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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$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

$95K - $115K *

Unlock client potential by driving adoption and optimizing solutions across legal accounts. Serve as a trusted advisor, ensuring clients maximize their investment in Intapp products while fostering lo...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$119K - $237K *

Join a team that's dedicated to enhancing client relationships and driving strategic growth. Leverage your expertise in voluntary benefits to manage a diverse portfolio, ensuring client satisfaction a...

Chicago, ILRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$140K - $155K *

Join a dynamic team driving revenue growth by cultivating high-impact donor relationships. Leverage your expertise in securing significant gifts to advance mission priorities while collaborating acros...

RemoteRemote

2 days ago

  •   8 - 10 years exp.  •   Healthcare

$66K - $145K *

Reimagine rebate reconciliation by managing complex accounts, mentoring analysts, and leading process improvements. Collaborate with internal and external partners to enhance operational efficiency an...

RemoteRemote

6 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$100K - $135K *

Contribute to healthcare policy development by conducting quantitative analysis, evaluating proposals, and translating complex findings into actionable recommendations for stakeholders in the healthca...

Washington, DCRemote

Yesterday

  •   Less than 5 years exp.  •   Business Services

$150K - $170K *

Elevate your career by driving sales for innovative products in a dynamic environment. Collaborate with cross-functional teams to identify opportunities, deliver tailored solutions, and shape the futu...

New York, NYRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$75K - $90K *

Grow your career with a dynamic sales role focused on the Economy Segment within the automotive collision coatings market. Build relationships, close deals, and achieve targets while driving accountab...

United StatesRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$125K - $150K *

Drive regulatory strategy across major programs, leading high-impact submissions and authority engagement. Collaborate with cross-functional teams to optimize clinical development and ensure complianc...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$100K - $170K *

Transform your career by leading the development of AI-powered observability solutions that enhance operational efficiency and system resilience across multi-cloud environments. Drive innovation in au...

Illinois, USRemote

Reposted 4 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$82K - $137K *

Join a team that's dedicated to enhancing client relationships and service delivery. You'll manage client needs, collaborate with internal teams, and analyze data to drive satisfaction and performance...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Transform healthcare by owning client relationships, guiding clinics through onboarding, and ensuring long-term success. Leverage your expertise to analyze workflows and drive impactful solutions in a...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

Empower healthcare technology by enhancing clinical systems and integrations. Collaborate with IT and business stakeholders to optimize workflows, manage projects, and ensure system performance across...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$177K - $242K *

Help us drive competitive insights that enhance strategic decision-making. In this role, you'll analyze market dynamics, synthesize data, and collaborate across teams to influence brand strategies for...

New Jersey, USRemote

Reposted 5 days ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$186K - $278K *

Lead strategic initiatives in healthcare economics, collaborating with national accounts to enhance patient outcomes and drive market access. Foster relationships with key stakeholders while executing...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Unlock potential by leading pharmacy operations, enhancing client engagement, and driving continuous improvement initiatives. Oversee a team of clinical professionals to ensure high-quality pharmacy s...

Nashville, TNRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$73K - $110K *

Drive innovation by collaborating with users to enhance Electronic Medical Record and Financial Applications. You'll design, build, and integrate solutions while ensuring compliance and patient safety...

Grand Forks, NDRemote

Reposted 2 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.