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 *
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$195K - $244K *
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$80K - $95K *
Execute project development and implementation, managing budgets, schedules, and vendor tasks while ensuring quality standards and fostering collaboration across teams and clients...
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$95K - $110K *
Champion the growth of your sales career by sourcing leads, exceeding goals, and delivering exceptional customer service. Join a dynamic team that values ambition and offers comprehensive training for...
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$73K - $110K *
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$100K - $120K *
Elevate sustainability initiatives by leading client engagements in impact inventory, strategy development, and target tracking. Utilize analytical tools to transform sustainability challenges into ac...
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Cardiovascular Account Specialist - U.S. Sales, Pasadena, CA
$162K - $195K *
Deliver impactful sales strategies and cultivate strategic partnerships to launch a groundbreaking cardiac treatment in your territory, effectively addressing unmet patient needs while collaborating w...
4 weeks ago
$110K - $130K *
Shape legal strategies at the intersection of healthcare technology and compliance. Provide expert guidance on contracts, cybersecurity, and regulatory issues while managing risks and ensuring adheren...
3 weeks ago
$93K - $140K *
Champion operational excellence by managing enterprise project portfolios, ensuring effective budget management, resource allocation, and adherence to project governance. Drive transformational initia...
6 days ago
Detection Sales Specialist - Mid Atlantic Region
$84K - $110K *
Champion customer relationships and drive sales of multimode plate readers in the Mid Atlantic region. Leverage your expertise to develop strategies, manage key accounts, and enhance customer satisfac...
2 weeks ago
$94K - $107K *
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3 weeks ago
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$80K - $95K *
Join a team that's redefining clinical research! As a CRA, you'll build site relationships, ensure compliance, and drive patient recruitment while enjoying world-class training and technology. Experie...
2 weeks ago
Commercial Credit Associate - Dealer Commercial Services
$85K - $143K *
Engage actively in assessing credit risk for commercial clients, ensuring compliance and sound lending practices while collaborating closely with relationship managers to facilitate decision-making an...
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Manager, Medicaid Data (T-MSIS) and Payment Model Implementation - Remote
$112K - $193K *
Join a dynamic team to analyze Medicaid data and translate policy into actionable insights. Leverage your expertise in T-MSIS data and SQL to drive model operations, ensuring quality and accuracy in a...
1 week ago
Care Manager, RN - Health Access, ECM - Rancho Cucamonga (Remote)
$91K - $120K *
Join our dynamic Care Management team to enhance patient outcomes through effective care coordination. Leverage your clinical expertise in a person-centered approach, collaborating with healthcare tea...
4 weeks ago
Field Reimbursement Manager - Remote (Great Planes/Great Lakes)
$95K - $115K *
Lead initiatives to enhance patient access to medications by resolving reimbursement issues, educating healthcare providers, and collaborating with stakeholders to streamline billing and coding proces...
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$165K - $180K *
Transform your career by driving new customer acquisition in healthcare. Leverage your expertise to build C-suite relationships and lead complex sales processes, contributing to the growth of a dynami...
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Utilization Management Nurse Consultant - Medical Review (Remote)
$54K - $116K *
Empower patients by leveraging your clinical expertise as a Utilization Management Nurse Consultant. Collaborate with providers to ensure timely, medically necessary care through thorough clinical rev...
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Life and Annuities Product Strategist
$120K - $145K *
Engage with stakeholders to shape a visionary strategy for Life and Annuities platforms. Leverage your extensive insurance expertise to define requirements, analyze markets, and drive product innovati...
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Senior Project Manager (Neuroscience)
$122K *
Elevate your career by managing global projects in Neuroscience, ensuring compliance, budget adherence, and successful collaboration across cross-functional teams to drive milestone achievement and en...
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$80K - $95K *
Drive analytical excellence by auditing freight contracts and invoices, ensuring compliance and accuracy. Collaborate with teams to enhance audit processes and mentor junior analysts, contributing to...
1 week ago
Sponsored Projects Specialist, Pre-award
$68K - $120K *
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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.