
Innovate within a dynamic team, driving impactful projects and solutions that enhance operational efficiency and foster growth across multiple departments. Your expertise will shape strategic initiati...
Yesterday
$100K - $120K *
Champion growth by managing diverse banking and retail accounts, leveraging your sales expertise to uncover opportunities and enhance customer solutions while collaborating across teams to drive resul...
5 days ago
Senior Statistical Programmer/Analyst Consultant (Need solid oncology background) Remote in US
$110K - $130K *
Champion statistical programming excellence in oncology clinical trials. Lead programming activities, collaborate with cross-functional teams, and ensure high-quality deliverables from study start-up...
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.