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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1
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$87K - $109K *

Oversee complex Allied Health claims, utilizing your expertise to analyze, negotiate, and resolve high exposure losses while fostering strong relationships with internal teams and external clients for...

United StatesRemote

1 month ago

  •   8 - 10 years exp.  •   Finance & Insurance

$65K - $96K *

Empower compliance processes by preparing complex government filings, mentoring team members, and ensuring accuracy, while maintaining high service standards and developing knowledge of intricate comp...

RemoteRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$71K - $134K *

Unlock potential by leading clinical risk management efforts, leveraging advanced nursing expertise to assess complex medical data, mentor team members, and drive strategic underwriting decisions in a...

Morristown, NJRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Elevate your career by leading a dynamic team in commercial transportation claims. Drive operational effectiveness through technology and analytics while balancing management and hands-on responsibili...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$88K - $108K *

Transform payer billing implementations by managing complex projects, collaborating across teams, and driving process improvements. Leverage strong problem-solving skills to enhance operational effici...

South San Francisco, CARemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$75K - $129K *

Empower clients by expertly assessing commercial damage claims, negotiating settlements, and delivering exceptional service in diverse environments. Join a dynamic team dedicated to providing top-notc...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $135K *

Lead the charge in managing high-severity, complex insurance claims, focusing on EPL and Professional Liability. Serve as a subject matter expert, ensuring compliance and strategic resolution while ad...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$154K - $196K *

Unlock potential by leading strategic government programs, managing P&L, and driving operational excellence. Oversee contract delivery, mentor staff, and foster client relationships to ensure growth a...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$115K - $120K *

Elevate compliance and product efficiency in Workers' Compensation by managing regulatory filings, implementing bureau changes, and collaborating with cross-functional teams to drive operational succe...

RemoteRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$73K - $130K *

Lead the charge in overseeing claims compliance activities, enhancing operational quality, and ensuring audit readiness. Collaborate cross-functionally to identify gaps, monitor KPIs, and drive improv...

United StatesRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$94K - $164K *

Champion operational excellence by leading business analysis initiatives, driving process improvements, and aligning solutions with strategic goals to enhance efficiency and effectiveness across the o...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Transform your career by leading a dynamic team in managing complex Commercial Casualty claims. Drive superior outcomes through effective workforce management, collaboration, and innovative technology...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$83K - $108K *

Champion property claims excellence in a remote role focused on investigative work and settlement within the OH territory, managing losses mainly between $25,000 and $100,000 while supporting catastro...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $100K *

Drive the success of multiple claims teams by supervising operations, providing technical guidance, and ensuring quality standards. Collaborate with management to enhance processes and maintain strong...

RemoteRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$74K - $124K *

Elevate compensation strategies by transforming complex data into actionable insights. Collaborate with stakeholders to manage compensation programs, analyze trends, and recommend solutions that ensur...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$93K - $179K *

Drive impactful reinsurance processes, ensuring compliance and risk management while collaborating with partners. Lead projects, enhance efficiencies, and contribute to a new system implementation, fo...

San Antonio, TXRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$67K - $109K *

Join a team that's dedicated to managing complex accident benefit claims. Leverage your expertise to interpret policies, negotiate settlements, and ensure compliance while delivering exceptional custo...

Ontario, CARemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$83K - $108K *

Join a dynamic team to manage property claims, ensuring accurate settlements and superior service. Collaborate with experts, handle complex cases, and respond to catastrophe events while maintaining c...

Illinois, USRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$93K - $116K *

Optimize property damage assessments through on-site inspections and precise estimates. Collaborate with policyholders and internal teams to ensure thorough documentation and timely reporting within a...

Massachusetts, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Real Estate & Construction

$120K - $160K *

Lead the charge in transforming claims management by leveraging your expertise to drive data-informed decisions, enhance processes, and foster collaboration across teams, ensuring exceptional service...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$94K - $148K *

Optimize patient access by educating healthcare providers on reimbursement processes. As a Field Reimbursement Specialist, you'll navigate complex insurance challenges, ensuring patients receive speci...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$94K - $148K *

Lead the charge in enhancing patient access to specialty medications by educating healthcare providers on reimbursement processes and resolving access barriers. Your expertise will bridge the gap betw...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$94K - $148K *

Accelerate progress at the forefront of patient access solutions! Engage with healthcare providers to educate on reimbursement and access topics, ensuring patients receive vital therapies. Travel exte...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$76K - $119K *

Unlock your potential as an Auto Damage Adjuster, leveraging your expertise to manage complex claims, deliver exceptional customer service, and utilize your technical knowledge in a dynamic environmen...

New York, NYRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$72K - $111K *

Analyze complex auto damage claims, ensuring accurate settlements and exceptional customer service. Leverage technical expertise and industry knowledge to deliver results while maintaining compliance...

Midland, TXRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

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.