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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$150K - $180K *

Lead the charge in shaping commercial agreements that drive our global luxury lifestyle business. Collaborate with cross-functional teams to enhance contracting practices, ensuring speed, quality, and...

Corte Madera, CARemote

2 weeks ago

  •   8 - 10 years exp.  •   Retail & Consumer Goods

$140K - $190K *

Lead the charge in driving sales growth within the Pulmonary therapeutic area by building strong relationships with healthcare professionals and implementing strategic initiatives to enhance product u...

RemoteRemote

2 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$54K - $155K *

Lead the charge in telephonic case management, collaborating with patients and care teams to support quality healthcare delivery. Use clinical expertise to assess needs, implement strategies, and ensu...

RemoteRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$171K - $245K *

Join a team that's driving patient access through strategic leadership of regional Therapy Access Managers, optimizing operations while ensuring compliant support for healthcare practitioners across m...

RemoteRemote

Reposted 2 weeks ago

  •   11 - 15 years exp.  •   Pharmaceuticals & Biotech

$120K - $145K *

Empower regulatory excellence by guiding cross-functional teams in compliance and strategy. Leverage deep FDA knowledge to influence promotional materials and ensure adherence to evolving regulations...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$107K - $199K *

Lead the charge in strategic and operational execution of healthcare initiatives, ensuring timely execution and integration of project plans while managing complex budgets to drive business success an...

Missouri, USRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$79K - $127K *

Elevate your career as you design and lead impactful research studies, applying implementation science frameworks to drive health services innovation and training. Collaborate globally to translate fi...

Ann Arbor, MIRemote

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$155K - $188K *

Elevate employee benefits and retirement programs by leading strategic initiatives, ensuring compliance, and enhancing program effectiveness for a diverse workforce. Collaborate with cross-functional...

United StatesRemote

Today

  •   8 - 10 years exp.  •   Retail & Consumer Goods

$72K - $111K *

Unlock your potential as you remotely resolve complex Tier II incidents while empowering a Department of War agency's 13,000 users. Take ownership of issues, drive remote diagnostics, and enhance oper...

Quantico, VARemote

4 weeks ago

  •   8 - 10 years exp.  •   Enterprise Technology

$75K - $100K *

Partner with us to enhance mortgage lending processes by bridging business needs and technical solutions. Drive project management and process improvements for our Encompass loan origination system, e...

San Diego, CARemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$211K - $352K *

Optimize category strategies and drive procurement excellence across the organization. Lead cross-functional teams to enhance supplier relationships, manage risks, and deliver financial results while...

Waltham, MARemote

2 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$63K - $101K *

Optimize compliance in Interventional Radiology charge capture by conducting audits, educating teams, and enhancing coding practices. Collaborate with clinical departments to identify and rectify codi...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$82K - $117K *

Shape the future of enterprise data by leveraging your expertise as a Business Analyst. Collaborate with stakeholders to define requirements, enhance processes, and support MDM applications, driving i...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$66K - $106K *

Lead the charge in complex investigations of medical fraud, collaborating with law enforcement and internal teams to develop cases, analyze evidence, and ensure compliance with regulations while maint...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$85K - $99K *

Analyze and manage data to drive sales performance. Collaborate with teams to create reports, implement solutions, and identify improvement opportunities, ensuring effective communication and project...

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3 weeks ago

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$82K - $126K *

Elevate clinical research by leading the Pre-Award team to ensure compliance, budget accuracy, and timely activation of trials while driving process improvements and maintaining high performance metri...

Tampa, FLRemote

Reposted 2 days ago

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

$138K - $188K *

Lead global trade compliance initiatives, ensuring adherence to regulations across multiple jurisdictions. Drive strategic programs for import/export operations, risk management, and partner governanc...

United StatesRemote

Yesterday

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$93K *

Transform your career by building lasting relationships as you protect clients' interests. Leverage your sales expertise and communication skills to make a meaningful impact in your community while dr...

Marshall, MNRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $170K *

Pioneer innovative solutions in P&C insurance by owning the product roadmap for policy administration and commercial underwriting, integrating AI capabilities to enhance decision-making and streamline...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Enterprise Technology

$97K - $193K *

Transform clinical research by managing diverse site activities, ensuring compliance and collaboration across studies while driving innovative solutions in patient care. Join a team committed to impac...

RemoteRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Transform application integration and cloud migration by leveraging hands-on expertise with SureCommercial. Collaborate with cross-functional teams to ensure seamless data exchange and system compatib...

New Jersey, USRemote

Today

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$95K - $115K *

Unlock the potential of seamless data exchange by analyzing EDI requirements, developing maps, and supporting integrations. Collaborate with partners to ensure efficient transactions and enhance elect...

RemoteRemote

6 days ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$85K - $160K *

Join us to drive the utilization and expansion of our TEG product line, providing clinical education and support to enhance customer relationships and ensure optimal product usage across various healt...

California, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$125K - $150K *

Shape innovative solutions by leveraging your expertise in a dynamic office environment. Collaborate with cross-functional teams and contribute to project success while ensuring high standards of accu...

North Carolina, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$160K - $190K *

Empower your legal career by leading Lemon Law litigation in Northern California. Join a collaborative team where you can take ownership of cases, develop strategies, and enhance your trial skills whi...

California, USRemote

4 weeks ago

  •   8 - 10 years exp.  •   Legal & Accounting

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.