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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
More
1
caret down

$69K - $101K *

Lead the charge in holistic clinical care management, enhancing health outcomes through comprehensive assessments, care planning, and coordination for diverse member populations with complex needs...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Elevate your career as a Clinical Research Associate, where you'll build site relationships, ensure compliance, and drive quality in clinical trials. Enjoy world-class training, reduced travel, and op...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$90K - $110K *

Grow your career with a dynamic sales role, driving business expansion through strategic client engagement and consultative solutions, all while leading the charge in a collaborative, remote environme...

Florida, USRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Finance & Insurance

$125K - $160K *

Join a dynamic team as a Sr. Health Benefit Plan Consulting Attorney, leveraging your expertise in healthcare law to navigate complex regulatory issues, support consulting services, and drive complian...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$62K - $103K *

Engage with pharmacy providers and internal teams to tackle compliance and operational challenges. Utilize data and technology to enhance processes, ensuring adherence to regulations while fostering c...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$165K - $175K *

Drive operational excellence by leading multi-state revenue cycle management, optimizing physician billing, and enhancing payer relationships. Collaborate with stakeholders to maximize collections and...

Pennsylvania, USRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$81K - $92K *

Drive thorough property valuation reviews to ensure compliance with regulations and adequate loan collateral. Utilize analytical skills to collaborate effectively across departments, maintain relation...

Atlanta, GARemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$108K - $136K *

Drive strategic guidance and regulatory expertise in qualified retirement plans, analyzing IRC and ERISA provisions to support complex inquiries and business initiatives while collaborating with inter...

Georgia, USRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$160K - $200K *

Join a team that’s dedicated to providing exceptional legal counsel in Product and General Liability. Bring your extensive experience and strategic thinking to make a significant impact in a fully rem...

Pittsburgh, PARemote

Reposted 3 weeks ago

  •   8 - 10 years exp.  •   Aerospace & Defense

$160K - $200K *

Unlock potential by joining a growing legal team focused on public and private clients. Contribute your expertise remotely while shaping legal strategies across key practice areas in North and South C...

Greensboro, NCRemote

4 weeks ago

  •   8 - 10 years exp.  •   Aerospace & Defense

$108K - $162K *

Transform model validation processes by leading efforts in Generative AI and agentic AI. Collaborate with cross-functional teams to ensure compliance with internal standards and regulatory expectation...

Hartford, CTRemote

3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $130K *

Pioneer in civil litigation, focusing on insurance coverage and bad faith cases. Engage in complex litigation in state and federal courts while developing your skills in a collaborative environment. J...

Philadelphia, PARemote

2 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$100K - $275K *

Join a team that's shaping the future of civil litigation. Leverage your expertise in insurance coverage and bad faith litigation while engaging in complex cases across state and federal courts. Drive...

Los Angeles, CARemote

3 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$120K - $145K *

Transform regulatory strategies for rare disease and cardio-pulmonary drug-device programs. Collaborate with cross-functional teams to ensure compliance and drive successful submissions globally, supp...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$69K - $146K *

Unlock potential by managing pricing and promotion processes, providing analytical support to drive revenue growth. Collaborate with cross-functional teams to evaluate performance and deliver actionab...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Food & Beverages

$85K - $100K *

Shape the future of clinical trials by managing supply chain activities, ensuring timely delivery of essential materials and maintaining regulatory compliance. Collaborate with diverse teams to enhanc...

United StatesRemote

4 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$100K - $120K *

Unlock potential by driving sales growth through strategic partnerships with agents and agencies. Collaborate to develop and implement innovative marketing strategies that enhance customer service whi...

United StatesRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$83K - $103K *

Drive success in regulatory affairs by preparing critical submissions for medical and diagnostic devices. Oversee compliance with U.S. and international regulations while collaborating with cross-func...

United StatesRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

Join our Clinical Science team to enhance data integrity in CNS trials by conducting meticulous reviews of clinical interviews, ensuring protocol compliance, and guiding site interventions as a Clinic...

United StatesRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$160K - $192K *

Join a dynamic team to drive commercial performance and enhance patient access through strong relationships with healthcare providers, executing strategic business plans and supporting innovative prod...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Lead and execute regulatory strategies for multi-region clinical trials, ensuring compliance and timely submissions. Collaborate with project teams to manage risks and drive operational excellence thr...

United StatesRemote

4 days ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$165K - $192K *

Optimize customer engagement through strategic lifecycle marketing. Lead multi-channel initiatives to enhance customer lifetime value, leveraging data-driven insights and performance metrics to shape...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$45K - $250K *

Transform your career by connecting healthcare professionals with meaningful roles. Join a supportive team focused on building relationships and driving results while enjoying unlimited earning potent...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Advance analytics and informatics solutions by integrating VA databases, developing dashboards, and collaborating in Agile teams to enhance healthcare delivery for Veterans, ensuring effective data ma...

United StatesRemote

4 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$78K - $113K *

Unlock potential by leading complex revenue cycle projects, providing analytical support, and collaborating across departments to enhance billing processes and resolve financial issues in a fast-paced...

United StatesRemote

3 days ago

  •   Less than 5 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.