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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$160K - $192K *

Lead the charge in driving commercial performance by engaging healthcare providers, building relationships, and executing territory business plans to ensure patient access to innovative therapies and...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$134K - $230K *

Elevate your career by leading rebate strategy and operational governance for manufacturer-funded programs. Drive cross-functional collaboration and ensure financial accountability through strategic o...

Draper, UTRemote

Reposted 3 days ago

  •   8 - 10 years exp.  •   Healthcare

$100K - $120K *

Elevate project outcomes by leading cross-functional teams to deliver clinical research projects on time and within budget, ensuring compliance with regulatory standards and client expectations while...

United StatesRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Lead the charge in enhancing clinical documentation practices across the health system. Collaborate with multidisciplinary teams to ensure compliance, provide education, and drive continuous improveme...

Hialeah, FLRemote

4 weeks ago

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

$164K - $213K *

Accelerate progress at the forefront of regulatory affairs, leading CMC strategy and submissions for development and post-approval programs across the EMEA region. Collaborate cross-functionally to en...

New Jersey, USRemote

Reposted 5 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$156K - $290K *

Join a team that's dedicated to driving revenue and enhancing performance through effective leadership and strategic project management in the Capital Equipment Solutions Consulting sector...

Irving, TXRemote

Reposted 3 days ago

  •   8 - 10 years exp.  •   Healthcare

$81K - $121K *

Help us expand our team by recruiting independent insurance agents nationwide. You will utilize established processes to drive agent onboarding, enhance talent sourcing, and build relationships with f...

Carmel, INRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$100K - $120K *

Champion client success by building strategic partnerships, driving engagement, and ensuring measurable outcomes. Leverage strong relationship skills to enhance client satisfaction and retention while...

Columbia, SCRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Join a team that's dedicated to enhancing client relationships and driving success. Oversee client performance, mentor staff, and ensure compliance while collaborating with various departments to deli...

United StatesRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Champion client success by overseeing relationships, ensuring operational excellence, and mentoring teams to exceed expectations. Utilize analytics to drive performance and resolve issues, fostering c...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Unlock potential by overseeing clinical trials, ensuring compliance with protocols and regulations. Collaborate with investigators and coordinators to protect participant rights and verify data integr...

United StatesRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$60K - $132K *

Champion operational excellence by coordinating teams to enhance efficiency, manage resources, and drive process improvements. Collaborate across functions to meet business objectives and foster a cul...

Texas, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$54K - $119K *

Lead the charge in optimizing operational efficiency by coordinating cross-functional teams, managing resources, and driving process improvements to enhance service delivery and achieve business objec...

Kentucky, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$82K - $128K *

Shape data-driven strategies by developing and automating analytics solutions. Collaborate with cross-functional teams to enhance reporting capabilities and optimize operational performance in a dynam...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $85K *

Drive business performance through financial analysis and strategic insights. Collaborate with cross-functional teams to evaluate profitability, support budgeting, and identify opportunities for reven...

United StatesRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join a team that's transforming eDiscovery by consulting with clients and leveraging Relativity. As a Project Manager, you'll coordinate solutions, manage documentation, and ensure client objectives a...

Overland Park, KSRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$58K - $125K *

Accelerate progress at the intersection of finance and strategy, driving cost accounting excellence and profitability analysis. Collaborate with cross-functional teams to enhance financial reporting a...

RemoteRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$71K - $90K *

Optimize pricing strategies and underwriting analytics for value-based care partnerships, collaborating with cross-functional teams to translate data into actionable insights and support growth initia...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$98K - $167K *

Elevate your career by leading measurement practices across Claims. Collaborate with business and analytics teams to ensure accurate data-driven decisions, while providing consultative expertise and f...

Illinois, USRemote

Reposted 6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$97K - $180K *

Shape the future of business transformation by leading User Acceptance Testing (UAT) initiatives. Collaborate with stakeholders to define testing objectives, develop comprehensive scenarios, and ensur...

California, USRemote

Today

  •   8 - 10 years exp.  •   Finance & Insurance

$89K - $134K *

Elevate your career by providing expert medical insights and support for disability claims. Collaborate with analysts and medical professionals to ensure thorough evaluations and effective communicati...

Wisconsin, USRemote

3 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$160K - $192K *

Lead the charge in driving commercial performance by engaging healthcare providers, building relationships, and executing territory business plans to ensure patient access to innovative therapies and...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$160K - $200K *

Drive Corporate Relations revenue growth by leading strategic partnerships and a high-performing team. Cultivate executive relationships, manage multi-million-dollar targets, and align market strategi...

Alameda, CARemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$95K - $120K *

Transform risk management strategies at a senior level, providing expert evaluations and collaborative support across multiple commercial lines to enhance profitability and retention while driving saf...

Pekin, ILRemote

Today

  •   5 - 7 years exp.  •   Finance & Insurance

$62K - $104K *

Optimize audit operations by leading complex client and regulatory audits. Collaborate across teams to ensure compliance, manage timelines, and enhance processes. Drive improvements while maintaining...

RemoteRemote

Today

  •   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.