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.
$110K - $181K *
Empower our Database Engineering team by leading the design, implementation, and support of enterprise PostgreSQL environments, ensuring high availability, security, and performance across cloud and o...
2 days ago
Clinical Sales Specialist (Chicago, IL)
$80K - $95K *
Unlock potential by driving revenue growth through clinical education and procedural support in the cardiovascular and endovascular sectors. Collaborate with sales teams to enhance product adoption an...
1 week ago
$200K - $250K *
Take ownership of regional growth by identifying opportunities, expanding commercial lines through strategic hiring, and enhancing partnerships. Leverage market expertise and leadership to drive clien...
Reposted 5 days ago
$105K - $125K *
Engage in a dynamic product role, driving AI-assisted development from concept to delivery. Collaborate with cross-functional teams to enhance workforce analytics, ensuring customer needs shape produc...
Today
Manager, Government Contracts & Compliance
$80K - $95K *
Drive compliance and contract administration for federal government contracts. Collaborate with cross-functional teams to ensure adherence to regulations, manage audits, and maintain records. Shape pr...
2 days ago
$80K - $95K *
Elevate clinical trial excellence by monitoring and analyzing complex data, ensuring compliance and patient safety while collaborating with investigators to drive innovative treatments forward...
Today
$91K - $114K *
Drive clinical trial success by monitoring and analyzing data, ensuring compliance and patient safety while collaborating with site staff to advance innovative treatments and therapies...
Yesterday
$91K - $114K *
Transform clinical trials by conducting site visits, ensuring compliance, and collaborating with teams to enhance patient safety and data integrity, while contributing to innovative treatments and the...
Yesterday
Senior Director - Long Term Care - North Dakota
$125K - $150K *
Lead operations and strategic planning in long-term care, ensuring compliance and quality while enhancing resident experiences across multiple locations. Collaborate with staff for operational stabili...
Reposted today
$100K - $120K *
Unlock potential by managing clinical trial engagement and strategic relationships with investigators. Drive enrollment and data delivery through proactive strategies and insights while collaborating...
4 weeks ago
$100K - $120K *
Elevate clinical trial success by engaging investigators and optimizing strategies. Leverage strong relationships to drive enrollment in Neurology trials while managing data integrity and operational...
4 weeks ago
Supervisor, Compensation Service
$85K - $95K *
Lead the charge in overseeing a dynamic Compensation Team, ensuring compliance and optimal performance in payroll services, cost estimates, and client engagements while fostering team development and...
1 week ago
Medical Review Nurse - Commercial DME Auditor
$80K - $95K *
Transform healthcare auditing by conducting thorough medical claims reviews. Collaborate with a dynamic team to ensure compliance and improve processes while working remotely in a fast-paced environme...
1 week ago
Research Economist - U.S. Health Policy
$114K - $140K *
Engineer innovative health care delivery policies through quantitative analysis, leading projects that influence Medicare and Medicaid systems. Collaborate with multidisciplinary teams to evaluate and...
1 week ago
$66K - $106K *
Help us drive sales growth as an Inside Sales Specialist, engaging with customers across diverse markets. This role offers a chance to develop consultative selling skills and collaborate with teams to...
3 days ago
Consulting Director - Healthcare Revenue Cycle
$185K - $225K *
Accelerate your career by leading revenue cycle improvements for healthcare organizations. Drive compliance, enhance financial performance, and foster collaborative teams to achieve impactful client o...
3 weeks ago
$130K - $155K *
Lead the development of innovative Generative AI solutions, overseeing end-to-end processes from design to deployment. Collaborate with cross-functional teams to enhance enterprise systems and ensure...
1 week ago
Client Relationship Manager, Client Services - Retirement
$90K - $110K *
Help us enhance client relationships by managing elite advisor plans, ensuring exceptional service and retention. Collaborate with internal teams to deliver tailored solutions and drive client satisfa...
3 weeks ago
$94K - $179K *
Lead quality initiatives by optimizing test strategies and automation processes. Collaborate with cross-functional teams to ensure high-quality software delivery while mentoring engineers and driving...
4 days ago
Senior Project Manager - U.S. Healthcare Programs
$110K - $130K *
Champion the end-to-end management of complex healthcare programs, ensuring operational readiness and compliance. Collaborate with teams and clients to drive successful implementations while maintaini...
Yesterday
Senior Project Manager - U.S. Healthcare Programs
$110K - $130K *
Lead complex healthcare project initiatives, ensuring successful implementation and operational readiness while maintaining high standards of governance. Foster strong partnerships with clients, manag...
Reposted 3 weeks ago
Senior Specialist, Health Plan Quality Program Management & Performance (RN) - Remote
$80K - $95K *
Shape the future of quality management by providing senior clinical support, driving initiatives, audits, and compliance activities to enhance member care and ensure safety and efficiency in healthcar...
1 week ago
$80K - $95K *
Join a team that's shaping the future of recruiting in a fast-paced startup. You'll own the full-cycle hiring process for both technical and non-technical roles, collaborating closely with leadership...
2 days ago
Economics Specialist -Markets - REMOTE or in-person in Columbus, OH
$79K - $148K *
Join a team that's dedicated to transforming complex economic data into actionable insights. As an Economics Specialist, you'll support macroeconomic research and analysis, collaborating with senior e...
3 weeks ago
Wholesale Payments Virtual Payments Consultant
$80K - $95K *
Drive consultative sales of Payments Solutions, fostering client relationships and managing portfolios to achieve revenue growth. Collaborate with internal partners to deliver tailored financial solut...
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.