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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1
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$80K - $95K *

Drive revenue cycle operations by managing processes from entry to adjudication. Lead teams, implement efficiencies, and ensure compliance while optimizing cash collections and performance metrics for...

United StatesRemote

Reposted 3 days ago

  •   Less than 5 years exp.  •   Healthcare

$195K - $244K *

Unlock your potential as a Global Regulatory Leader, driving regulatory strategy and submissions for CNS projects. Collaborate with cross-functional teams, mentor junior staff, and ensure compliance w...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$94K - $118K *

Unlock your potential by managing a comprehensive benefits program, ensuring compliance, and enhancing employee experience. Collaborate with cross-functional teams to streamline operations and support...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Enterprise Technology

$126K - $173K *

Join a dynamic team to drive process improvement and operational excellence. Lead cross-functional initiatives, optimize CRM processes, and enhance consumer experiences while ensuring compliance and s...

Kentucky, USRemote

3 days ago

  •   8 - 10 years exp.  •   Healthcare

$71K - $118K *

Accelerate progress at client relationships by driving sales growth, consulting on laboratory services, and exceeding targets to enhance patient care. Collaborate effectively with stakeholders while m...

RemoteRemote

Reposted 1 month ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Execute project development and implementation, managing budgets, schedules, and vendor tasks while ensuring quality standards and fostering collaboration across teams and clients...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$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...

RemoteRemote

5 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$73K - $110K *

Champion compliance excellence by managing HR programs, ensuring alignment with laws, and enhancing processes. Collaborate across teams to minimize risk and support organizational growth while navigat...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Retail & Consumer Goods

$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...

United StatesRemote

Reposted 3 days ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$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...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$93K - $140K *

Champion operational excellence by managing enterprise project portfolios, ensuring effective budget management, resource allocation, and adherence to project governance. Drive transformational initia...

RemoteRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$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...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$94K - $107K *

Support and enhance data governance operations by collaborating with teams to implement standards, manage data cataloging, and drive tool adoption, ensuring compliance and effective governance workflo...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

Reposted today

  •   Less than 5 years exp.  •   Finance & Insurance

$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...

Washington, DCRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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...

California, USRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Missouri, USRemote

Yesterday

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Technical Services

$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...

Missouri, USRemote

5 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

Reposted 2 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$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...

United StatesRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Business Services

$68K - $120K *

Join us to provide essential support in grant and contract administration, ensuring compliance and timely submissions. Collaborate with faculty and staff to develop proposals and budgets while maintai...

United StatesRemote

5 days ago

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

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.