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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$100K - $120K *

Unlock potential by fostering strategic partnerships and driving growth in life and annuity sales through relationship building, training, and innovative solutions to meet market demands and enhance c...

United StatesRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$60K - $250K *

Drive impactful connections in healthcare by matching providers with facilities. Leverage your sales expertise to build relationships, negotiate contracts, and contribute to a rewarding mission that e...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$130K - $140K *

Join a team that's dedicated to driving client success in oncology. As a key leader, you'll manage relationships, oversee project delivery, and foster growth across a diverse portfolio, ensuring high...

Philadelphia, PARemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $142K *

Lead a team of specialists in managing absence and claim cases, ensuring operational excellence and high-quality service delivery while fostering a supportive and growth-oriented environment for team...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$92K - $166K *

Shape the future of supply chain security by conducting risk assessments, translating complex data into actionable insights, and collaborating with key stakeholders to enhance the FAA's cybersecurity...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Technical Services

$150K - $250K *

Transform financial services by leading complex banking operations and technology projects. Collaborate with clients to enhance performance, drive innovation, and shape a new practice within a dynamic...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Business Services

$140K - $170K *

Pioneer innovative compensation strategies to enhance pay equity and governance while leading performance-driven pay cycles. Collaborate with HR and finance to optimize compensation structures and ens...

Illinois, USRemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$120K - $145K *

Elevate your career by leading the development of high-quality clinical documents for global regulatory submissions. Collaborate with cross-functional teams to ensure data-driven messaging aligns with...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$54K - $119K *

Unlock potential by leading behavioral health contract negotiations, ensuring a robust network for Louisiana Medicaid. Collaborate with leadership to identify gaps and develop strategies for effective...

La Puente, CARemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$79K - $127K *

Help us drive efficiencies in physician preference item management, foster relationships, and maintain compliance across our Neurosurgical and Orthopedic services while achieving significant savings g...

Pennsylvania, USRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Drive business growth by promoting products and managing key accounts. Build relationships with clients and KOLs, ensuring compliance while achieving sales targets. Contribute to marketing strategies...

Jersey City, NJRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$135K - $237K *

Join us in providing strategic financial leadership and oversight, ensuring collaboration across departments to drive market success and enhance financial performance through insightful analysis and r...

Georgia, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$155K - $220K *

Champion a dynamic actuarial team to drive strategic pricing, reserving, and modeling initiatives. Leverage your expertise to influence business decisions and enhance organizational performance while...

United StatesRemote

6 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$120K *

Shape the future of our post charge-off recovery program by leading legal compliance, vendor oversight, and operational excellence. Drive meaningful returns through strategic management and innovative...

Needham, MARemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$96K - $144K *

Lead cross-functional initiatives to enhance customs operations, ensuring compliance and optimizing performance. Drive process improvements and manage a high-performing team while leveraging data anal...

RemoteRemote

6 days ago

  •   5 - 7 years exp.  •   Business Services

$110K - $130K *

Empower your legal career by defending diverse general liability cases. Collaborate with a dynamic team, leveraging your litigation expertise to deliver exceptional client service while managing cases...

Manchester, NHRemote

3 weeks ago

  •   5 - 7 years exp.  •   Legal & Accounting

$125K - $178K *

Accelerate progress at the forefront of cloud security governance, leading a dynamic team to enhance compliance, drive automation, and ensure robust risk management across multi-cloud environments...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$135K - $160K *

Elevate our deal desk function by transforming processes into a scalable model. You'll implement AI tools, streamline order forms, and ensure efficient deal structuring while collaborating with cross...

United StatesRemote

3 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$75K - $160K *

Drive growth by selling complex healthcare solutions to payers, managing strategic relationships, and developing market-level strategies. Own the sales process while coordinating with cross-functional...

Eden Prairie, MNRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$160K - $190K *

Join us as a strategic advisor, providing legal counsel on commercial contracts, AI products, and technology licensing. Collaborate with cross-functional teams to drive proactive solutions and support...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Legal & Accounting

$95K - $115K *

Champion clinical excellence by overseeing studies with a blend of remote and on-site monitoring. Leverage your expertise in CNS, oncology, or metabolic indications to ensure compliance and enhance si...

San Diego, CARemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$79K - $127K *

Drive your career forward by overseeing tax compliance and accounting functions. You'll conduct research, manage filings, and identify opportunities while ensuring adherence to evolving tax laws. Join...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$170K - $175K *

Engineer innovative data solutions by developing impactful dashboards and analytics. Collaborate with teams to enhance supply chain insights, leveraging cutting-edge technology to drive strategic busi...

Nova Scotia, CARemote

Today

  •   Less than 5 years exp.  •   Transportation

$91K - $163K *

Join us in leading data governance initiatives, enhancing documentation standards, and ensuring alignment across teams. Drive the lifecycle management of data contracts and specifications while foster...

Eden Prairie, MNRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$85K - $95K *

Join as a critical team member to manage and enhance productivity platforms, ensuring stability, security, and user satisfaction. Collaborate across teams to drive operational maturity and navigate co...

RemoteRemote

4 weeks ago

  •   8 - 10 years exp.  •   Business Services

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.