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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
More
1
caret down

$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...

Ontario, CARemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

Houston, TXRemote

4 weeks ago

  •   5 - 7 years exp.  •   Technical Services

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

Texas, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

Upton, NYRemote

1 week ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$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...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Information Technology

$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...

Newark, NJRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

Huntsville, ALRemote

1 week ago

  •   Less than 5 years exp.  •   Aerospace & Defense

$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...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Hartford, CTRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

Arizona, USRemote

1 week ago

  •   Less than 5 years exp.  •   Legal & Accounting

$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...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

CanadaRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Education, Government & Non-Profit

$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...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Jersey City, NJRemote

4 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Information Technology

$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...

Raleigh, NCRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

Philadelphia, PARemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$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...

United StatesRemote

2 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$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...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$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...

RemoteRemote

3 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$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...

RemoteRemote

6 days ago

  •   5 - 7 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.