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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
More
1
caret down

$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

$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

$75K - $100K *

Engage with sales teams to provide technical support and presentations, driving new business and customer integration. Collaborate on sales strategies and troubleshoot products to enhance customer sat...

Dallas, TXRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Engage with diverse teams to enhance data security practices and governance. Drive control auditing and automation, ensuring compliance with information security policies while fostering collaboration...

North Chicago, ILRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$75K - $135K *

Optimize care management by developing personalized plans, coordinating services, and educating members and families to ensure high-quality healthcare outcomes. Collaborate with providers and monitor...

North Carolina, USRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $135K *

Join a dynamic team to assess and implement personalized care plans, ensuring quality healthcare outcomes. Collaborate with members, families, and providers while managing care activities and addressi...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Unlock potential by driving operational excellence through process improvement, automation readiness, and stakeholder collaboration. This role focuses on enhancing business outcomes and sustaining mea...

Pennsylvania, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Drive operational excellence by leveraging consulting expertise to enhance processes, implement improvements, and prepare for automation. Collaborate with leaders to achieve measurable business outcom...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Drive exceptional service delivery by leading a team of program managers, enhancing patient access to medications, and ensuring operational excellence while fostering a supportive work environment...

North Carolina, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$75K - $90K *

Join our team as a Technical Services Account Manager, driving growth in waste management through lead generation and customer acquisition. Collaborate with internal teams to enhance safety and compli...

El Sobrante, CARemote

2 days ago

  •   Less than 5 years exp.  •   Energy & Utilities

$60K - $129K *

Shape your career by joining our team as a Remote RN Case Manager, where you'll provide compassionate care, develop personalized health plans, and collaborate with a multidisciplinary team to enhance...

Texas, USRemote

Today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$100K - $150K *

Build strategic partnerships and drive revenue growth by managing high-potential accounts. Collaborate with internal teams to enhance partner engagement and achieve production targets while fostering...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Champion seamless communication by managing VoIP and telephony systems, ensuring optimal performance and user satisfaction. Collaborate across departments to analyze data, enhance workflows, and uphol...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$132K - $199K *

Join a team that's committed to transparency in clinical trials, ensuring compliance with global disclosure regulations. This role blends operational and strategic tasks, fostering collaboration and q...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$95K - $115K *

Unlock the potential of implementation science as a Senior Program Analyst, driving quality improvement and program evaluation initiatives. Manage processes, databases, and reporting to enhance projec...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$160K - $192K *

Join a dynamic team to drive commercial performance and enhance patient access. Engage healthcare providers, support product launches, and collaborate with cross-functional partners to achieve sales g...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$100K - $112K *

Lead the charge in clinical trial monitoring, ensuring compliance and data integrity while managing site operations and training staff. Collaborate with teams to deliver high-quality patient care and...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$98K - $134K *

Join a team that's driving growth by managing key accounts, building relationships, and executing sales strategies. Collaborate with internal stakeholders to enhance customer satisfaction and achieve...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Food & Beverages

$90K - $105K *

Advance market share by driving profitable growth through strategic collaboration with independent agents, managing product integration, and exceeding business goals in a dynamic territory sales envir...

Ohio, USRemote

3 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$180K - $220K *

Empower innovation in clinical trials by developing strategies, overseeing operations, and cultivating partnerships. Drive excellence in research, enhance compliance, and manage a high-performing team...

RemoteRemote

Reposted 6 days ago

  •   8 - 10 years exp.  •   Hospitals & Medical Centers

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.