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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$88K - $154K *

Shape the future of contract administration by leading complex negotiations, ensuring compliance, and mitigating risks. Collaborate with cross-functional teams to drive successful outcomes in high-sta...

United StatesRemote

1 week ago

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

$66K - $106K *

Elevate your career by leading a dynamic team focused on investigating and resolving fraud, waste, and abuse. Drive quality objectives, mentor team members, and ensure timely case development while co...

United StatesRemote

Reposted today

  •   5 - 7 years exp.  •   Aerospace & Defense

$78K - $119K *

Transform your career by leading a team of Analysts to drive data-driven insights that enhance revenue cycle performance and foster collaboration across departments for impactful business solutions...

Fayette, ALRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$77K - $95K *

Engage in comprehensive governance, risk, privacy, and compliance support by coordinating initiatives that meet regulatory standards while enhancing robust cross-functional partnerships across technol...

United StatesRemote

Reposted 4 days ago

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

$80K - $95K *

Unlock potential as you partner with sales to guide customers through complex challenges in supplier onboarding and payment validation, translating insights into tailored solutions and impactful demon...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$91K - $137K *

Shape the future of clinical research by managing site operations, ensuring patient safety, and maintaining data integrity. Collaborate with study teams to oversee monitoring activities and drive succ...

United StatesRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$91K - $137K *

Empower your career by managing clinical research sites, ensuring patient safety, and maintaining data integrity. Collaborate with teams to oversee study implementation and monitoring, while enhancing...

United StatesRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Unlock your potential by leading the strategic pricing and risk management efforts for homeowners and auto products. Drive profitable growth while ensuring compliance, leveraging cross-functional coll...

United StatesRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$79K - $127K *

Unlock insights into medical cost trends by leveraging data analytics. Collaborate with cross-functional teams to develop strategic recommendations, track program outcomes, and present findings clearl...

RemoteRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Join a team that's dedicated to enhancing clinical operations through strategic site identification and management. Leverage your expertise to build relationships, track project timelines, and contrib...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$94K - $155K *

Drive sales growth by managing agency relationships, implementing strategies, and leveraging data analytics to optimize performance and profitability in the Personal Insurance sector. Collaborate with...

Orlando, FLRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$197K - $328K *

Shape the future of pharmacy network operations by leading a team of attorneys, providing strategic legal counsel on regulatory, operational, and transactional matters within the PBM landscape, while...

RemoteRemote

Reposted 6 days ago

  •   8 - 10 years exp.  •   Healthcare

$119K - $186K *

Champion the evolution of global AI governance and responsible data practices, ensuring compliance with regulations while driving operational efficiencies across cross-functional teams in a dynamic en...

RemoteRemote

Today

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Champion quality assurance in healthcare claims processing by leading a QA team, driving automation, and ensuring accurate claims adjudication and payment according to regulatory standards. Enhance yo...

Chicago, ILRemote

3 weeks ago

  •   8 - 10 years exp.  •   Enterprise Technology

$67K - $149K *

Partner with us to lead a dynamic team in financial analysis and underwriting, driving innovative PBM pricing strategies. Your expertise will shape key decisions, enhance client relationships, and fos...

Kentucky, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$240K - $260K *

Join a team that's dedicated to providing expert legal guidance in consumer loan servicing. Leverage your extensive experience to support compliance, risk management, and operational strategies while...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Energy & Utilities

$112K - $193K *

Manage capital portfolio activities, driving strategy and benefit realization through collaboration with finance and technology leaders. Ensure investments are prioritized and governed, enhancing deci...

Eden Prairie, MNRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $165K *

Unlock your potential in a dynamic litigation environment, engaging directly with clients while enjoying flexible work arrangements. Join a supportive team that fosters professional growth and offers...

Wilmington, DERemote

2 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$115K - $185K *

Lead the charge in optimizing hospital accounts receivable operations, driving cash acceleration, reducing denials, and enhancing revenue realization through strategic partnerships and data-driven dec...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$120K - $180K *

Drive the modernization of Veterans Benefits Administration claims processing by designing and optimizing scalable data pipelines and solutions, ensuring efficient data integration and analytics for i...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Business Services

$80K - $95K *

Join a team that's committed to enhancing healthcare efficiency as a Business Systems Analyst. Analyze processes and develop technological strategies that drive performance and cost-efficiency while s...

Miami, FLRemote

Reposted 4 days ago

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

$93K - $179K *

Empower operational excellence by providing advanced technical support for critical applications. Collaborate with cross-functional teams to troubleshoot issues, enhance system performance, and ensure...

San Antonio, TXRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $130K *

Unlock potential by managing complex assignments in insurance restoration, leading a global team to deliver exceptional service, oversee project management, and ensure high-quality reporting for clien...

Quebec, CARemote

2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$70K - $140K *

Lead the charge in enhancing our Partner ecosystem by managing relationships and driving growth initiatives. Oversee onboarding, operations, and support for System Integrators while implementing autom...

United StatesRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$120K - $145K *

Shape the future of data governance by leading a team to manage third-party data compliance, ensuring operational excellence and regulatory adherence while fostering collaboration across business unit...

United StatesRemote

Today

  •   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.