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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$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...

Illinois, USRemote

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

Illinois, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

RemoteRemote

Reposted 5 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Enterprise Technology

$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...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$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...

Blue Bell, PARemote

Today

  •   Less than 5 years exp.  •   Healthcare

$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...

RemoteRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$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...

RemoteRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$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...

North Dakota, USRemote

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$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...

RemoteRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

Orlando, FLRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

United StatesRemote

1 week ago

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

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Information Technology

$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...

Durham, NCRemote

1 week ago

  •   Less than 5 years exp.  •   Aerospace & Defense

$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...

Vernon Hills, ILRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Chicago, ILRemote

3 weeks ago

  •   8 - 10 years exp.  •   Business Services

$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...

Florida, USRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

Minnesota, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

4 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

United StatesRemote

Yesterday

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$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...

Bothell, WARemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Washington, DCRemote

2 days ago

  •   5 - 7 years exp.  •   Information Technology

$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...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

RemoteRemote

1 week 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.