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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$96K - $120K *

Take ownership of the Deal Desk function, driving operational excellence and cross-functional collaboration to enhance revenue impact and team performance throughout the quote-to-cash lifecycle...

Pittsburgh, PARemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$83K - $154K *

Join our team to oversee supplier activities, ensuring compliance with nuclear quality standards through effective monitoring, inspection, and evaluation. Contribute to project success by identifying...

Houston, TXRemote

6 days ago

  •   Less than 5 years exp.  •   Real Estate & Construction

$93K - $137K *

Join a dynamic team to enhance partner relationships, drive operational excellence, and foster business growth through strategic onboarding and support initiatives. Leverage your insurance expertise t...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$69K - $93K *

Champion the safety and dignity of vulnerable adults by conducting thorough investigations into allegations of abuse, neglect, and exploitation. Utilize critical thinking and problem-solving skills to...

Tumwater, WARemote

2 days ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$75K - $113K *

Unlock potential by leading analytical projects and coordinating programs in transportation and land use. Collaborate with agencies, manage budgets, and ensure compliance while driving sustainable pla...

San Bernardino, CARemote

1 week ago

  •   Less than 5 years exp.  •   Transportation

$160K - $180K *

Provide oversight for insurance accounting and reporting, driving process improvements and leveraging technology to enhance financial operations. Collaborate with teams to ensure compliance and accura...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Transform the technical department by leading a team, ensuring quality control, and enhancing customer satisfaction through effective management and support. Drive operational excellence while fosteri...

Fishers, INRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$88K - $105K *

Empower healthcare practices by promoting innovative products, building strong relationships, and delivering expert training to enhance patient care and meet sales goals across diverse medical setting...

Fairfax, VARemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$75K - $90K *

Shape the future of cybersecurity by developing new business opportunities, building client relationships, and managing sales processes for ICT assurance services. Collaborate with teams to connect cl...

Houston, TXRemote

4 weeks ago

  •   Less than 5 years exp.  •   Technical Services

$85K - $100K *

Join us to drive business growth by developing client relationships and identifying opportunities in ICT assurance services. Collaborate with sales and technical teams to connect client needs with cyb...

Toronto, ONRemote

4 weeks ago

  •   Less than 5 years exp.  •   Technical Services

$80K - $95K *

Transform the cardiovascular landscape by driving product adoption and procedural support within your territory. Collaborate with sales leadership to enhance customer engagement and achieve revenue ta...

Georgia, USRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $170K *

Elevate your career by managing conflict resolution processes for new business. Collaborate with attorneys to ensure compliance with ethical standards while analyzing and processing conflict inquiries...

New York, NYRemote

3 days ago

  •   Less than 5 years exp.  •   Legal & Accounting

$80K - $90K *

Oversee complex federal acquisitions, providing strategic guidance and compliance support. Lead full lifecycle contract management, mentor junior staff, and ensure effective execution of high-level pr...

Columbus, OHRemote

4 weeks ago

  •   5 - 7 years exp.  •   Technical Services

$80K - $90K *

Unlock potential by leading complex federal acquisitions, providing strategic guidance, and ensuring compliance. This senior role requires extensive contracting expertise to manage high-level procurem...

Denver, CORemote

4 weeks ago

  •   5 - 7 years exp.  •   Technical Services

$80K - $90K *

Drive your career by leading complex federal acquisitions, providing strategic guidance, and ensuring compliance with regulations. Leverage your expertise in contracting to support the Department of V...

Phoenix, AZRemote

4 weeks ago

  •   5 - 7 years exp.  •   Technical Services

$80K - $90K *

Manage complex federal acquisitions, providing strategic guidance and compliance oversight. Collaborate with stakeholders to execute high-level contracting responsibilities, ensuring effective procure...

Austin, TXRemote

4 weeks ago

  •   5 - 7 years exp.  •   Technical Services

$108K - $116K *

Join a team that's dedicated to optimizing healthcare delivery through effective utilization management. Leverage your clinical expertise to ensure members receive timely, appropriate care while colla...

RemoteRemote

Today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$135K - $160K *

Lead the charge in transforming legal operations by advising corporate legal departments on strategy, technology, and process improvements. Drive complex engagements, build trusted relationships, and...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Legal & Accounting

$80K - $95K *

Collaborate with sales and IT teams to transform operational data into actionable insights, ensuring effective system configuration and user adoption across Salesforce, CRM, and laboratory platforms t...

CanadaRemote

1 week ago

  •   Less than 5 years exp.  •   Business Services

$174K - $374K *

Contribute to effective healthcare delivery by making timely, evidence-based utilization management decisions. Collaborate with care teams to ensure patients receive appropriate services while adherin...

Chicago, ILRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $100K *

Drive the success of clinical trials by overseeing compliance with regulations and protocols. Engage in site management, monitor data integrity, and ensure patient safety while collaborating with site...

Iowa, USRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Elevate clinical research integrity by overseeing study compliance and monitoring data from sites. Utilize regulatory guidelines and analytics to identify issues, collaborate with teams, and enhance q...

RemoteRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Join a team that's dedicated to ensuring clinical study integrity through comprehensive monitoring and compliance. Manage site activities, engage with teams, and uphold regulatory standards to drive s...

New Mexico, USRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Optimize clinical monitoring processes by ensuring regulatory compliance and data integrity in research studies. Collaborate with site teams for effective project management and support trial excellen...

Pennsylvania, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$135K - $160K *

Join a team that's redefining actuarial forecasting by leveraging advanced modeling techniques to enhance claims projections and financial performance in insurance products. Collaborate across departm...

Jersey City, NJRemote

1 week ago

  •   11 - 15 years exp.  •   Manufacturing & Automotive

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.