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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$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...

Texas, USRemote

1 week ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$110K - $130K *

Deliver expert advisory services to life sciences firms, optimizing government pricing strategies and ensuring compliance. Collaborate with clients to support project execution and drive impactful out...

Philadelphia, PARemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$220K - $270K *

Join a team that's shaping the future of renewable energy finance by managing complex transactions and driving innovative legal solutions. Collaborate cross-functionally to optimize processes and enha...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $125K *

Drive success by managing the full subcontract lifecycle, ensuring compliance and collaboration with project teams to support federal, state, and local contracts in a dynamic environment...

Arlington, VARemote

5 days ago

  •   8 - 10 years exp.  •   Technical Services

$120K - $150K *

Lead organizational change initiatives, driving employee adoption and engagement through strategic communication and training. Collaborate with leaders to assess readiness, mitigate resistance, and en...

Ohio, USRemote

1 week ago

  •   11 - 15 years exp.  •   Finance & Insurance

$185K - $252K *

Empower innovation in pharmacovigilance technology by owning the DSPV roadmap, collaborating across teams, and ensuring robust safety systems to elevate compliance and analytics capabilities...

New Jersey, USRemote

Reposted 5 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$83K - $124K *

Join a dynamic team to drive business solutions across complex initiatives. Collaborate with stakeholders, lead requirement gathering, and ensure project success throughout the development life cycle...

Providence, RIRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Explore a dynamic role promoting innovative products to community practices and health systems. Build and maintain relationships across various medical departments while driving sales and providing es...

Chicago, ILRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$100K - $120K *

Drive impactful oncology reimbursement strategies through hybrid engagement, balancing virtual support with essential in-field interactions across healthcare providers to enhance access to critical th...

New York, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$88K - $110K *

Unlock growth by owning the TPA/PEO sales strategy, managing complex accounts, and driving revenue across diverse deal sizes. Collaborate with cross-functional teams to deliver tailored solutions and...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Enterprise Technology

$110K - $130K *

Drive client success by managing relationships, enhancing satisfaction, and identifying growth opportunities. Collaborate with internal teams to deliver exceptional service and exceed client expectati...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Support project management by coordinating study documentation, mentoring team members, and ensuring compliance. Leverage expertise in clinical research to enhance study start-up and execution, while...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$108K - $180K *

Join us in leading product strategy and execution for a diverse portfolio, enhancing Provider Contracting and Credentialing. Collaborate with cross-functional teams to drive innovation, improve custom...

RemoteRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Advance clinical operations by leading a team of coordinators, ensuring efficient coverage determinations and appeals. Foster professional growth while managing day-to-day activities and resolving esc...

Las Vegas, NVRemote

4 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$248K - $373K *

Empower your career by leading clinical reviews and adjudications for appeals and grievances. Collaborate with medical directors and enhance quality management while working remotely to tackle complex...

Cypress, CARemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$77K - $116K *

Shape the future of health insurance sales by driving membership growth through effective training, relationship management, and strategic broker engagement. Collaborate with local agencies and partne...

Houston, TXRemote

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Engage with a dynamic CRO to oversee clinical monitoring and enhance site performance. Foster relationships, ensure compliance with regulations, and lead a team in delivering quality outcomes in clini...

RemoteRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$95K - $115K *

Unlock operational excellence by optimizing revenue processes and enhancing client experiences. Collaborate with cross-functional teams to drive growth, efficiency, and data-driven decision-making thr...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Information Technology

$97K - $180K *

Pioneer innovative business transformation by leading teams, optimizing processes, and driving accountability. Build a high-performance culture committed to quality and continuous improvement, fosteri...

Columbus, OHRemote

Reposted today

  •   8 - 10 years exp.  •   Finance & Insurance

$262K - $277K *

Champion the future of employment law by leading litigation and advising employers on complex legal matters. Leverage your expertise to navigate diverse cases and foster a collaborative environment wh...

Seattle, WARemote

2 weeks ago

  •   8 - 10 years exp.  •   Legal & Accounting

$80K - $100K *

Take ownership of client-facing projects, ensuring alignment with objectives and operational excellence. Collaborate cross-functionally to drive continuous improvement while managing client relationsh...

Overland Park, KSRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$98K - $163K *

Optimize federal grants management operations by assessing processes, identifying inefficiencies, and delivering actionable recommendations. Collaborate with stakeholders to enhance program outcomes a...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Business Services

$150K - $180K *

Unlock potential by driving sales through lead generation and collaboration. Engage with prospects, utilize CRM tools, and achieve quarterly goals while participating in trade shows. Join a dynamic te...

Gainesville, GARemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$129K - $177K *

Join a team that's shaping innovative pricing strategies for Medicare Advantage products. Collaborate cross-functionally to analyze market data, establish financial metrics, and drive profitable growt...

United StatesRemote

Reposted 6 days ago

  •   Less than 5 years exp.  •   Healthcare

$113K - $197K *

Shape the future of healthcare by leading AI initiatives that enhance operations and patient outcomes. Drive innovation, mentor teams, and establish technical standards across machine learning, NLP, a...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

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.