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.
$127K - $203K *
Transform your career by leading regional operations, driving growth, and mentoring teams. Oversee strategic initiatives, manage budgets, and cultivate relationships to achieve business objectives whi...
1 week ago
Senior Clinical Surveyor - Healthcare
$90K - $100K *
Join a dynamic healthcare survey team to ensure compliance with standards across the U.S. This role involves independent travel, analysis, and effective communication with healthcare organizations to...
4 weeks ago
Account Specialist, Olympia, WA
$160K - $192K *
Drive commercial performance by engaging healthcare providers and executing territory plans. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative...
1 week ago
Sr. Technical Dealer Support Specialist
$64K - $133K *
Engage as a Senior Technical Support Specialist, providing expert assistance and resolving complex issues for internal and external customers while enhancing team effectiveness through training and kn...
3 weeks ago
$91K - $160K *
Lead the charge in procurement excellence, ensuring compliance and best value for the Lab's operations. Collaborate with cross-functional teams to manage complex contracts and support socio-economic i...
1 week ago
Business Data Analyst (Remote)
$100K - $140K *
Transform data into actionable insights by collaborating with leadership to analyze, visualize, and communicate findings. Leverage expertise in business intelligence tools to enhance decision-making f...
6 days ago
Director, Actuary Group Disability
$158K - $238K *
Transform your expertise into actionable insights by leading analysis and pricing strategies for group disability products. Shape the future of our portfolio through innovative methodologies and colla...
Reposted 3 weeks ago
Document Ctrl Specialist II (SRM - CM2) (Remote Option Available)
$71K - $96K *
Optimize technical documentation processes for the Solid Rocket Motor program, ensuring accuracy and compliance. Collaborate with engineering teams to gather data, maintain product information, and pr...
1 week ago
$80K - $95K *
Empower growth by developing strategic relationships with biotech and pharma clients. Drive market awareness and increase RFPs through collaboration with the business development team, leveraging your...
1 week ago
Credit Risk Finance Consultant
$102K - $154K *
Transform credit risk analysis by conducting in-depth financial reviews and collaborating with business leaders to enhance processes and drive growth. Leverage technology and AI solutions to assess cr...
3 weeks ago
Director, Practice Development
$125K - $150K *
Drive strategic growth by managing client accounts and expanding market share. Collaborate with internal teams to deliver tailored solutions and ensure client satisfaction while mentoring team members...
1 week ago
$110K - $125K *
Join a team that's driving innovation in billing and data platforms. As a Senior Product Owner, you'll lead agile delivery, manage complex features, and ensure high-quality releases while collaboratin...
4 weeks ago
$110K - $125K *
Champion the delivery of innovative solutions across Billing and Data platforms. Leverage your expertise to drive product ownership, manage Agile processes, and ensure high-quality releases while coll...
4 weeks ago
Advisor II, Health Supply Chain, Continuity of Integrated Health Services (CIHS) Project
$80K - $95K *
Empower global health initiatives by enhancing supply chain systems across multiple countries. Collaborate with teams to ensure compliance, efficiency, and capacity building in logistics and procureme...
2 weeks ago
$93K - $120K *
Join a dynamic team as you manage clinical data throughout study lifecycles, ensuring compliance and quality. Collaborate with cross-functional teams to drive data strategy and support innovative solu...
3 weeks ago
Senior Quality Operations Specialist, CAP & Monitoring
$74K - $98K *
Elevate quality operations by leading corrective action plans (CAPs) for regulatory compliance. Collaborate with cross-functional teams to drive accountability, resolve barriers, and ensure sustained...
3 weeks ago
$150K - $180K *
Drive the future of portfolio management by leading AI-enabled product strategies. Collaborate across teams to transform insights into actionable decisions, ensuring customer success and product adopt...
4 weeks ago
Audit Policy Analyst, Post-Acute Services
$80K - $95K *
Innovate post-acute payment integrity by developing and optimizing audit concepts for DME, home health, and infusion therapy claims. Collaborate cross-functionally to ensure compliance and enhance ope...
1 week ago
Area Manager Specialty Atlantic Region
$110K - $130K *
Drive business growth by promoting products, managing key accounts, and achieving sales targets. Build relationships with clients and KOLs while ensuring compliance with company policies and contribut...
1 week ago
$90K - $110K *
Elevate data accuracy by analyzing user queries and improving AI responses. Collaborate with Product Management, Data Science, and Engineering to ensure Prism delivers trustworthy insights, enhancing...
3 weeks ago
Managing Engineer, Data Engineering
$120K - $193K *
Drive innovation in data engineering by leading teams to design and deliver scalable data solutions. Collaborate with cross-functional partners to enhance analytics and decision-making, ensuring high...
3 weeks ago
Senior Director, Reimbursement (Oncology)
$227K - $313K *
Elevate your career by leading strategic reimbursement initiatives, optimizing revenue cycles, and collaborating with key stakeholders to enhance patient access and billing processes in a dynamic heal...
2 weeks ago
$66K - $106K *
Investigate complex cases of fraud in healthcare, collaborating with teams and agencies to analyze evidence, conduct interviews, and prepare reports. Ensure compliance with regulations while maintaini...
3 weeks ago
VP Business Development - Auto - Heavy Equipment Solutions
$150K - $180K *
Advance business growth by building strategic relationships and identifying client needs. Drive sales initiatives and ensure seamless implementation of client programs while meeting profit margins and...
3 days ago
Trade Compliance Manager, Master Data & Controls
$87K - $139K *
Optimize trade compliance processes by managing master data and ensuring regulatory readiness. Lead cross-functional collaboration to enhance data accuracy and streamline customs operations, driving e...
6 days ago
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.