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

$105K - $130K *

Optimize validation strategies and ensure compliance for GxP-regulated systems. Lead risk assessments, mentor junior team members, and oversee quality assurance activities throughout the system lifecy...

United StatesRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$77K - $97K *

Explore and enhance our Salesforce platform, driving scalable solutions across Revenue Operations. Collaborate with cross-functional teams to optimize workflows and ensure seamless integrations, while...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$85K - $160K *

Join a team that's dedicated to enhancing patient care through innovative interventional products. Collaborate with healthcare professionals to identify needs, provide clinical support, and drive sale...

Florida, USRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $140K *

Optimize client relationships by ensuring seamless communication and operational excellence. Collaborate across teams to drive client success, manage deliverables, and enhance platform utilization whi...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $95K *

Analyze and oversee Medicare cost report audits, ensuring compliance with CMS regulations. Mentor junior auditors while managing complex reimbursement projects and maintaining provider relations to en...

RemoteRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $107K *

Oversee regional IT service delivery, ensuring reliability and customer satisfaction. Connect global strategies with local operations, enhancing user experiences and driving service improvements in a...

CanadaRemote

Reposted today

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Shape the future of client partnerships by leading loyalty strategies and cross-functional teams to enhance retail programs, driving measurable impact and client satisfaction in a fast-paced environme...

Dallas, TXRemote

1 week ago

  •   8 - 10 years exp.  •   Business Services

$91K - $163K *

Pioneer innovative data solutions that enhance Medicare Advantage programs, ensuring seamless eligibility and benefits management while collaborating with vendors, stakeholders, and technology teams t...

Minnetonka, MNRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$109K - $130K *

Drive excellence in master data management by leading identity resolution, ensuring data integrity, and establishing governance standards for patient and provider domains. Collaborate with stakeholder...

Colorado, USRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Transform client relationships by managing pharmaceutical programs, overseeing staff, and ensuring operational excellence. Collaborate with stakeholders to enhance program performance while adhering t...

North Carolina, USRemote

Yesterday

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$71K - $113K *

Join a team that's dedicated to managing specialty construction portfolios, ensuring compliance with lending policies, and guiding borrowers through the construction loan process while mitigating risk...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$250K - $250K+*

Join a team that's at the forefront of clinical research, overseeing site management and ensuring compliance throughout all study phases, while contributing to impactful oncology studies and enhancing...

Durham, NCRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$125K - $145K *

Champion cross-functional collaboration and project management to enhance USPS operations. Drive strategic solutions, stakeholder engagement, and process improvements while leveraging Agile methodolog...

United StatesRemote

2 days ago

  •   8 - 10 years exp.  •   Business Services

$95K - $115K *

Join a team that's dedicated to optimizing program operations and enhancing customer satisfaction. Lead initiatives in inventory management, process improvements, and team development while fostering...

RemoteRemote

4 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$100K - $125K *

Champion strategic growth by partnering with independent insurance agencies. Drive sales, analyze market trends, and cultivate relationships to enhance performance and achieve corporate objectives in...

Cedar Rapids, IARemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$190K - $225K *

Champion transformational philanthropy by securing $5M+ gifts through strategic engagement with high-net-worth individuals and foundations. Collaborate across teams to align donor passions with organi...

Atlanta, GARemote

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$70K - $94K *

Join a dynamic team as you lead care management efforts, ensuring effective delivery of integrated care. Drive team performance, oversee operations, and enhance service outcomes in a supportive, manag...

North Carolina, USRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$90K - $115K *

Lead the charge in transforming complex business needs into impactful analytic products. Collaborate with stakeholders to design, develop, and maintain reusable semantic models that enhance decision-m...

United StatesRemote

5 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$100K - $250K *

Champion the growth of insurance accounts by driving sales, building relationships, and providing expert risk assessments. Leverage your industry knowledge to educate clients and maintain a profitable...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$89K - $115K *

Shape innovative software solutions by designing, developing, and maintaining robust applications. Collaborate with cross-functional teams to enhance user experience and optimize application performan...

United StatesRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $120K *

Partner with us to enhance and optimize the Edifecs platform, ensuring efficient EDI transaction processing. Collaborate with cross-functional teams to troubleshoot and improve system performance in a...

Texas, USRemote

2 weeks ago

  •   8 - 10 years exp.  •   Information Technology

$223K - $240K *

Drive compliance operations by optimizing systems and processes to ensure adherence to regulations. Lead transparency reporting, hotline administration, and third-party compliance while fostering cros...

San Diego, CARemote

3 days ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$170K - $213K *

Manage and lead a team of legal professionals supporting complex commercial transactions and product development in Corporate Payments, ensuring compliance and risk management while fostering collabor...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$120K - $160K *

Manage contracts and proposals within the Defense and Civil Space Market, serving as a strategic partner to stakeholders. Leverage federal contracting expertise to drive innovation and navigate comple...

Virginia, USRemote

1 week ago

  •   8 - 10 years exp.  •   Information Technology

$126K - $154K *

Transform healthcare payment solutions by driving business growth and optimizing client relationships. Leverage your expertise to develop tailored proposals and secure long-term partnerships with larg...

RemoteRemote

1 week ago

  •   5 - 7 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.