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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$127K - $169K *

Lead the charge in risk analysis and control, providing technical expertise to enhance underwriting goals and improve account management through strategic evaluations and recommendations...

Indiana, USRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $130K *

Innovate clinical quality systems for scalable care delivery, ensuring standards meet payer expectations and driving measurable performance improvements across independent health providers...

RemoteRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Join a team that's redefining inpatient coding operations, ensuring quality and compliance while optimizing workflows. Lead a dedicated team to enhance documentation practices and support financial he...

RemoteRemote

2 weeks ago

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

$110K - $130K *

Elevate business growth by driving strategic sales initiatives across the Great Lakes region. Collaborate with internal teams to maximize revenue and enhance market presence while managing customer re...

Columbus, OHRemote

Today

  •   8 - 10 years exp.  •   Manufacturing & Automotive

$110K - $130K *

Shape the future of compliance by leading a robust program that ensures regulatory adherence, fosters a culture of integrity, and collaborates across functions to mitigate risks and enhance operationa...

North Carolina, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$135K - $159K *

Lead the charge in developing compliance programs and maintaining a robust AML protocol, ensuring effective oversight of mutual funds and service providers while enhancing collaboration across departm...

United StatesRemote

4 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$106K - $177K *

Lead complex underwriting decisions for high-net-worth and foreign national clients. Collaborate with teams to assess risks, build relationships, and enhance processes while mentoring others in a dyna...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$110K - $130K *

Advance your career by enhancing the efficiency and effectiveness of our Legal and Compliance function. Lead operational improvements, manage budgets, and implement legal technology solutions in a dyn...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$80K - $115K *

Analyze and enhance client data reporting, driving insights and trends to support customer satisfaction and business growth. Collaborate with cross-functional teams to ensure data integrity and delive...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$131K - $209K *

Transform client relationships by leading a team to deliver proactive solutions in voluntary benefits. Drive strategic initiatives, enhance service delivery, and foster a culture of continuous improve...

Portland, ORRemote

Today

  •   8 - 10 years exp.  •   Finance & Insurance

$103K - $115K *

Unlock potential by ensuring the security and compliance of critical information systems. Collaborate with stakeholders to assess security controls, develop secure architectures, and implement risk mi...

Virginia, USRemote

Yesterday

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

$95K - $115K *

Pioneer quality assurance and process improvement initiatives to enhance operational efficiency. Collaborate across departments, analyze data, and drive decision-making to ensure accuracy and complian...

Pomona, CARemote

2 weeks ago

  •   5 - 7 years exp.  •   Energy & Utilities

$92K - $126K *

Drive innovative solutions by blending product analytics and low-code development, collaborating cross-functionally to enhance AI Agent capabilities and optimize Revenue Cycle operations within the he...

United StatesRemote

Reposted 1 week ago

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

$102K - $130K *

Lead the charge in optimizing patient services through effective team management, strategic collaboration, and continuous improvement initiatives. Drive operational efficiencies while ensuring high-qu...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Champion privacy solutions by engaging with clients, delivering tailored demos, and driving sales success. Leverage your expertise to influence product development and navigate the intersection of AI...

RemoteRemote

6 days ago

  •   Less than 5 years exp.  •   Information Technology

$134K - $230K *

Lead product strategy and execution to enhance quality programs, driving measurable performance improvements in healthcare. Collaborate with teams to optimize product development and ensure compliance...

Eden Prairie, MNRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $95K *

Join a dynamic team to optimize inventory across multiple locations, ensuring timely product availability and enhancing customer satisfaction through data-driven decisions and collaboration with cross...

South Plainfield, NJRemote

2 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$180K - $200K *

Shape the future of internal audit by leading compliance initiatives, managing SOX and MAR activities, and enhancing internal controls across the organization. Collaborate with teams to drive risk man...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Finance & Insurance

$91K - $114K *

Join a team that's advancing clinical trials by ensuring protocol compliance and data integrity. Collaborate with investigators to facilitate innovative treatments while conducting site visits and mai...

RemoteRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$91K - $114K *

Lead the charge in clinical trial monitoring, ensuring compliance and data integrity while collaborating with investigators to advance innovative oncology treatments and therapies...

RemoteRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Advance your career by contributing to clinical trials, ensuring data integrity and patient safety. Collaborate with investigators and site staff while leveraging your expertise in monitoring cardio a...

Texas, USRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Partner with us to advance clinical trials by monitoring and analyzing data, ensuring compliance and patient safety, while collaborating with site staff to facilitate innovative treatments in a dynami...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Drive clinical trial success by monitoring and analyzing data, ensuring compliance and patient safety while collaborating with site staff to advance innovative treatments in a fast-paced environment...

Florida, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Lead clinical trial monitoring to ensure compliance with protocols and regulations, enhancing quality and collaboration across teams while supporting continuous improvement in site performance and dat...

Montreal, QCRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $100K *

Drive clinical trial excellence by overseeing monitoring activities, ensuring compliance with protocols and regulations, and fostering collaboration across teams to enhance data integrity and site per...

RemoteRemote

Reposted 1 week 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.