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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$69K - $101K *

Grow your career with a dynamic team providing holistic clinical care management services. Collaborate with diverse populations to enhance health outcomes through assessment, care planning, and coordi...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$111K *

Unlock potential by leading Clinical Documentation Integrity operations, enhancing physician engagement, and driving performance improvement. Collaborate with diverse teams to ensure compliance and op...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$82K - $95K *

Advance your career by supporting Medicare operations through data analysis, compliance, and stakeholder collaboration. Utilize your expertise to drive insights and enhance enrollment processes while...

California, USRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Engage in a leadership role overseeing professional coding operations, ensuring compliance and quality control. Collaborate with medical staff to enhance documentation and coding accuracy while managi...

Hyannis, MARemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$92K - $115K *

Unlock potential by leading requirements documentation for software projects. Collaborate with stakeholders and technical teams to ensure successful delivery throughout the project lifecycle, while su...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$171K - $286K *

Join a team that's at the forefront of specialty finance, analyzing credit risk and shaping innovative insurance solutions to drive business success while collaborating with investment experts and ext...

Columbus, OHRemote

Reposted 1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$160K - $200K *

Lead the charge in shaping Stedi's litigation strategy, driving affirmative disputes and regulatory actions to protect and expand our operational freedom in the healthcare sector. Collaborate with lea...

United StatesRemote

3 weeks ago

  •   11 - 15 years exp.  •   Enterprise Technology

$90K - $113K *

Empower your career by tackling complex billing disputes and fraud issues. This role blends financial investigation with strategic negotiation, requiring data analysis and project management to resolv...

CanadaRemote

1 week ago

  •   8 - 10 years exp.  •   Transportation

$135K - $225K *

Accelerate fraud detection and prevention strategies globally, collaborating across teams to protect customers and the brand. Drive innovative solutions while ensuring timely service for patients in n...

RemoteRemote

1 week ago

  •   11 - 15 years exp.  •   Healthcare

$180K - $220K *

Manage strategic partnerships with C-suite executives in healthcare, driving enterprise adoption of precision medicine solutions. Collaborate across teams to implement and scale initiatives, ensuring...

North Carolina, USRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$66K - $145K *

Grow your career with a leadership role overseeing regulatory information requests, ensuring compliance and timely responses across multiple business lines while managing a dedicated team and collabor...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$70K - $100K *

Join a team that's committed to financial excellence, ensuring accuracy and compliance in accounting operations. Lead month-end closes, enhance reporting, and drive process improvements while mentorin...

United StatesRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Transform patient safety operations by leading a dedicated team, ensuring compliance, and enhancing pharmacovigilance processes. Collaborate cross-functionally to deliver high-quality safety services...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Drive governance and controllership for LTC actuarial models, ensuring compliance and effective controls. Collaborate with cross-functional teams to enhance processes and documentation, supporting mod...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$150K - $180K *

Innovate healthcare delivery by serving as a clinical liaison, translating partner needs into actionable insights for chronic care and telehealth programs, impacting thousands of patients nationwide t...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$195K - $256K *

Elevate clinical quality assurance by designing and executing strategies for compliance, audit management, and oversight of global clinical operations. Collaborate with stakeholders to ensure adherenc...

United StatesRemote

1 week ago

  •   11 - 15 years exp.  •   Pharmaceuticals & Biotech

$138K - $173K *

Transform the future of banking by leading program management for Bank Charter Readiness. Collaborate across teams to enhance fraud, disputes, and risk operations, utilizing data-driven insights for c...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$77K - $116K *

Help us conduct compensation analyses and design total compensation programs, ensuring high-quality client experiences through data-driven insights and collaborative solutions in a dynamic, remote env...

Ohio, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Join a team that's dedicated to enhancing oncology reimbursement support through a hybrid role, combining virtual engagement with essential in-field interactions. You'll drive provider partnerships an...

Illinois, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$95K - $115K *

Unlock potential by effectively engaging with healthcare providers through both virtual and in-person interactions, ensuring optimal reimbursement support and education while managing territory-based...

Florida, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Shape the future of oncology access by providing hybrid support and engagement to healthcare providers. Balance virtual account management with in-field interactions to foster relationships and enhanc...

California, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$95K - $115K *

Drive engagement through a hybrid model by managing virtual and field support for oncology reimbursement, ensuring effective communication and strategic partnerships with healthcare providers across d...

Texas, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Join us to lead the development and execution of clinical study designs, ensuring effective project management and collaboration across teams. Your expertise will drive the success of clinical trials...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Staffing

$139K - $184K *

Lead regulatory compliance programs ensuring inspection readiness and proactive risk management across cross-functional teams. Monitor compliance health, manage data quality, and drive improvements al...

United StatesRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$103K - $197K *

Empower AI delivery by managing backlogs, guiding teams, and ensuring compliance across multiple delivery methodologies, while collaborating with stakeholders to drive business value and streamline pr...

Plano, TXRemote

1 week ago

  •   5 - 7 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.