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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$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

$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

$90K - $110K *

Grow your career with a pivotal role in credit risk analysis, ensuring effective underwriting decisions and risk management across portfolios. Collaborate independently with teams while providing over...

Miami, FLRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Energy & Utilities

$90K - $115K *

Lead the execution and optimization of email and SMS marketing channels, enhancing performance and compliance. Own end-to-end processes, from creative testing to analytics, while collaborating cross-f...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$104K - $143K *

Lead the charge in developing and delivering innovative technology solutions for managing Medicare/Medicaid plans. Collaborate with cross-functional teams to drive product vision, strategy, and execut...

RemoteRemote

Reposted 3 days ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Unlock potential by managing senior-level client relationships and navigating complex regulatory matters. Collaborate with compliance experts to deliver actionable solutions that enhance client operat...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$90K - $110K *

Unlock potential by driving new business sales in a dynamic, AI-enabled environment. Own your territory, create a robust pipeline, and engage sophisticated buyers to deliver consistent revenue growth...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Finance & Insurance

$131K - $209K *

Elevate your career as a senior director of implementation, driving complex projects and enhancing customer experiences. Collaborate across teams to optimize service delivery and influence strategic i...

Portland, ORRemote

Today

  •   8 - 10 years exp.  •   Finance & Insurance

$149K - $262K *

Drive strategic capital initiatives and risk management by analyzing results across diverse insurance products, presenting insights to senior leadership, and enhancing forecasting processes to support...

Columbus, OHRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$95K - $115K *

Join a dynamic national team to support complex asbestos litigation, collaborating with experienced attorneys on trial preparation, strategy, and client management across jurisdictions, while gaining...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$150K - $175K *

Transform your career by partnering with business teams in a dynamic legal environment. Leverage your commercial instincts and regulatory expertise to make an immediate impact across two brands in a f...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Food & Beverages

$140K - $170K *

Shape the future of healthcare market strategies by analyzing trends, defining growth initiatives, and collaborating cross-functionally to drive innovation in life science and medical services. Lead m...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$95K - $180K *

Drive impactful MSSP valuation and reserving, shaping healthcare's future through data-driven insights and cross-functional collaboration, ensuring financial clarity and supporting physician partners...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Champion operational excellence by managing client accounts, translating performance data into actionable insights, and fostering strong relationships to align expectations with capabilities. Drive co...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$129K - $168K *

Optimize internal monitoring processes by leading clinical evaluations and audits across operational functions. Drive compliance, enhance decision-making, and foster team development to ensure alignme...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$160K - $180K *

Lead sales initiatives in a designated territory by developing and executing strategic business plans, fostering relationships with healthcare professionals, and driving product awareness and availabi...

Columbus, OHRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$170K - $215K *

Champion the opening and leadership of a new office while overseeing construction projects, building teams, and ensuring high-quality deliverables. Shape processes and client relationships as a strate...

California, USRemote

Reposted 6 days ago

  •   11 - 15 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.