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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$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...

United StatesRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Healthcare

$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...

RemoteRemote

2 days ago

  •   8 - 10 years exp.  •   Healthcare

$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...

Seattle, WARemote

3 weeks ago

  •   Less than 5 years exp.  •   Food & Beverages

$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...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

2 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$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...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$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...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Albany, NYRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Dallas, TXRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Houston, TXRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Boston, MARemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Orlando, FLRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Tampa, FLRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Hartford, CTRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Miami, FLRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Oklahoma City, OKRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

Today

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$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...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Media

$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...

Albany, NYRemote

3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

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.