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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$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

$125K - $150K *

Unlock potential by leading Health and VA claims operations, driving strategic initiatives, enhancing recovery outcomes, and ensuring operational excellence across multiple teams and client portfolios...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$180K - $220K *

Transform your career by managing strategic partnerships in precision medicine. Drive enterprise-wide adoption of molecular diagnostics while collaborating with C-suite executives and cross-functional...

Michigan, USRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$67K - $95K *

Unlock potential by ensuring accurate sales compensation through system administration, manual calculations, and insightful reporting. Collaborate across teams to enhance processes and support sales i...

RemoteRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$113K - $226K *

Lead the charge in optimizing healthcare processes by bridging strategy and execution. Collaborate with teams to enhance coding workflows, drive change management, and ensure alignment with strategic...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$107K - $199K *

Champion the development of network performance analytics by designing solutions that transform data to support comprehensive contracting analytics and modeling applications, enhancing financial insig...

Missouri, USRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$162K - $195K *

Shape the future of cardiovascular care by driving the launch of a novel cardiac myosin inhibitor. Collaborate with healthcare professionals and internal teams to establish strategic relationships and...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$92K - $133K *

Analyze healthcare data to drive 5-Star project success. Lead initiatives, conduct in-depth analysis, and ensure data accuracy while collaborating with stakeholders to enhance organizational performan...

Long Beach, CARemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$81K - $131K *

Transform your career by driving small business insurance initiatives, overseeing business requirements, and enhancing Agile delivery. Collaborate with stakeholders to support growth and profitability...

United StatesRemote

Today

  •   8 - 10 years exp.  •   Finance & Insurance

$110K - $130K *

Manage clinical trial operations, ensuring compliance and performance across protocols. Oversee submissions, budgets, and team coordination while collaborating with internal and external stakeholders...

Quebec, CARemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$78K - $119K *

Advance state government affairs by managing legislative tracking and advocacy efforts. Collaborate with cross-functional teams to support kidney care policy initiatives, ensuring timely communication...

RemoteRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Lead the charge in managing a high-performing team of Field Reimbursement Managers, ensuring operational excellence and client satisfaction while fostering a culture of development, accountability, an...

Morrisville, NCRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$85K - $115K *

Transform clinical trial operations by leading a high-performing team, ensuring efficient RFP reviews and testing requirements. Collaborate cross-functionally to drive business objectives and enhance...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $100K *

Empower our team by overseeing clinical trial activities, managing resources, and ensuring compliance with established procedures. Collaborate with cross-functional teams to drive operational excellen...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Transform healthcare research by leading strategic projects and enhancing content quality. Leverage your expertise to drive operational improvements and collaborate with cross-functional teams to opti...

New York, NYRemote

1 week ago

  •   5 - 7 years exp.  •   Consumer Technology

$160K - $190K *

Join a team that's redefining the Umbrella line of business by overseeing P&L, driving innovative strategies, and collaborating across departments to achieve profitable growth and enhance customer sat...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$80K - $155K *

Partner with us to drive strategic marketing initiatives and secure new business opportunities. Leverage your expertise to enhance agency relationships, achieve sales targets, and conduct market analy...

RemoteRemote

Reposted 6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$150K - $180K *

Shape the future by aligning business objectives with technology investments. Drive Agile transformation, enhance customer satisfaction, and lead product teams to deliver innovative solutions that mee...

Somerville, MARemote

Today

  •   8 - 10 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.