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.
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.
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.
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.
$80K - $95K *
Join a team that's dedicated to optimizing privacy management processes and compliance technology. This role supports platform administration, user engagement, and operational improvements, ensuring e...
2 weeks ago
$67K - $182K *
Lead a high-performing underwriting team to drive profitable growth and deliver customer-focused solutions in Medicare underwriting across multiple segments. Collaborate with cross-functional partners...
2 weeks ago
Sr. Analyst, Revenue Integrity, Procedural Supply Governance
$85K - $100K *
Join a dynamic team to enhance revenue integrity through charge capture analysis, compliance, and strategic audits. Collaborate with clinical departments to ensure accuracy and efficiency in financial...
Yesterday
Account Specialist, Lafayette, IN
$160K - $192K *
Drive commercial performance by engaging healthcare providers and executing territory plans. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative...
1 week ago
Senior Inside Sales Account Manager
$80K - $95K *
Develop and lead the skill enhancement of Inside Sales Executives to meet new business quotas. Collaborate with management to ensure operational excellence and drive team performance through effective...
2 weeks ago
$141K - $234K *
Transform healthcare analytics by leveraging advanced statistics and machine learning to uncover insights from complex datasets. Collaborate with experts to innovate and develop data-driven solutions...
Reposted 3 weeks ago
$110K - $130K *
Join a dynamic team to coordinate technical specialists, manage project workflows, and ensure timely delivery of quality solutions. Collaborate with management and troubleshoot issues while optimizing...
5 days ago
$80K - $95K *
Join a team that's dedicated to enhancing client experiences through exceptional facility management. Oversee multiple locations, collaborate on strategic initiatives, and ensure a welcoming atmospher...
Today
Utilization Management Nurse Consultant
$108K - $155K *
Make your mark at the forefront of patient care by leveraging your RN expertise in Utilization Management. Collaborate with healthcare teams to ensure optimal treatment plans and improve healthcare ou...
Today
AVP Clinical Documentation (Orchestration Works)
$150K - $250K *
Unlock potential by leading innovative clinical documentation initiatives that enhance quality, compliance, and revenue cycle outcomes. Collaborate with cross-functional teams to redefine workflows an...
1 week ago
$90K - $110K *
Lead the charge in optimizing business processes and technology solutions, serving as the primary liaison between stakeholders and technical teams to enhance operational efficiency and customer experi...
2 weeks ago
Clinical Specialist - Kansas City/Oklahoma City - Bracco Medical Technologies
$138K - $149K *
Transform healthcare delivery by integrating advanced technology in cardiac labs. Collaborate with medical professionals to ensure optimal equipment usage, drive product adoption, and enhance patient...
1 week ago
$110K - $130K *
Elevate your legal career by supporting diverse commercial agreements and compliance matters. Collaborate with stakeholders, manage multiple priorities, and leverage your expertise in software licensi...
2 weeks ago
$112K - $225K *
Champion the future of risk management by leveraging your actuarial expertise in a remote role focused on regulatory consulting, pricing, reserving, and reinsurance strategies, while advancing your pr...
Reposted 1 week ago
Account Executive, Risk Management
$100K - $120K *
Unlock client success by managing complex Risk Management accounts, coordinating teams, and driving service delivery. Collaborate with clients to ensure expectations are met and explore opportunities...
2 weeks ago
Rare Disease Account Specialist - CAH, North East
$135K - $186K *
Inspire change by leading strategic relationships in the healthcare sector, focusing on rare disease management. Drive sales and education initiatives while collaborating with key stakeholders to enha...
3 days ago
Case Review Manager - Independent Reviews (IRO/UR)
$85K - $95K *
Oversee the quality assurance of case reviews, ensuring accuracy and completeness in documentation while collaborating with clinicians to uphold high standards in healthcare determinations and workflo...
Yesterday
Manager, Palliative Care (IKC)
$78K - $119K *
Lead the charge in enhancing palliative care operations, ensuring high-quality support for patients with advanced chronic illnesses. Collaborate with diverse teams to improve care coordination and pat...
Today
Regional Business Director - Maryland/DC
$180K - $210K *
Drive growth by leading a dynamic sales team in the oncology sector, focusing on strategy execution, client relationships, and market insights to achieve revenue targets and enhance service delivery...
1 week ago
AVP, Dealer Relationship Manager - Gainesville, FL
$76K - $127K *
Empower dealerships by building strong partnerships, driving loan originations, and delivering exceptional service. This role requires proactive engagement and expertise in auto finance to enhance dea...
Reposted 3 weeks ago
$109K - $140K *
Shape the future of project estimating by leading comprehensive cost analyses, collaborating with diverse teams, and driving strategic initiatives to enhance project success and client relationships i...
Yesterday
$124K - $223K *
Transform territory management by leading sales initiatives, building client relationships, and collaborating cross-functionally to achieve growth and profitability targets in the healthcare sector...
2 weeks ago
Senior Regulatory Affairs Consultant - Regulatory Project Manager
$120K - $145K *
Join a team that shapes global regulatory strategy in a fast-paced environment. You will lead comprehensive regulatory plans, ensuring alignment and execution from development to post-marketing, impac...
Reposted 2 days ago
Director of Reimbursement & Regulatory Analysis
$125K - $150K *
Optimize reimbursement strategies and regulatory compliance by leading analysis, developing policies, and mentoring teams. Drive operational excellence and foster relationships with stakeholders to en...
Today
$89K - $133K *
Take ownership of the denial management process, analyzing claims and collaborating with clinical and financial teams to ensure timely reimbursement and compliance. Leverage your nursing expertise to...
1 week ago
What does a Claims Specialist do?
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?
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?
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?
Yes. Ladders features vetted professional jobs paying $100,000 or more, including Claims Specialist opportunities when available.